NEUROLOGY
Requesting and Interpreting Pathological Tests
and Aditya G. Shivane1 (1) Cellular and Anatomical Pathology Level 4, Derriford Hospital, Plymouth, UK Abstract In order to maximise the chances of getting a diagnosis from a patient’s specimen it…
Arteriovenous Malformations of the Brain
Fig. 12.1 Non-contrast axial CT of brain showing a large intracerebral hemorrhage at time of presentation Fig. 12.2 Axial T1 MRI of the brain with gadolinium demonstrating a ruptured left…
Neurointervention and the Endocrinologist: Inferior Petrosal Sinus Sampling
Clinical suspicion for Cushing’s syndrome ↓ Screening tests (first-line—perform at least 2) • Urinary free cortisol (three 24 h collections) • Low-dose (1 mg) overnight dexamethasone suppression • Late-night salivary…
Neurovascular Anatomy
Fig. 2.1 Left anterior oblique projection of the standard aortic arch configuration Fig. 2.2 Left anterior oblique projection of the bovine aortic arch variant The External Carotid Artery The external…
Clinical and Radiographic Considerations in Acute Stroke Triage
Age ≥75 = 1 <75 = 0 NIHSS ≥18 = 1 <18 = 0 Admission glucose ≥150 mg/dl = 1 <150 mg/dl = 0 Calculating these clinical scores can help predict the outcome and possible risks vs. benefit of endovascular therapy in…
Unruptured Intracranial Aneurysms
Fig. 10.1 A 7-mm right posterior communicating artery UIA with a favorable neck to dome ratio (a) treated with unassisted coil embolization (b) Fig. 10.2 A 1-cm right carotid terminus…
The Neurointerventional Toolkit
Fig. 1.1 6F femoral sheath Wires and Catheters Diagnostic Cerebral Angiography Diagnostic catheters are usually advanced over a hydrophilic wire. The wire acts as a guide to prevent the catheter…