By Patricio S. Espinosa MD MPH, Charles D. Smith MD

This leading edge case-based question-and-answer examine consultant to neuroradiology is geared to neurology and neurosurgery citizens, scientific scholars, and resident graduates getting ready for the neurology and neuroradiology forums. The e-book offers one zero one situations from grownup neurology, pediatric neurology, and neurosurgery perform protecting all significant neuroradiology subject matters. each one case starts off with a number of high-resolution photographs, a short heritage, and questions, with solutions and distinctive reasons at the subsequent web page. circumstances are offered in random order, instead of grouped by way of category, in order that readers will procedure each one case photo with out earlier clue to the diagnosis.

The situations, questions, and solutions can be to be had on a better half web site .

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Extra info for Focus on Neuroimaging: Neurology Self-Assessment

Example text

What is the arrow pointing to? A. Swelling and hemorrhage of the scalp and subcutaneous tissue B. Frontal epidural hematoma C. Bullet (foreign body) artifact D. Frontal subdural hematoma 4. What is the cause for the asymmetry in the ventricles? A. Mass effect due to the right SDH B. Asymmetry due to head positioning C. Congenital Malformation of the ventricular system D. Asymmetry of the ventricles can be seen in healthy individuals A N S W E R S 1. (C) The likely mechanism of this head injury is frontal (left) head trauma with associated coup—contrecoup injury.

A. Subarachnoid blood B. A clot in the left middle cerebral artery (MCA) stem C. Acute ICH in the left basal ganglia D. Basal ganglia calcification 3. What treatment is immediately indicated for this patient? A. Conventional angiography and coiling of the aneurysm B. Recombinant activated factor VII (rFVIIa) C. Intravenous tissue plasminogen activator (tPA) D. Intravenous lorazepam followed by a loading dose of phosphenytoin E. Blood pressure control 4. What are the recommended blood pressure limits for this patient?

Transverse myelitis is incorrect because it is not associated with trauma and the spinal cord signal can be explained by the proximity of the degenerative elements at the level of the lesion. 3. 1 47 Differential Diagnosis: Spinal Cord Trauma versus Transverse Myelitis Finding Spinal Cord Trauma Transverse Myelitis Hyperdense in the acute setting Yes Yes Multiple lesions Sometimes Sometimes Traumatic Yes No Improvement with steroids Yes Yes Associated with multiple sclerosis No Yes Associated with connective tissue disease No Yes Associated with degenerative joint disease Yes No the cervical spine.

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