Neuroradiology 1.MRI (diffusion) early ischemic stroke 2.CT for trauma and CVA/stroke to exclude hemorrhage 3.MRA or DSA for Aneurysm (SAH)

Slides:



Advertisements
Similar presentations
CT HEAD and ISCHEMIC CVA What to look for on the early scan??
Advertisements

Neuroimaging of Stroke Andrew Perron, MD Assistant Professor Department of Emergency Medicine University of Virginia Charlottesville, VA
بسم الله الرحمن الرحيم.
CT Scan Reveals a mass that may or may not be enhanced with use of contrast medium. On CT, low-grade gliomas may be isodense with normal brain parenchyma.
Applicable Neuroradiology For the Clinical Neurology Clerkship LSU Medical School New Orleans Stephen Deputy, MD Clerkship Director.

67 yo Male  Clinical History: Presented to ED with left facial droop and left sided weakness Presented to ED with left facial droop and left sided weakness.
Micelle Haydel, MD LSU-New Orleans
Skull & Brain Imaging Techniques Plain……..M.M. before MRI for
Introduction to Neuroimaging
Neuroradiology Teaching Files
The Brain Lecture 2 Ali B Alhailiy.
BRAIN PHAKOMATOSIS.
Intracranial Hemorrhage
Head Trauma In this unit we are going to discuss head trauma and its presentations.
Neuroradiology presents…... Cerebrovascular Disease David M. Pelz, MD, FRCPC Neuroradiology, LHSC.
Consultant Neuroradiologist
بسم الله الرحمن الرحيم.
Magnetic Resonance Angiography of the Brain ```````
Dr Mohamed El Safwany. MD.
Neuroimaging Methods: Visualising the brain & its injuries Structural (brain structure) –X-rays –CT (Computer Tomography) –MRI (Magnetic Resonance Imaging)
NeuroImaging Dr. Norman Pay. CT Transmission CT Transmission Density differences Ionizing radiation Iodinated contrast material Spatial resolution Fast.
Imaging of INTRACRANIAL HEMORRHAGE
N EURORADIOLOGY. S TROKE ISCHEMICHEMORRHAGIC N ontraumatic intracranial hemorrhage HYPERTENSION RUPTURE ANEURYSM VASCULAR MALFORMATIONS COAGULOPATHY.
Guanghui Yu Radiology college Central nervous system.
Neuro imaging.
Neuroimaging in Neuropsychiatry
Neuroradiology.
ANCILLARY PROCEDURES IN STROKE. ANCILLARY PROCEDURES FOR STROKE Computed Tomography Magnetic Resonance Imaging Magnetic Resonance Angiography Echo-Planar.
Safety of Cerebral Digital Subtraction Angiography in Pediatric Patients with Sickle Cell Disease. Emily Wyse, BS 1 Jessica Carpenter, MD 2 Suresh Magge,
Radiology of common brain diseases
Radiology of common brain diseases
Introductory Neuroimaging: What you need to know at 3 am And some cool stuff. . . Kathleen Tozer, MD.
Resident and Fellow Section
Neuro Part3 Trauma and stroke.
Clipping in Awake Surgery as End-Stage in a Complex Internal Carotid Artery Aneurysm After Failure of Multimodal Endovascular and Extracranial-Intracranial.
Intro to Neuroradiology
Pasquale F. Finelli, MD  Journal of Stroke and Cerebrovascular Diseases 
Variant Type of Posterior Reversible Encephalopathy Syndrome with Diffuse Cerebral White Matter and Brainstem Involvement Associated with Intracranial.
Acute left hemiparesis due to middle cerebral artery occlusion. A
Fig. 1. Digital subtraction angiography (DSA) images of a 39-year-old woman presented with subarachnoid hemorrhage (SAH). The anterior-posterior (AP) and.
1. Which patients with head injury should undergo imaging in the acute setting? 2. What is the sensitivity and specificity of imaging for all brain.
Evidence-Base Medicine
CRT 2010 Imaging Requirements and Interpretation in Acute Stroke
Done By: Dr. Faisal Al-Thekair
Neuroradiology interactive lecture
Stroke imaging M3 radiology August 2014.
Neuroradiology interactive lecture
Copyright © 2014 Elsevier Inc. All rights reserved.
Cerebral hyperperfusion syndrome after endovascular covered stent grafting for a giant extracranial aneurysm of the internal carotid artery  Sakyo Hirai,
Pathways for Neuroimaging of Childhood Stroke
How I treat and manage strokes in sickle cell disease
Endovascular repair of subclavian artery complex pseudoaneurysm and arteriovenous fistula with coils and Onyx  Nana Amiridze, MD, PhD, Yougi Trivedi,
Volume 78, Pages (January 2018)
Guidelines for Urgent Management of Stroke in Children
Dustin D. Lucarelli, MD, Aswath Subram, MD 
Subarachnoid hemorrhage after carotid artery stenting
MRI Brain Evaluation of brain diseases Stroke
Case 2, a 44-year-old female with acute right middle cerebral artery stroke. (A) Digital subtraction angiogram and (B) surface 3-dimensional reconstruction.
Intracranial Vascular Events
Carotid endarterectomy in the acute phase of stroke-in-evolution is safe and effective in selected patients  Guy Leseche, MD, Jean-Marc Alsac, MD, Rabih.
Contralateral hyperacute intracerebral hemorrhage after carotid artery stenting with contralateral internal carotid artery occlusion  Hirokazu Takami,
Spontaneous recanalization of a middle cerebral artery occlusion with subsequent carotid endarterectomy  Andrew J. Jackson, BSc, MBChB, MRCS, Amit Patel,
Fig. 2. A 62-year-old male with right hemiparesis and aphasia, 2
Teaching NeuroImages Neurology Resident and Fellow Section
Michael J. Gough, ChM, FRCS  Journal of Vascular Surgery 
Fig year-old male with right hemiplegia and aphasia, 2 hours ago
A. A. Computed tomographic (CT) scan, epidural hematoma, B. CT scan, subdural hematoma. C. CT scan, subarachnoid hemorrhage. D. Magnetic resonance image.
Comprehensive imaging of a patient with recent stroke depicting left MCA stenosis. Comprehensive imaging of a patient with recent stroke depicting left.
Procedural and follow-up angiograms of a 28-year-old female patient with a history of subarachnoid hemorrhage due to rupture of a contralateral MCA bifurcation.
Presentation transcript:

Neuroradiology 1.MRI (diffusion) early ischemic stroke 2.CT for trauma and CVA/stroke to exclude hemorrhage 3.MRA or DSA for Aneurysm (SAH)

MRA ACUTE INFARCT /MCA occlusion CT ischemic infarct CT ischemic infarct

IMAGING TECHNIQUES PLAIN FILMS PLAIN FILMS COMPUTED TOMOGRAPHY COMPUTED TOMOGRAPHY MAGNETIC RESONANCE IMAGING MAGNETIC RESONANCE IMAGING DIGITAL ANGIOGRAPHY (or CTA) for aneurysm DIGITAL ANGIOGRAPHY (or CTA) for aneurysm ULTRASOUND ULTRASOUND DOPPLER US DOPPLER US PET PET

CEREBRAL VASCULAR EVENT ISCHEMIC ISCHEMIC

T 1 FLAIR DIFFUSION

CT of ischemic CVA Right posterior fossa

Cerebral Edema CYTOTOXIC EDEMA= stroke (CVA), wedge-shaped (vascular teriitory) hypodensity at CT, High Signal at MRI CYTOTOXIC EDEMA= stroke (CVA), wedge-shaped (vascular teriitory) hypodensity at CT, High Signal at MRI VASOGENIC = tumor VASOGENIC = tumor

SAH Subarachnoid Hemorrhage TRAUMA TRAUMA ANEURYSM : CT Angiogram or MRA or Digital Subtraction Angiogram shows aneurysm ANEURYSM : CT Angiogram or MRA or Digital Subtraction Angiogram shows aneurysm AVM AVM CT for Acute Hemorrhage: Hyperdense (recent blood)

CT Left subdural hematoma

EPIDURAL HEMATOMA Trauma, does not cross Sutures. Hyperdense at CT