CSF shunts play a vital role in diverting excess cerebrospinal fluid to other body compartments, thereby preventing potentially life-threatening complications. This presentation aims to provide a comprehensive overview of CSF shunt systems and their evaluation using multimodal imaging techniques. We will briefly review the various types of CSF shunts and their essential components. The discussion will also cover imaging protocols and MRI safety considerations for patients with shunts, with a focus on what clinicians need to see in imaging reports. Additionally, special emphasis will be placed on shunt-related complications, such as shunt malfunctions (e.g., disconnections, migration, leakage and overdrainage); over-shunting myelopathy (Miyazaki syndrome); slit ventricle syndrome; trapped ventricle; infections (ventriculitis, meningitis); and distal catheter complications (e.g., peritoneal CSF pseudocysts with and without infection, peritonitis, pleural effusions). Read More

Meeting name: SPR 2025 Annual Meeting , 2025

Authors: Hoodeshenas Safa, Averill Lauren, Mody Tejal, Johnson Craig

Keywords: Shunts, CSF, Hydrocephalus

For patients who had implants placed at our hospital, we found missing documentation when patients presented for imaging procedures. Lack of documentation led to patient safety concerns and time needed to research implants. Using continuous improvement (CI) methods, we aimed to eliminate instances of missing make, model, & manufacturer (3M) information in the EMR for patients recovering in the PACU after an implant procedure. We also aimed to reduce CT/MRI technologist search time for implant information in the EMR to ≤ 5 minutes. Read More

Meeting name: SPR 2023 Annual Meeting & Postgraduate Course , 2023

Authors: Givler Nicole, Gouge Laura, Vogel Daniel, Averill Lauren

Keywords: implant documentation, continuous improvement, interdisciplinary

This is a case report of a 15-year-old boy with chronic intermittent left shoulder pain due to an undiagnosed lesser tuberosity avulsion fracture, an associated biceps pulley injury and intra-articular dislocation of the long head of the biceps tendon. Also presented is a companion case of a 13-year-old boy with an acute lesser tuberosity avulsion with an intact biceps pulley. Avulsion fractures of the lesser tuberosity are rare injuries which can be difficult to diagnose clinically and on radiographs. Even more rare are reported cases of biceps pulley injuries in children and adolescents with lesser tuberosity avulsions. Utilizing the imaging from these two cases we review lesser tuberosity avulsions in children and also review the complex anatomy of the biceps pulley, which due to its close association with the lesser tuberosity, may be involved in these injuries. These cases emphasize the importance of MR in the diagnosis and treatment planning of lesser tuberosity avulsions. Read More

Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017

Authors: Mizrahi Daniel, Averill Lauren, Blumer Steven, Meyers Arthur

Keywords: Lesser tuberosity avulsion, biceps tendon dislocation, biceps pulley injury