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differential management causes cns localization stroke algorithm anesthesia anesthesiology cerebritis checklist effects encephalopathy erythematosus gravis headache hyperthermia infarct lesions lupus
Brain Vascular Perfusion and Infarct Territories By Dr. Eelco FM Wijdicks @EWijdicks #Brain #Vascular #Perfusion #Infarct #Territories
Brain Vascular Perfusion ... and Infarct Territories ... @EWijdicks #Brain ... #Localization #diagnosis ... #neurology #CVA
Effects of Strokes by Location - Anterior vs Posterior Localization Anterior Circulation - MCA -
#CVA #Territory ... #Symptoms #Signs ... Localization #Effects #Neurology ... #Territories ... Review in Clinical Neurology
Clinical Features and Vascular Territories of Stroke Anterior circulation—anterior cerebral artery (ACA) - Contralateral leg weakness Anterior circulation—middle
Features and Vascular Territories ... without cortical signs ... motor deficits #Territories ... #Stroke #CVA #Diagnosis ... #Neurology
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 ... ACA watershed territories ... #neurology
CNS Manifestations of Systemic Lupus Erythematosus (SLE) Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Demyelinating Syndrome ... thrombosis and/or blood-brain ... permeability Diagnosis ... prevention (statin for CVA ... Erythematosus #SLE #CNS #neurology
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
- Differential Diagnosis ... papilledema • Horner syndrome ... • Meningeal signs ... Space-occupying brain ... #Algorithm #neurology
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
- Differential Diagnosis ... nervous system: Brain ... Lack of UMN/LMN signs ... aminotransferases • Serology ... #neurology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
Chorioretinitis • Diagnosis ... - Compatible syndrome ... RingEnhancing #Lesions #Brain ... #causes #radiology ... #neurology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
hyperthermia crisis (late sign ... amphetamines) Toxic: • Radiologic ... Phaeochromocytoma Neurologic ... • Traumatic brain ... Anesthesia #Checklist #Diagnosis
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Myotonic dystrophy - Brain ... myasthenia Diagnosis ... test - Cogan sign ... - Peek sign ... #management #neurology
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