Challenges in diagnosing spinal cord disease

Jan 29, 2017 by in NEUROLOGY Comments Off on Challenges in diagnosing spinal cord disease

Figure 9.1 Sagittal T2 MRI cervical spine shows a solitary area of increased T2 signal at the prior level of compression, now relieved by spinal decompressive surgery. Three-step assessment 1…

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Vascular dementia and vascular cognitive impairment

Jan 29, 2017 by in NEUROLOGY Comments Off on Vascular dementia and vascular cognitive impairment

Figure 15.1 Brain CT showing two cortical strokes (left frontal lobe and right parieto-frontal lobe) and several subcortical vascular lesions. Discussion This patient had recurrent strokes and imaging evidence of…

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Dilemmas in endovascular stroke therapy

Jan 29, 2017 by in NEUROLOGY Comments Off on Dilemmas in endovascular stroke therapy

Figure 8.1 MRI scans of the head. (a) Diffusion-weighted MRI scan demonstrated minimal restricted diffusion involving the left posterior limb of the internal capsule. (b) The perfusion-weighted MRI demonstrated a…

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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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