25 results
Differential diagnosis for toxic/metabolic encephalopathies - Patterns on Brain Imaging

Cynthia Czawlytko, MD @drcyncity

#Differential #diagnosis #encephalopathies #encephalopathy
Differential diagnosis ... on Brain Imaging ... #imaging #patterns ... #MRI #Neurology ... pathology #diseases #radiology
MRI Brain Sequence Comparison: T1 vs T2 vs FLAIR
T1:
 - CSF is Dark
 - Grey Matter
MRI Brain Sequence ... T2 #FLAIR #MRI #Brain ... #Comparison #clinical ... #radiology #diagnosis ... #neurology
Imaging Patterns of Toxic and Metabolic Brain Disorders

Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy
Dentate Nuclei: Metronidazole,
and Metabolic Brain ... #Disorders #Clinical ... #Differential # ... Diagnosis #Radiology ... #Neurology
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern ... - Chest Radiology ... #differential # ... diagnosis #pulmonary #CXR ... #clinical #CT
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome ... - Inability to differentiate ... cause), Traumatic Brain ... subjacent white matter ... #neurology #diagnosis
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
parietal lobes of the brain ... may precede the neurologic ... Reversible course Differential ... parietal lobes of the brain ... diagnosis #management #neurology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
to Headaches - Differential ... PHANTOMS): • Pattern ... papilledema • Horner syndrome ... Space-occupying brain ... Diagnosis #Algorithm #neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... nervous system: Brain ... • Infectious: Brain ... changes - Common pattern ... #Diagnosis #neurology
Locked-In Syndrome on Physical Exam

56 year-old male with acute onset altered sensorium. Suffered a cardiac arrest
Locked-In Syndrome ... Brief CPR and intubated ... #PhysicalExam # ... clinical #video ... #neurology
Leigh Syndrome 
History: 19-month-old girl with hypotonia, developmental 
delay, failure to thrive, and bilateral optic disc
Leigh Syndrome ... various imaging patterns ... #Clinical #MRI ... #Brain #Diagnosis ... #Radiology