Magnetic Resonance Imaging for Detection of Brain Abnormalities in Fetuses with Cleft Lip and/or Cleft Palate

2011 ◽  
Vol 48 (5) ◽  
pp. 619-622 ◽  
Author(s):  
Heather Rosen ◽  
Grace J. Chiou ◽  
Joan M. Stoler ◽  
John B. Mulliken ◽  
Tomo Tarui ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Cleft Palate ◽  
Cleft Lip ◽  
Resonance Imaging ◽  
Brain Abnormalities

Yield of Brain Magnetic Resonance Imaging in Epilepsy Diagnosis from 1998 to 2020: A Large Retrospective Cohort Study

2021 ◽  
Author(s):  
Tomer Stern ◽  
Liora Kornreich ◽  
Hadassa Goldberg
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Focal Epilepsy ◽  
Brain Mri ◽  
Brain Magnetic Resonance Imaging ◽  
Infantile Spasms ◽  
Mesial Temporal Sclerosis ◽  
Resonance Imaging ◽  
Brain Abnormalities ◽  
Epilepsy Diagnosis

Abstract Background We aimed to find the clinical significance of brain abnormalities on magnetic resonance imaging (MRI) in epilepsy and the lateralization of these findings with electroencephalogram (EEG). Methods We retrospectively analyzed the results of all EEGs and brain MRIs of 600 consecutive epilepsy patients from 1998 to 2020. Results Data were available for 563 cases (267 females). Ninety percent of the patients were 18 years old or younger. A total of 345 patients (61.3%) had focal epilepsy, 180 (32%), generalized, and 38 (6.7%), inconclusive. In 187 (33.2%), the first MRI was abnormal and in 81 (out of 108 repeated MRI), the second was pathological. The most frequent brain abnormalities were cortical dysplasia in 41 (18.1%), other structural abnormalities in 25 (11%), various phacomatoses in 23 (10.1%), and mesial temporal sclerosis in 17 (7.5%). Among 226 patients with abnormal MRI, 171 (75.6%) had focal epilepsy when compared with 36 (15.9%) with generalized epilepsy (p <0.001). In 121 patients (53.5%), the result of the abnormal MRI contributed significantly to the understanding of the epilepsy etiology. The side of abnormality was lateralized to the EEG focus in 120 cases (53%); in 10/15 cases with infantile spasms (66%), MRI was significantly abnormal. In 33, in whom the first MRI was normal, a second MRI revealed a significant abnormality. Conclusion Brain MRI is an important tool in epilepsy diagnosis, mainly in focal seizures and infantile spasms. A repeat MRI is mandatory in intractable focal cases to improve the yield of this test.

A Comparison of Early Versus Late Prenatal Magnetic Resonance Imaging in the Diagnosis of Cleft Palate

2019 ◽  
Vol 82 ◽  
pp. S242-S246 ◽  
Author(s):  
Sherelle Laifer-Narin ◽  
Kathryn Schlechtweg ◽  
James Lee ◽  
Whitney Booker ◽  
Russell Miller ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Cleft Palate ◽  
Resonance Imaging ◽  
Prenatal Magnetic Resonance Imaging

Brain abnormalities detected on magnetic resonance imaging of amphetamine users presenting to an emergency department: a pilot study

2010 ◽  
Vol 193 (5) ◽  
pp. 266-268 ◽  
Author(s):  
Daniel M Fatovich ◽  
David L McCoubrie ◽  
Swithin J Song ◽  
David M Rosen ◽  
Nick D Lawn ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Emergency Department ◽  
Pilot Study ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Brain Abnormalities

Magnetic Resonance Imaging in the Evaluation of Occult Submucous Cleft Palate

2001 ◽  
Vol 38 (5) ◽  
pp. 421-431 ◽  
Author(s):  
David P. Kuehn ◽  
Sandra L. Ettema ◽  
Michael S. Goldwasser ◽  
Joseph C. Barkmeier ◽  
Jayne M. Wachtel
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Cleft Palate ◽  
Muscle Tissue ◽  
Speech Therapy ◽  
Treatment Decision ◽  
Levator Muscle ◽  
Resonance Imaging ◽  
Mr Images ◽  
Submucous Cleft Palate

Objective: To explore the application of magnetic resonance imaging (MRI) in the evaluation of patients with occult submucous cleft palate and to use the MRI information obtained to aid in the treatment decision to perform surgery versus behavioral speech therapy. Design: Prospective study with magnetic resonance (MR) images of subjects suspected of having occult submucous cleft palate. Setting: Hospital and university-based. Patients: Two girls who were 4 years old at the time of palatal surgery. Intervention: Furlow double-opposing Z-plasty. Main outcome measures: MR images and clinical speech evaluations. Results: MR images provided evidence of an interruption of levator veli palatini muscle tissue in the midline and a substantial attachment of levator muscle tissue to the posterior border of the hard palate. In addition, MR images for both subjects demonstrated remarkably similar bilateral encapsulating sheaths that contained nonmuscular tissue, as confirmed subsequently during surgery. The encapsulating sheaths interrupted the normal progression of the levator muscle sling across the midline. The MR images led to the decision to perform surgery instead of speech therapy. Hypernasality was markedly reduced in both subjects after surgery. Conclusions: MRI is an effective technique for diagnosing occult submucous cleft palate and may be an important aid in the treatment decision regarding surgery versus behavioral speech therapy for patients diagnosed with occult submucous cleft palate.

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