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clinical differential management multiple posterior sclerosis ankle bee bilaterality brain brownsequard causes cns criteria deficit distribution encephalopathy fibroma fracture half
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
Ring-Enhancing Lesions ... - Compatible syndrome ... + MRI lesions + ... #causes #radiology ... #neurology
Principal patterns of loss of sensation. (a) Thalamic lesion: sensory loss throughout opposite side (rare).
(a) Thalamic lesion ... (b) Brainstem lesion ... Brown—Séquard syndrome ... MS: loss of proprioception ... #Diagnosis #Neurology
McDonald Criteria for Diagnosis of Multiple Sclerosis • 2 or more attacks, 2 or more lesions
attacks, 2 or more lesions ... more attacks, 1 lesion ... • 1 attack, 2 lesions ... • 1 attack, 1 lesion ... Multiple #Sclerosis #MS
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Multiple Sclerosis (MS ... • Or brainstem syndromes ... demyelinating lesions ... resonance imaging [MRI ... ] T2 lesions) McDonald
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology Imaging Findings: • Os trigonum which has marrow
(Os Trigonum) Syndrome ... - MSK Radiology ... osteochondral lesion ... #clinical #Radiology ... #diagnosis #msk
Nonossifying Fibroma with Pathologic Fracture - MSK Radiology Imaging Findings: • Cortically based, geographic, lucent lesion with
geographic, lucent lesion ... cortically based lesion ... Jaffe-Campanacci syndrome ... Eccentric expansile lesion ... #diagnosis #msk
BEE Syndromes - Non-inflammatory Causes Immune-mediated conditions affecting the Brain, Eye, and Ear Visual or auditory symptoms in
important, as early diagnosis ... neuropathy (LHON) plus MRI ... lesions and clinical ... consistent with MS ... #neurology #noninflammatory
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
10-33% develop MS ... compressive cord lesion ... less swollen - Lesion ... Predictive of MS ... or optic nerve lesions
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
results from a lesion ... MRI was ordered ... the hospital, diagnosed ... with MS, and started ... ophthalmology #neurology
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 Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
may precede the neurologic ... showing cortical lesions ... Vascular narrowing on MRA ... Seizures: Treat with AEDs ... #neurology
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