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differential management territories algorithm checklist clinical effects encephalopathy gerstmann half infarct ischemic one oneandahalf ophthalmology perfusion physicalexam posterior pres reversible
Brain Vascular Perfusion and Infarct Territories By Dr. Eelco FM Wijdicks @EWijdicks #Brain #Vascular #Perfusion #Infarct #Territories
Brain Vascular Perfusion ... #Territories #Stroke ... #Localization # ... diagnosis #neurology ... #CVA
Effects of Strokes by Location - Anterior vs Posterior Localization Anterior Circulation - MCA -
Effects of Strokes ... #Syndromes #CVA ... #Effects #Neurology ... #Diagnosis #Table ... Review in Clinical Neurology
Stroke Evaluation and Management Algorithm Clinical suspicion of stroke (BE FAST) • Balance loss • Eyes: vision
speech • Time is brain ... Immediate Workup ... Management #Algorithm #diagnosis ... #differential #neurology ... #CVA
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
NCCT or • MRI brain ... suspicion) • +/- bubble ... #stroke #workup ... #diagnosis #checklist ... #neurology
Gerstmann Syndrome 1) Finger agnosia - Inability to name their own fingers, affecting both sides 2) Right-left confusion
Gerstmann Syndrome ... copy Causes: Stroke ... cause), Traumatic Brain ... Injury, Tumor Localization ... #neurology #diagnosis
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
- Differential Diagnosis ... Impairment: • Acute stroke ... nervous system: Brain ... dystrophies Work ... #neurology
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
Entering VA was ... An APD was noted ... this are tumors, strokes ... the hospital, diagnosed ... ophthalmology #neurology
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 Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
parietal lobes of the brain ... may precede the neurologic ... narrowing on MRA/CTA ... Constipation, Seizures, Stroke ... #neurology
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