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

Cynthia Czawlytko, MD @drcyncity

#Differential #diagnosis #encephalopathies #encephalopathy
Differential diagnosis ... encephalopathies - Patterns ... #imaging #patterns ... #MRI #Neurology ... #pathology #diseases
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... HRCT #CTChest #NodularPattern ... #Nodular #Pattern ... MultipleNodules #Nodules #Differential
Imaging Patterns of Toxic and Metabolic Brain Disorders

Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy
Dentate Nuclei: Metronidazole,
Imaging Patterns ... and Metabolic Brain ... Pons: ODS #MRI ... #Patterns #Toxicology ... #Differential #
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
the left some diseases ... with a nodular pattern ... Miliary TB: random ... CTChest #Nodular #Pattern ... #NodularPattern
Leigh Syndrome 
History: 19-month-old girl with hypotonia, developmental 
delay, failure to thrive, and bilateral optic disc
Mitochondrial disorder ... DWI+ in acute disease ... various imaging patterns ... Syndrome #Clinical #MRI ... #Brain #Diagnosis
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... Non-neuromuscular disorder ... nervous system: Brain ... changes - Common pattern ... EMG) studies • MRI
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
parietal lobes of the brain ... Shock, Autoimmune disease ... Imaging Patterns ... Reversible course Differential ... parietal lobes of the brain