Browsing by Author "Koontz, Nicholas A."

Now showing 1 - 8 of 8
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    COVID-19-Associated Bifacial Weakness with Paresthesia Subtype of Guillain-Barré Syndrome
    (American Society of Neuroradiology, 2020-06-25) Hutchins, Katherine L.; Jansen, Jaclyn H.; Comer, Adam D.; Scheer, Richard V.; Zahn, Gregory S.; Capps, Alisha E.; Weaver, Lindsay M.; Koontz, Nicholas A.; Neurology, School of Medicine
    We report a case of bifacial weakness with paresthesia, a recognized Guillain-Barré syndrome subtype characterized by rapidly progressive facial weakness and paresthesia without ataxia or other cranial neuropathies, which was temporally associated with antecedent coronavirus 2019 (COVID-19). This case highlights a potentially novel but critically important neurologic association of the COVID-19 disease process. Herein, we detail the clinicoradiologic work-up and diagnosis, clinical course, and multidisciplinary medical management of this patient with COVID-19. This case is illustrative of the increasingly recognized but potentially underreported neurologic manifestations of COVID-19, which must be considered and further investigated in this pandemic disease.
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    “Failing Up” on Social Media—Finding Opportunities in Moments of #Fail
    (Elsevier, 2020-10-17) Gadde, Judith Ann; Peterson, Ryan B.; Koontz, Nicholas A.; Radiology and Imaging Sciences, School of Medicine
    Social media (SoMe) has been utilized for many years for medical education but has recently grown because of the increase in online learning during the coronavirus disease 2019 (COVID-19) pandemic. Several SoMe platforms are commonly used for online medical education (eg, Twitter [Twitter Inc, San Francisco, California], Instagram [Facebook, Inc, Menlo Park, California], Facebook [Facebook, Inc, Menlo Park, California]) [1, 2, 3]. Twitter has become popular among radiologists for medical education with obstacles occurring along the way. This article represents a collection of experiences from three neuroradiologists who use Twitter to disseminate case-based radiology education as part of institutionally approved curricula. In this article, we share advice for those interested in utilizing SoMe for medical education purposes, including experiences in which obstacles redefined our educational strategies, turning failures into opportunities for improvement.
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    Human cochlear diffusion from the cerebrospinal fluid space with gadolinium contrast
    (Elsevier, 2023) Totten, Douglas J.; Booth, Kevin T. A.; Mosier, Kristine M.; Cumpston, Evan C.; Whitted, Cody; Okechuku, Vanessa; Koontz, Nicholas A.; Nelson, Rick F.; Otolaryngology -- Head and Neck Surgery, School of Medicine
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    Institutional Pressure to Reduce Report Turnaround Time Is Damaging the Educational Mission
    (Elsevier, 2017-04) Heitkamp, Darel E.; Kamer, Aaron P.; Koontz, Nicholas A.; Radiology and Imaging Sciences, School of Medicine
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    Misleading Public Statements About COVID-19
    (Elsevier, 2021-01-01) Meltzer, Carolyn C.; Wiggins, Richard H.; Mossa-Basha, Mahmud; Palasis, Susan; Russell, Eric; Mikulis, David; Rhyner, Patricia; Anderson, James; Peterson, Ryan B.; Smirniotopoulos, James; Barkovich, A. James; Zimmerman, Robert D.; Filippi, Christopher G.; Rowley, Howard A.; Koontz, Nicholas A.; Jay, Ann K.; Nickerson, Joshua; Hamilton, Bronwyn; Chow, Daniel; Whitlow, Christopher T.; Radiology and Imaging Sciences, School of Medicine
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    Normal Patterns and Pitfalls of FDG Uptake in the Head and Neck
    (Elsevier, 2019) Gray, Benjamin R.; Koontz, Nicholas A.; Radiology and Imaging Sciences, School of Medicine
    In order to avoid misdiagnoses, medical imagers should be familiar with the normal patterns and distribution of fluorodeoxyglucose (FDG) activity within the head and neck, as well as the pathophysiology and imaging-findings of common diagnostic pitfalls related to incidental FDG-avid lesions. The purpose of this article is to provide an image-rich review of the normal patterns of FDG uptake in the head and neck, help differentiate benign from malignant incidentally found FDG-avid foci, and detail important “don't miss” hypometabolic head and neck lesions on positron emission tomography/computed tomography and positron emission tomography/magnetic resonance imaging.
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    PET and SPECT Imaging of Brain Neoplasia Mimics
    (Elsevier, 2020-12) Gray, Benjamin R.; Agarwal, Atul; Tann, Mark; Koontz, Nicholas A.; Radiology and Imaging Sciences, School of Medicine
    Several non-neoplastic processes, including infection, inflammation, demyelination, vasculitis, autoimmune disease, and post-treatment changes (radiation therapy or chemoradiation) can result in a mass-like, space-occupying lesion on conventional computed tomography (CT) or magnetic resonance (MR) imaging of the brain. Additionally, non-neoplastic processes can produce imaging findings that mimic nontumoral neoplastic involvement of the central nervous system. Such instances pose a substantial diagnostic dilemma for interpreting radiologists, as well as clinicians tasked with determining the appropriate diagnostic tests and therapeutic strategies for these patients. Nuclear medicine studies, including single positron emission computed tomography (SPECT) and positron emission tomography (PET), as well as hybrid SPECT/CT, PET/CT, and PET/MRI may offer important diagnostic insights into these challenging cases, often helping to differentiate these mimics from true brain neoplasms. In this review, we detail common and uncommon brain tumor mimics in specific context of PET and SPECT imaging of the brain, including the multimodality imaging appearance of tumor mimics and the potential roles these modalities may play in providing diagnostic clarity.
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    Secondary Otalgia: Referred Pain Pathways and Pathologies
    (American Society of Neuroradiology, 2020-12) Norris, Carrie D.; Koontz, Nicholas A.; Radiology and Imaging Sciences, School of Medicine
    Otalgia is very common, and when the cause of ear pain is not identified on otoscopy and physical examination, cross-sectional imaging is routinely used to evaluate for potential sources of referred ear pain (secondary otalgia). Innervation of the ear structures is complex, involving multiple upper cervical, lower cranial, and peripheral nerves, which transit and innervate a large anatomic territory involving the brain, spine, skull base, aerodigestive tract, salivary glands, paranasal sinuses, face, orbits, deep spaces of the neck, skin, and viscera. Interpreting radiologists must be familiar with these neural pathways and potential sources of secondary otalgia. The purposes of this review are to detail the currently proposed mechanisms of referred ear pain, review the salient neuroanatomy of the complex pathways responsible for secondary otalgia, highlight important benign and malignant etiologies of referred ear pain, and provide a structured search pattern for approaching these challenging cases on cross-sectional imaging.