15 results
Brain Vascular Perfusion and Infarct Territories 

By Dr. Eelco FM Wijdicks @EWijdicks

#Brain #Vascular #Perfusion #Infarct #Territories
Brain Vascular Perfusion ... and Infarct Territories ... #Territories #Stroke ... Localization #diagnosis #neurology ... #CVA
Effects of Strokes by Location - Anterior vs Posterior Localization

Anterior Circulation 
 - MCA 
 -
circulation - ASA ... #Syndromes #CVA ... Territory #Symptoms #Signs ... Localization #Effects #Neurology ... Review in Clinical Neurology
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Drift Testing for Stroke ... extensor weakness - Sign ... #physicalexam # ... diagnosis #neurology ... #cva
Clinical Features and Vascular Territories of Stroke
Anterior circulation—anterior cerebral artery (ACA) - Contralateral leg weakness
Anterior circulation—middle
Vascular Territories ... of Stroke Anterior ... without cortical signs ... #CVA #Diagnosis ... #Neurology
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
"setting sun" sign ... • Vascular disease ... (stroke) Where? ... Dorsal midbrain and ... Parinauds #syndrome #neurology
Beevor's Sign on Physical Exam

Beevor's sign is abnormal upward (cephalad) movement of the umbilicus with truncal
Beevor's Sign on ... facioscapulohumeral muscular ... dystrophy (FSHD) and ... PhysicalExam #clinical ... video #umbilicus #neurology
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
Hoffman's sign. ... hand. 3) Now strike ... #Hoffmanns #Sign ... clinical #video #neurology ... #PhysicalExam
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Impairment: • Acute stroke ... Lack of UMN/LMN signs ... aminotransferases • Serology ... myopathies, the muscular ... Differential #Diagnosis #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 ... Half #Syndrome #PhysicalExam ... ophthalmology #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
of Peripheral and ... can be severe in stroke ... or minutes with vascular ... diagnosis #findings #signs ... symptoms #comparison #neurology