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neurology cva diagnosis findings interpretation progression timeline differential management causes checklist clinical cns encephalopathy evaluation ischemic lesions perioperative posterior preop
Stroke Evaluation and Management Algorithm Clinical suspicion of stroke (BE FAST) • Balance loss • Eyes: vision
Stroke Evaluation ... and Management Algorithm ... speech • Time is brain ... #Management #Algorithm ... #differential #neurology
Evolution of MRI Findings in Stroke MR images at five subsequent time points in a 67-year-old woman
Evolution of MRI ... Findings in Stroke ... On the ADC maps, ... #Evolution #MRI ... CVA #Clinical #Radiology
Evolution of stroke on CT and MRI. Day 1: NCHCT demonstrates obscure left insular cortex. No
Evolution of stroke ... #Stroke #CVA #MRI ... Progression #Timeline #Neurology ... #Radiology #Findings ... #Evolution
Timeline for Progression of T2WI and DWI Findings in Acute Stroke - In the acute phase
Findings in Acute Stroke ... - DWI in brain ... #Stroke #CVA #MRI ... #Radiology #Findings ... #Evolution
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
A) Initial Evaluation ... a NCCT or • MRI ... brain w/o contrast ... ischemic #CVA #stroke ... diagnosis #checklist #neurology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
Compatible syndrome + MRI ... lung nodules, may ... RingEnhancing #Lesions #Brain ... diagnosis #causes #radiology ... #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
parietal lobes of the brain ... Hypertensive crisis may ... Vascular narrowing on MRA ... Constipation, Seizures, Stroke ... parietal lobes of the brain
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... event, follow ACC algorithm ... one post op Cardiology ... • <6mo since stroke ... stress testing may
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