Underdiagnosis of reversible cerebral vasoconstriction syndromes

Jan 29, 2017 by in NEUROLOGY Comments Off on Underdiagnosis of reversible cerebral vasoconstriction syndromes

– Eclampsia-associated vasoconstriction – Drug-induced angiitis (“angiitis” is a misnomer as there is no vessel inflammation) – Migraine “angiitis” (again, a misnomer) – Thunderclap headache with reversible vasospasm – CNS…

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Managing hemorrhagic stroke

Jan 29, 2017 by in NEUROLOGY Comments Off on Managing hemorrhagic stroke

Figure 17.1 CT scan of the head demonstrating an acute intracranial hemorrhage in the medulla (a, axillary image), extending into the lower pons (b, sagittal image). The remainder of the…

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The diagnosis and overdiagnosis of cerebral vasculitis

Jan 29, 2017 by in NEUROLOGY Comments Off on The diagnosis and overdiagnosis of cerebral vasculitis

Figure 11.1 Reversible cerebral vasoconstriction syndrome. (a) First brain MRI FLAIR axial section showing subcortical parieto-occipital hyperintensities. (b) Angio-MRI showing segmental narrowing of both middle, left anterior and posterior cerebral…

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When the diagnostic image is not diagnostic

Jan 29, 2017 by in NEUROLOGY Comments Off on When the diagnostic image is not diagnostic

Figure 4.1 Non-contrast head CT axial image at the level of the basal cisterns demonstrates hyperdensity in the expected location of the basilar artery (arrow). The clinical history and abnormal…

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Pitfalls in the diagnosis of subarachnoid hemorrhage

Jan 29, 2017 by in NEUROLOGY Comments Off on Pitfalls in the diagnosis of subarachnoid hemorrhage

Figure 16.1 Axial cranial computed tomography showing diffuse high density collection in the suprasellar cistern extending bilaterally into the Sylvian fissures consistent with subarachnoid hemorrhage. Discussion Subarachnoid hemorrhage (SAH) accounts…

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Stroke and patent foramen ovale: the conundrum of closure

Jan 29, 2017 by in NEUROLOGY Comments Off on Stroke and patent foramen ovale: the conundrum of closure

Figure 10.1 Acute brain magnetic resonance imaging diffusion-weighted (a) and apparent diffusion coefficient map (b) images showing evidence of acute ischemic lesions in right frontal cortex and para-ventricular white matter…

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