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Healing through music
The last time I had a mammogram, I got a big surprise — and it was a good one. A string quartet was playing just outside the doors of the breast imaging center, and my thoughts immediately shifted from “What are they going to find on the mammogram?” to “Is that Schubert, or Beethoven?” By the time my name was called, I had almost forgotten why I was there. The unexpected concert was the work of Holly Chartrand and Lorrie Kubicek, music therapists and co-coordinators of the Environmental Music Program at Massachusetts General Hospital. But bringing music to hospital corridors is just a sideline for music therapist...
Source: New Harvard Health Information - November 5, 2015 Category: Consumer Health News Authors: Beverly Merz Tags: Behavioral Health Mental Health Pain Management Surgery Source Type: news

Teaching NeuroImages: Ocular bruit in carotid-cavernous sinus fistula
A 57-year-old man who had a traffic accident 1 month previously presented with left ocular pain, double vision, and left eye proptosis with ptosis and conjunctival hemorrhage. Fundus showed dilated veins with no hemorrhages or disc edema. Left ocular motility showed complete external ophthalmoplegia (figure 1). There was prominent ocular bruit in his left eye (audio file on the Neurology® Web site at Neurology.org). MRI and magnetic resonance angiography showed a dilated left superior ophthalmic vein and an extravasation into cavernous sinus (figure 2). With chemosis, ophthalmoplegia, and retro-orbital pain, the auscul...
Source: Neurology - August 11, 2014 Category: Neurology Authors: Choi, J.-Y., Baek, S.-H., Jung, J.-M., Kwon, D.-Y., Park, M. H. Tags: All Imaging, Other cerebrovascular disease/ Stroke, Clinical neurology examination, All Neuro-ophthalmology RESIDENT AND FELLOW SECTION Source Type: research

Teaching NeuroImages: Carotid cavernous fistula in a patient with Ehlers-Danlos syndrome
A 25-year-old woman with Ehlers-Danlos syndrome type IV and history of spontaneous right petrous internal carotid artery dissection presents with severe headache, right eye pain with extraocular movements, proptosis, and chemosis of the right eye. She reported hearing her heartbeat in her right ear. CT angiogram (figure) revealed an engorged right ophthalmic vein. Subsequent digital subtraction angiography confirmed a carotid cavernous fistula along a previously dissected carotid artery.
Source: Neurology - August 28, 2016 Category: Neurology Authors: Liang, J. W., Horowitz, D. Tags: CT, Other cerebrovascular disease/ Stroke, Arteriovenous malformation, Carotid artery dissection RESIDENT AND FELLOW SECTION Source Type: research

Teaching NeuroImages: Takayasu arteritis: Neuroimaging progression after immunosuppressant treatment
A 29-year-old woman presented with a 2-year history of heel pain, constitutional symptoms, and increased acute phase reactants. CT and magnetic resonance (MR) angiography revealed a thickening of aortic walls and a thread-like appearance of bilateral subclavian and common carotid arteries. The findings were consistent with Takayasu arteritis (TA)1 and the patient was prescribed methylprednisolone, followed by azathioprine. Follow-up MR angiography, 6 years later, showed an important improvement with only a mild luminal narrowing of both common carotid arteries (figures 1 and 2, A and B). TA is a large-artery inflammatory d...
Source: Neurology - May 15, 2017 Category: Neurology Authors: Martinez Rodriguez, L., Caminal Montero, L., Pena Suarez, J., Garcia-Cabo Fernandez, C., Calleja Puerta, S. Tags: MRI, Vasculitis, All Cerebrovascular disease/Stroke RESIDENT AND FELLOW SECTION Source Type: research