James E. Knake

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Real-time sonography during surgery for intraspinal tumors is capable of demonstrating the extent of the tumor, its relation to the spinal cord, and the internal morphology of both the tumor and the cord. Such information is not obtainable intraoperatively by any other imaging method. It is especially valuable when all or a part of the tumor is anterior to(More)
The authors' experience with the intraoperative use of real-time ultrasonography during 21 neurosurgical procedures is reported. These procedures include neoplasm surgery in 18 cases, treatment of an arteriovenous malformation in one case, and ventricular catheter placement for hydrocephalus in two cases. In each of the neoplasm cases, the tumors were(More)
Because of the rapid systemic clearance of BCNU (1,3-bis-(2-chloroethyl)-1-nitrosourea), intra-arterial administration should provide a substantial advantage over intravenous administration for the treatment of malignant gliomas. Thirty-six patients were treated with BCNU every 6 to 8 weeks, either by transfemoral catheterization of the internal carotid or(More)
Thirty patients in whom the initial diagnosis of multiple sclerosis was clinically entertained underwent cranial magnetic resonance imaging (MRI) in close temporal relationship to cranial x-ray computed tomography (CT), electrodiagnostic studies (visual evoked responses, brainstem auditory evoked responses, and somatosensory evoked responses), and(More)
Compromise of blood flow in the vertebral arteries associated with head rotation is generally considered an uncommon cause of vertebrobasilar insufficiency. It can occur at virtually any level of the cervical spine. We present two cases of transient total occlusion of the left vertebral artery at the atlantoaxial joint during head rotation to the right. In(More)
The cerebral computed tomographic findings in two infants with methylmalonic acidemia and one infant and one adult with propionic acidemia are presented. Pertinent metabolic, clinical, and pathologic features of these genetic disorders of vitamin B12 (cobalamin) and biotin metabolism are reviewed briefly. Computed tomographic abnormalities consist of focal(More)
Real time intraoperative sonography is a valuable tool for visualizing subcortical mass lesions. Although most solid lesions are hyperechogenic, little is known about the ultrasound characteristics of intracerebral hemorrhage and subsequent hematoma formation. We sought to determine the sonographic characteristics of an acute intracerebral hematoma, to(More)
Lumbar myelography was performed in 38 patients; 19 received iohexol (an investigational aqueous contrast agent) and 19 received metrizamide. Iohexol is stable in solution, which is not the case with metrizamide. There was no other significant difference in diagnostic utility or quality between the two media. However, there was considerable postmyelography(More)
We report a case of progressive multifocal intracranial distal arterial branch occlusive disease in a young adult who smoked heavily and used oral contraceptives. The distribution of the angiographic lesions and the associated telangiectasias and rete mirabile resemble Moya-Moya disease except for clearly absent proximal carotid arterial disease. This type(More)