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Stroke Blood Vessel Localization and corresponding territories on MRI

by Jeremy Heit, MD, PhD @JeremyHeitMDPHD

#Stroke #CVA #Localization
Stroke Blood Vessel ... corresponding territories ... #Localization #BloodVessel ... Radiology #Arteries #Neurology ... #Artery
Stroke Territory Localization and Blood Vessel Supply
ACA (Anterior Cerebral Artery)
 - Leg weakness/numbness
MCA Superior Divison
 -
Stroke Territory ... Vessel Supply ACA ... #Cerebral #BloodVessel ... #Territories #territory ... #localization #neurology
Effects of Strokes by Location - Anterior vs Posterior Localization

Anterior Circulation 
 - MCA 
 -
Effects of Strokes ... - MCA - ACA ... Lenticulostriate artery ... PCA - Basilar Artery ... Diagnosis #Table #Territories
Clinical Features and Vascular Territories of Stroke
Anterior circulation—anterior cerebral artery (ACA) - Contralateral leg weakness
Anterior circulation—middle
Features and Vascular Territories ... of Stroke Anterior ... (ACA) - Contralateral ... #Stroke #CVA #Diagnosis ... #Neurology
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Cardioembolic: Atrial fib ... embolism, Occult a-fib ... etiologies: Carotid artery ... #causes #differential ... #diagnosis #neurology
Causes of Ischemic Stroke - Differential Diagnosis Framework
Important to determine and treat the etiology behind because
Causes of Ischemic Stroke ... - Differential ... • Arrhythmias: Afib ... Bifurcation of carotid artery ... #CVA #Differential
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
to Headaches - Differential ... deficits • Temporal artery ... conditions: • Stroke ... #Headache #Differential ... Diagnosis #Algorithm #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
may precede the neurologic ... circulation: MCA ACA ... watershed territories ... Reversible course Differential ... Constipation, Seizures, Stroke
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
Hearing Loss - Differential ... include a: • Neurologic ... Diabetes mellitus • Stroke ... Internal auditory artery ... (Labyrinthine artery
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
usually 4 weeks after ... Worsening of previous neurologic ... or hemorrhagic stroke ... Tuberculosis #diagnosis #differential ... #TB #neurology