CASE 1. Female 21 years old DOL: November 28, 2016
|
|
- Alexina Evangeline Glenn
- 5 years ago
- Views:
Transcription
1 CASE 1 Female 21 years old DOL: November 28, 2016 Injuries and Sequelae: GCS: 4 / 15 and coma for 3 weeks Multifocal intracranial hemorrhage at right thalamus and left frontal and temporal lobe Diffuse axonal injury Right hemiparesis
2 Ongoing Symptoms: Pain Dizziness Headaches She sleeps three to four times per day for one to two hours and hours per night Intermittent blurred vision Reduced sensation on the right side of her face Poor concentration, memory, initiation Inappropriate affect, at times, e.g. laughing inappropriately in any scenario, childish behaviors
3 Pre-Accident Function Prior to the accident, the client lived independently in a basement apartment (location unknown), and would visit her family approximately three times per week Client used public transportation for community access Completed high school Enrolled in a full time two-year Medical Administration program at Seneca College
4 GOS-E Assessment What information would you gather? What tools would you use? How would you score?
5 CASE 1 Male 28 year old DOL: December 15, 2016
6 Pre-existing History Concussion as a child between age of 8 and 12 years old while snowboarding. Work related injury to his left index finger Substance-induced psychosis requiring two hospitalizations Query alcohol overuse with approximately units per week Daily marijuana use One pack per day cigarette smoker
7 Injuries Moderate left parietal scalp hematoma Subtle underlying fracture of the left parietal bone subjacent to the hematoma near the vertex Small scalp hematoma in the right temporal occipital region laterally Air in the soft tissues of the scalp Query fracture of the posterior right petrous temporal bone Query diastases of the lambdoid suture Small amount of pnemoncranium Opacification in the right mastoid air cells Thin crescentic right temporal subdural hematoma Petechial intra-axial hemorrhage within the right temporal lobe Small amount of subarachnoid blood Subdural hematoma 7mm hemorrhagic contusion right temporal lobe Progression of hemorrhagic cortical contusions more anteriorly in the right temporal lobe at the tip with surrounding vasogenic edema Suspect evolving tiny hemorrhagic contusions in the inferior right frontal lobe Minimal increase in size of cortical hemorrhagic contusion postero-inferior right temporal lobe Progress of effacement of the lateral and 3 rd ventricles indicative of cerebral edema Opacification of the right maxillary sinus Stable opacification of the right maxillary sinus.
8 Ongoing Symptoms: Headaches Dizziness Pain
9 Pre-Accident Functioning Independent with ADLs. Living with parents at the time of accident. He was previously living independently with roommates but moved out due to conflict. Driving license was suspended pre-accident for driving under the influence of alcohol. Client obtained his high school diploma and completed a two-year Arborist Program. Client worked at an arborist company for two seasons He opened and ran his own tree removal company. Client shut down the company after 5-6 years, stating the company was folding. He then returned to the original arborist company working full time for 8 months before the accident.
10 Post-Accident Functioning Paranoid beliefs about the events surrounding the accident. Living at home with parents Independent with ADLs Independent with transportation (biking and public transit) Strained relationships due to behaviors Multiple failed return to work attempts (returned to previous job for 5 days before quitting, quit multiple jobs after 3 to 5 days due to perceived conflicts with employers and colleagues, returned to work the next day after quitting
11 GOS-E Assessment What information would you gather? What tools would you use? How would you score?
Cerebro-vascular stroke
Cerebro-vascular stroke CT Terminology Hypodense lesion = lesion of lower density than the normal brain tissue Hyperdense lesion = lesion of higher density than normal brain tissue Isodense lesion = lesion
More informationHead CT Scan Interpretation: A Five-Step Approach to Seeing Inside the Head Lawrence B. Stack, MD
Head CT Scan Interpretation: A Five-Step Approach to Seeing Inside the Head Lawrence B. Stack, MD Five Step Approach 1. Adequate study 2. Bone windows 3. Ventricles 4. Quadrigeminal cistern 5. Parenchyma
More informationTraumatic brain injuries are caused by external mechanical forces such as: - Falls - Transport-related accidents - Assault
PP2231 Brain injury Cerebrum consists of frontal, parietal, occipital and temporal lobes Diencephalon consists of thalamus, hypothalamus Cerbellum Brain stem consists of midbrain, pons, medulla Central
More informationNEURO IMAGING 2. Dr. Said Huwaijah Chairman of radiology Dep, Damascus Univercity
NEURO IMAGING 2 Dr. Said Huwaijah Chairman of radiology Dep, Damascus Univercity I. EPIDURAL HEMATOMA (EDH) LOCATION Seventy to seventy-five percent occur in temporoparietal region. CAUSE Most likely caused
More informationCT - Brain Examination
CT - Brain Examination Submitted by: Felemban 1 CT - Brain Examination The clinical indication of CT brain are: a) Chronic cases (e.g. headache - tumor - abscess) b) ER cases (e.g. trauma - RTA - child
More informationHEAD AND NECK IMAGING. James Chen (MS IV)
HEAD AND NECK IMAGING James Chen (MS IV) Anatomy Course Johns Hopkins School of Medicine Sept. 27, 2011 OBJECTIVES Introduce cross sectional imaging of head and neck Computed tomography (CT) Review head
More informationNEURORADIOLOGY DIL part 3
NEURORADIOLOGY DIL part 3 Bleeds and hemorrhages K. Agyem MD, G. Hall MD, D. Palathinkal MD, Alexandre Menard March/April 2015 OVERVIEW Introduction to Neuroimaging - DIL part 1 Basic Brain Anatomy - DIL
More informationStroke School for Internists Part 1
Stroke School for Internists Part 1 November 4, 2017 Dr. Albert Jin Dr. Gurpreet Jaswal Disclosures I receive a stipend for my role as Medical Director of the Stroke Network of SEO I have no commercial
More informationClassical CNS Disease Patterns
Classical CNS Disease Patterns Inflammatory Traumatic In response to the trauma of having his head bashed in GM would have experienced some of these features. NOT TWO LITTLE PEENY WEENY I CM LACERATIONS.
More informationV. CENTRAL NERVOUS SYSTEM TRAUMA
V. CENTRAL NERVOUS SYSTEM TRAUMA I. Concussion - Is a clinical syndrome of altered consiousness secondary to head injury - Brought by a change in the momentum of the head when a moving head suddenly arrested
More informationCranial cavity. Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology
Cranial cavity Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology The Meninges The brain in the skull is surrounded by three membranes or meninges: 1-DURA MATER 2-ARACHNOID MATER 3-PIA MATER
More informationPRACTICE GUIDELINE. DEFINITIONS: Mild head injury: Glasgow Coma Scale* (GCS) score Moderate head injury: GCS 9-12 Severe head injury: GCS 3-8
PRACTICE GUIDELINE Effective Date: 9-1-2012 Manual Reference: Deaconess Trauma Services TITLE: TRAUMATIC BRAIN INJURY GUIDELINE OBJECTIVE: To provide practice management guidelines for traumatic brain
More informationTHE ESSENTIAL BRAIN INJURY GUIDE
THE ESSENTIAL BRAIN INJURY GUIDE Neuroanatomy & Neuroplasticity Section 2 Contributors Erin D. Bigler, PhD Michael R. Hoane, PhD Stephanie Kolakowsky-Hayner, PhD, CBIST, FACRM Dorothy A. Kozlowski, PhD
More informationTest 3. Module 5 & 6
Test 3 Module 5 & 6 Questions from the GVLS website Define the terms: Muscle- Involuntary- Voluntary- Striated- Smooth- Cardiac- Sarcomere - Actin - Myosin - Myofibril - Muscle Contraction - A-band - I-band
More informationNeuroradiological Findings in Non- Accidental Trauma Educational Pictorial Review
Neuroradiological Findings in Non- Accidental Trauma Educational Pictorial Review M B Moss, MD; L Lanier, MD; R Slater; C L Sistrom, MD; R G Quisling, MD; I M Schmalfuss, MD; and D Rajderkar, MD Contact:
More informationUpdate sulle lesioni emorragiche posttraumatiche
Update sulle lesioni emorragiche posttraumatiche Corrado Iaccarino Neurochirurgia-Neurotraumatologia AOU Parma Neurochirurgia d'urgenza IRCCS ASMN Reggio Emilia LAW UPDATING This document provides recommendations
More informationTraumatic Brain Injury (TBI) night fear happy end. G. Adam, R. Radeva, G. Kirova
Traumatic Brain Injury (TBI) night fear happy end G. Adam, R. Radeva, G. Kirova Chapter 1 Night 10 th June hot summer night resident on call for 12 h Saturday Night 22:00 h call from the emergency department
More informationFor Emergency Doctors. Dr Suzanne Smallbane November 2011
For Emergency Doctors Dr Suzanne Smallbane November 2011 A: Orbit B: Sphenoid Sinus C: Temporal Lobe D: EAC E: Mastoid air cells F: Cerebellar hemisphere A: Frontal lobe B: Frontal bone C: Dorsum sellae
More information2. Subarachnoid Hemorrhage
Causes: 2. Subarachnoid Hemorrhage A. Saccular (berry) aneurysm - Is the most frequent cause of clinically significant subarachnoid hemorrhage is rupture of a saccular (berry) aneurysm. B. Vascular malformation
More informationConcussion. Concussion is a disturbance of brain function caused by a direct or indirect force to the head.
Concussion Concussion is a disturbance of brain function caused by a direct or indirect force to the head. Disturbances of brain tissue is largely related to neurometabolic dysfunction rather then structural
More informationThe University Hospital/ 90! Twenty-Third.Street, N.IV./ Washington, D.C Representatives Select Committee on Assassinations Staff Member
222 ADDENDUM D REPORT OF DAVID O. DAVIS, M.D., CONCERNING THE EXAMINATION OF THE AUTOPSY X-RAYS OF PRESIDENT JOHN F. KENNEDY, DATED AUGUST 23, 1975 REPORT OF DAVID 0. DAVIS, M.D., CONCERNING THE EXAMINATION
More informationINTRACRANIAL PRESSURE -!!
INTRACRANIAL PRESSURE - Significance raised ICP main cause of death in severe head injury main cause of morbidity in moderate and mild head injury main target and prognostic indicator in the ITU setting
More informationCranial cavity. Dr. Heba Kalbouneh Assistant Professor of Anatomy and Histology
Cranial cavity Dr. Heba Kalbouneh Assistant Professor of Anatomy and Histology Cerebrum Cerebral hemispheres The Meninges The brain in the skull is surrounded by three membranes or meninges: 1-THE DURA
More informationPearls and Pitfalls in Neuroradiology of Cerebrovascular Disease The Essentials with MR and CT
Pearls and Pitfalls in Neuroradiology of Cerebrovascular Disease The Essentials with MR and CT Val M. Runge, MD Wendy R. K. Smoker, MD Anton Valavanis, MD Control # 823 Purpose The focus of this educational
More informationEEG IN FOCAL ENCEPHALOPATHIES: CEREBROVASCULAR DISEASE, NEOPLASMS, AND INFECTIONS
246 Figure 8.7: FIRDA. The patient has a history of nonspecific cognitive decline and multiple small WM changes on imaging. oligodendrocytic tumors of the cerebral hemispheres (11,12). Electroencephalogram
More informationCognitive Rehabilitation with Current Research and Transition of Care
Cognitive Rehabilitation with Current Research and Transition of Care Mike Dichiaro, MD Pediatric Rehabilitation Medicine Carin Rowan, MPT Pediatric Physical Therapy Financial Disclosures No relevant financial
More informationHead Injury: Classification Most Severe to Least Severe
Head Injury: Classification Most Severe to Least Severe Douglas I. Katz, MD Professor, Dept. Neurology, Boston University School of Medicine, Boston MA Medical Director Brain Injury Program, HealthSouth
More informationThe dura is sensitive to stretching, which produces the sensation of headache.
Dural Nerve Supply Branches of the trigeminal, vagus, and first three cervical nerves and branches from the sympathetic system pass to the dura. Numerous sensory endings are in the dura. The dura is sensitive
More informationNeuropathology Of Head Trauma. Mary E. Case, M.D. Professor of Pathology St. Louis University Health Sciences Center
Neuropathology Of Head Trauma Mary E. Case, M.D. Professor of Pathology St. Louis University Health Sciences Center Nothing to disclose Disclosure Introduction 500,000 cases/year of serious head injury
More informationThe clinical scenario in this patient has been well reviewed by expert witnesses.
September 29, 2014 Michael J. Cronkright, Esq. Kronzek & Cronkight, PLLC 420 S. Waverly Road, Suite 100 Lansing, MI 48917 Re: Preliminary Report on Naomi Burns Dear Mr. Cronkright, I have reviewed all
More informationTRAUMATIC BRAIN INJURY. Moderate and Severe Brain Injury
TRAUMATIC BRAIN INJURY Moderate and Severe Brain Injury Disclosures Funded research: 1. NIH: RO1 Physiology of concussion 2016-2021, Co-PI, $2,000,000 2. American Medical Society of Sports Medicine: RCT
More informationCentral Nervous System Practical Exam. Chapter 12 Nervous System Cells. 1. Please identify the flagged structure.
Central Nervous System Practical Exam Chapter 12 Nervous System Cells 1. Please identify the flagged structure. 2. Please identify the flagged structure. 3. Please identify the flagged structure. 4. A
More informationSUPPLEMENTARY FIG. S2. (A) Risk of bias and applicability concerns graph by marker. Review authors judgments about each domain presented as
Supplementary Data SUPPLEMENTARY FIG. S1. Graphical depiction of (A) influence and (B) outlier detection analyses of S100 calcium binding protein B (S100B) 0.10 0.11lg/L cutoff value studies. (C) Summary
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article A Study of Paediatric Head Injuries and Its Outcome Raje Vinayak, Raje Vaishali, Pednekar Akshay,
More informationMeninges and Ventricles
Meninges and Ventricles Irene Yu, class of 2019 LEARNING OBJECTIVES Describe the meningeal layers, the dural infolds, and the spaces they create. Name the contents of the subarachnoid space. Describe the
More informationPre-hospital Response to Trauma and Brain Injury. Hans Notenboom, M.D. Asst. Medical Director Sacred Heart Medical Center
Pre-hospital Response to Trauma and Brain Injury Hans Notenboom, M.D. Asst. Medical Director Sacred Heart Medical Center Traumatic Brain Injury is Common 235,000 Americans hospitalized for non-fatal TBI
More informationTips and tricks for detecting diffuse axonal injury on CT and MR neuroimaging
Tips and tricks for detecting diffuse axonal injury on CT and MR neuroimaging Poster No.: C-3080 Congress: ECR 2018 Type: Educational Exhibit Authors: M. Marinkic, D. Zadravec ; Zagreb/HR, Zageb/HR Keywords:
More informationSpectrum of various patterns of injuries in cranio-cerebral trauma: CT evaluation
Original article: Spectrum of various patterns of injuries in cranio-cerebral trauma: CT evaluation 1Dr. Kaleem Ahmad, 2 Dr. RK Rauniyar, 3 Dr. Sajid Ansari, 4 Dr. Mukesh Kumar Gupta 1Associate Professor,
More informationContinuum of Care: Post Acute Brain Injury Rehabilitation
Continuum of Care: Post Acute Brain Injury Rehabilitation Laura Wiggs, PT, NCS, CBIS Mentis Neuro Rehabilitation Traumatic Brain Injury (TBI) When an outside mechanical force is applied to the head and
More informationChapter 57: Nursing Management: Acute Intracranial Problems
Chapter 57: Nursing Management: Acute Intracranial Problems NORMAL INTRACRANIAL PRESSURE Intracranial pressure (ICP) is the hydrostatic force measured in the brain CSF compartment. Normal ICP is the total
More informationSuperior View of the Skull (Norma Verticalis) Anteriorly the frontal bone articulates with the two parietal bones AT THE CORONAL SUTURE
Superior View of the Skull (Norma Verticalis) Anteriorly the frontal bone articulates with the two parietal bones AT THE CORONAL SUTURE 1 The two parietal bones articulate in the midline AT THE SAGITTAL
More informationChapter 7: Head & Neck
Chapter 7: Head & Neck Osteology I. Overview A. Skull The cranium is composed of irregularly shaped bones that are fused together at unique joints called sutures The skull provides durable protection from
More informationBrain ميهاربا لض اف دمح ا د The Meninges 1- Dura Mater of the Brain endosteal layer does not extend meningeal layer falx cerebri tentorium cerebelli
.احمد د فاضل ابراهيم Lecture 15 Brain The Meninges Three protective membranes or meninges surround the brain in the skull: the dura mater, the arachnoid mater, and the pia mater 1- Dura Mater of the Brain
More informationThe Sonification of Human EEG and other Biomedical Data. Part 3
The Sonification of Human EEG and other Biomedical Data Part 3 The Human EEG A data source for the sonification of cerebral dynamics The Human EEG - Outline Electric brain signals Continuous recording
More informationSWI including phase and magnitude images
On-line Table: MRI imaging recommendation and summary of key features Sequence Pathologies Visible Key Features T1 volumetric high-resolution whole-brain reformatted in axial, coronal, and sagittal planes
More informationTraumatic Brain Injury TBI Presented by Bill Masten
1 2 Cerebrum two hemispheres and four lobes. Cerebellum (little brain) coordinates the back and forth ballet of motion. It judges the timing of every movement precisely. Brainstem coordinates the bodies
More informationBrain Injuries. Presented By Dr. Said Said Elshama
Brain Injuries Presented By Dr. Said Said Elshama Types of head injuries 1- Scalp injuries 2- Skull injuries 3- Intra Cranial injuries ( Brain ) Anatomical structure of meninges Intra- Cranial Injuries
More informationExternal guide for safe orthogonal approach
External guide for safe orthogonal approach Poster No.: C-0768 Congress: ECR 2017 Type: Scientific Exhibit Authors: M. SEOL, J. CHOI, H. KIM ; Jeonju, Jeonrabukdo/KR, Jeonju/ KR Keywords: Ischaemia / Infarction,
More informationBrain Injury and Epilepsy
Slide 1 Brain Injury and Epilepsy Presented by: Paula St. John, MA Education and Community Outreach Manager Minnesota Brain injury Alliance www.braininjurymn.org l 612-378-2742 800-669-6442 Slide 2 Objectives:
More informationSupplementary Table 1. ICD-9/-10 codes used to identify cycling injury hospitalizations. Railway accidents injured pedal cyclist
Supplementary Table 1. ICD-9/-10 codes used to identify cycling injury hospitalizations. ICD Code ICD-9 E800-E807(.3) E810-E816, E818-E819(.6) E820-E825(.6) E826-E829(.1) ICD-10-CA V10-V19 (including all
More informationImaging and EEG in Post-traumatic Epilepsy
Imaging and EEG in Post-traumatic Epilepsy Michael R. Sperling, M.D. Thomas Jefferson University Philadelphia, PA American Epilepsy Society Annual Meeting Disclosure Name Upsher-Smith Sunovion, Eisai,
More informationORIGINAL ARTICLE. Temporal Lobe Injury in Temporal Bone Fractures. imaging (MRI) to evaluate lesions of the temporal
ORIGINAL ARTICLE Temporal Lobe Injury in Temporal Bone Fractures Richard M. Jones, MD; Michael I. Rothman, MD; William C. Gray, MD; Gregg H. Zoarski, MD; Douglas E. Mattox, MD Objective: To determine the
More informationAnatomy Made Easy MSS
Anatomy Made Easy MSS part #1 هذا الملف يشمل تفريغ المحاضرة الثانية لعون بدءا من الصفحة 11 وحتى األخير Done By :MohamedA. Diabat Edited by Awn Academic team The Axial Skeleton The axial skeleton consist
More informationUnit #3: Dry Lab A. David A. Morton, Ph.D.
Unit #3: Dry Lab A David A. Morton, Ph.D. Skull Intracranial Hemorrhage Pg. 26 Epidural Hematoma Pg. 26 Skull Pg. 26 Subdural Hematoma Pg. 26 Subdural Hematoma Pg. 26 Subarachnoid Hemorrhage Pg. 26 Subarachnoid
More informationPrinciples Arteries & Veins of the CNS LO14
Principles Arteries & Veins of the CNS LO14 14. Identify (on cadaver specimens, models and diagrams) and name the principal arteries and veins of the CNS: Why is it important to understand blood supply
More information8/29/2011. Brain Injury Incidence: 200/100,000. Prehospital Brain Injury Mortality Incidence: 20/100,000
Traumatic Brain Injury Almario G. Jabson MD Section Of Neurosurgery Asian Hospital And Medical Center Brain Injury Incidence: 200/100,000 Prehospital Brain Injury Mortality Incidence: 20/100,000 Hospital
More informationThe central nervous system
Sectc.qxd 29/06/99 09:42 Page 81 Section C The central nervous system CNS haemorrhage Subarachnoid haemorrhage Cerebral infarction Brain atrophy Ring enhancing lesions MRI of the pituitary Multiple sclerosis
More informationSuperior View of the Skull (Norma Verticalis) Anteriorly the frontal bone articulates with the two parietal bones AT THE CORONAL SUTURE
Superior View of the Skull (Norma Verticalis) Anteriorly the frontal bone articulates with the two parietal bones AT THE CORONAL SUTURE 1 The two parietal bones articulate in the midline AT THE SAGITTAL
More informationHead Trauma Inservice (October)
John Tramell - Head Trauma Inservice, October 2005.doc Page 1 Head Trauma Inservice (October) Head trauma is the leading cause of death in trauma patients. Having a basic understanding of the anatomy and
More informationBones of the Skull Lateral View
Bones of the Skull Lateral View Frontal Bone Parietal Bone Occipital Bone Temporal Bone Sphenoid Bone Pterion Sutures of the Skull Lateral View Coronal Suture Lambdoid Suture Squamous Suture Sutures of
More information41 year old female with headache. Elena G. Violari MD and Leo Wolansky MD
41 year old female with headache Elena G. Violari MD and Leo Wolansky MD ? Dural Venous Sinus Thrombosis with Hemorrhagic Venous Infarct Acute intraparenchymal hematoma measuring ~3 cm in diameter centered
More informationMild Traumatic Brain Injury
Mild Traumatic Brain Injury Concussions This presentation is for information purposes only, not for any commercial purpose, and may not be sold or redistributed. David Wesley, M.D. Outline Epidemiology
More informationFlawless. Mike Cendoma, MS, ATC. Athletic Trainer. Sports Medicine Concepts. Get Your Coffee and Get Comfy. We ll Start in Just A Few!
Sports Medicine Concepts Get Your Coffee and Get Comfy. We ll Start in Just A Few! Mike Cendoma, MS, ATC Sports Medicine Concepts, Inc Suite of Services Since 1995 Founder, Program Director In 2Min or
More informationHow to interpret an unenhanced CT brain scan. Part 2: Clinical cases
How to interpret an unenhanced CT brain scan. Part 2: Clinical cases Thomas Osborne a, Christine Tang a, Kivraj Sabarwal b and Vineet Prakash c a Radiology Registrar; b Radiology Foundation Year 1 Doctor;
More informationCognitive Rehabilitation
Last Review Date: March 10, 2017 Number: MG.MM.ME.58Cv2 Medical Guideline Disclaimer Property of EmblemHealth. All rights reserved. The treating physician or primary care provider must submit to EmblemHealth
More informationSupplementary Appendix
Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Carrera J-P, Forrester N, Wang E, et al. Eastern equine encephalitis
More informationISCHEMIC STROKE IMAGING
ISCHEMIC STROKE IMAGING ผศ.พญ พญ.จ ร ร ตน ธรรมโรจน ภาคว ชาร งส ว ทยา คณะแพทยศาสตร มหาว ทยาล ยขอนแก น A case of acute hemiplegia Which side is the abnormality, right or left? Early Right MCA infarction
More informationInside Your Patient s Brain Michelle Peterson, APRN, CNP Centracare Stroke and Vascular Neurology
Inside Your Patient s Brain Michelle Peterson, APRN, CNP Centracare Stroke and Vascular Neurology Activity Everyone stand up, raise your right hand, tell your neighbors your name 1 What part of the brain
More informationWORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 1820/13
WORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 1820/13 BEFORE: J. P. Moore: Vice-Chair HEARING: September 18, 2013 at Kitchener Oral Post-hearing activity completed on March 20, 2014 DATE
More informationNEURORADIOLOGY DIL part 4
NEURORADIOLOGY DIL part 4 Strokes and infarcts K. Agyem MD, G. Hall MD, D. Palathinkal MD, Alexandre Menard March/April 2015 OVERVIEW Introduction to Neuroimaging - DIL part 1 Basic Brain Anatomy - DIL
More informationWorkbook Answers Chapter 13. Neurologic Diseases and Conditions
Workbook Answers Chapter 13 Neurologic Diseases and Conditions Short Answer 1. Afferent nerves transmit impulses from parts of the body to the spinal cord; efferent nerves transmit impulses away from the
More informationEvaluation of Craniocerebral Trauma Using Computed Tomography
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 13, Issue 9 Ver. IV (Sep. 2014), PP 57-62 Evaluation of Craniocerebral Trauma Using Computed Tomography
More information10/6/2017. Notice. Traumatic Brain Injury & Head Trauma
Notice All EMS Live@Nite presentations will be recorded (both audio and video) and available for public viewing online. By participating in EMS Live@Nite, you consent to audio and video recording and its/their
More informationIndex. aneurysm, 92 carotid occlusion, 94 ICA stenosis, 95 intracranial, 92 MCA, 94
A ADC. See Apparent diffusion coefficient (ADC) Aneurysm cerebral artery aneurysm, 93 CT scan, 93 gadolinium, 93 Angiography, 13 Anoxic brain injury, 25 Apparent diffusion coefficient (ADC), 7 Arachnoid
More informationSectional Anatomy Head Practice Problems
1. Which of the following is illustrated by #3? (Fig. 5-42) A) maxillary sinus B) vomer C) septal cartilage D) perpendicular plate of ethmoid bone 2. What number illustrates the cornea? (Fig. 5-42) A)
More informationIndex. Note: Page numbers of article titles are in bold face type.
Neurosurg Clin N Am 13 (2002) 259 264 Index Note: Page numbers of article titles are in bold face type. A Abdominal injuries, in child abuse, 150, 159 Abrasions, in child abuse, 157 Abuse, child. See Child
More informationNon epileptiform abnormality J U LY 2 7,
Non epileptiform abnormality S U D A J I R A S A K U L D E J, M D. C H U L A L O N G KO R N C O M P R E H E N S I V E E P I L E P S Y C E N T E R J U LY 2 7, 2 0 1 6 Outline Slow pattern Focal slowing
More informationNeurosurgical Techniques
Neurosurgical Techniques EBEN ALEXANDER, JR., M.D., EDITOR Supratentorial Skull Flaps GuY L. ODOM, M.D., AND BARNES WOODHALL,!V[.D. Department of Surgery, Division of Neurosurgery, Duke University Medical
More informationMost hypertensive: headache, vomiting, seizures, changes in mental status, fever, changes EKG
Wk 2. Management of Clients with Stroke 1. Stroke neurologic changes by interruption in blood supply to brain 1) Etiology Ischemia: thrombosis or embolism thrombotic strokes > embolic strokes (1) Thrombosis
More informationStroke: Every Minute Counts! Primary Stroke Center, Ingalls Memorial Hospital
Stroke: Every Minute Counts! Primary Stroke Center, Ingalls Memorial Hospital Objectives Describe the A & P of the nervous system Outline pathophysiological changes in the nervous system that may alter
More informationLumbar puncture. Invasive procedure: diagnostic or therapeutic. The subarachnoid space 4-13 ys: ml Replenished: 4-6 h Routine LP (3-5 ml): <1h
Lumbar puncture Lumbar puncture Invasive procedure: diagnostic or therapeutic. The subarachnoid space 4-13 ys: 65-150ml Replenished: 4-6 h Routine LP (3-5 ml):
More informationTBI are twice as common in males High potential for poor outcome Deaths occur at three points in time after injury
Head Injury Any trauma to (closed vs. open) Skull Scalp Brain Traumatic brain injury (TBI) High incidence Most common causes Falls Motor vehicle accidents Other causes Firearm- related injuries Assaults
More informationSKULL AS A WHOLE + ANTERIOR CRANIAL FOSSA
SKULL AS A WHOLE + ANTERIOR CRANIAL FOSSA LEARNING OBJECTIVES At the end of this lecture, the student should be able to know: Parts of skeleton (axial and appendicular) Parts of skull Sutures of skull
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Abdominal injuries, abdominal wall muscle injury, 212 213 diaphragmatic spasm, 212 liver injury, 213 214 pancreatic injury, 216 rectus
More informationImaging of Acute Cerebral Trauma
July, 2005 Imaging of Acute Cerebral Trauma Louis Rivera, Harvard Medical School, Year III 46 y/o Female s/p Trauma - Unrestrained? MVC requiring Med Flight - Facial bruising/swelling - DEEP COMA - SEIZURES
More informationLOSS OF CONSCIOUSNESS & ASSESSMENT. Sheba Medical Center Acute Medicine Department MATTHEW WRIGHT
LOSS OF CONSCIOUSNESS & ASSESSMENT Sheba Medical Center Acute Medicine Department MATTHEW WRIGHT OUTLINE Causes Head Injury Clinical Features Complications Rapid Assessment Glasgow Coma Scale Classification
More informationPediatric Subdural Hematoma and Traumatic Brain Injury J. Charles Mace MD FACS Springfield Neurological Institute CoxHealth. Objectives 11/7/2017
Pediatric Subdural Hematoma and Traumatic Brain Injury J. Charles Mace MD FACS Springfield Neurological Institute CoxHealth Objectives 1. Be able to discuss brain anatomy and physiology as it applies to
More informationBiocomputer Wired for Action MWABBYH CTBIR LOBES
Biocomputer Wired for Action MWABBYH CTBIR LOBES 100 100 100 100 100 200 200 200 200 200 300 300 300 300 300 400 400 400 400 400 500 500 500 500 500 Biocomputer Wired for Action MWABBYH CTBIR LOBES 100
More informationPTA 106 Unit 1 Lecture 3
PTA 106 Unit 1 Lecture 3 The Basics Arteries: Carry blood away from the heart toward tissues. They typically have thicker vessels walls to handle increased pressure. Contain internal and external elastic
More informationbrain MRI for neuropsychiatrists: what do you need to know
brain MRI for neuropsychiatrists: what do you need to know Christoforos Stoupis, MD, PhD Department of Radiology, Spital Maennedorf, Zurich & Inselspital, University of Bern, Switzerland c.stoupis@spitalmaennedorf.ch
More informationCNS pathology Third year medical students. Dr Heyam Awad 2018 Lecture 5: disturbed fluid balance and increased intracranial pressure
CNS pathology Third year medical students Dr Heyam Awad 2018 Lecture 5: disturbed fluid balance and increased intracranial pressure ILOs Understand causes and symptoms of increased intracranial pressure.
More informationTRANSVERSE SECTION PLANE Scalp 2. Cranium. 13. Superior sagittal sinus
TRANSVERSE SECTION PLANE 1 1. Scalp 2. Cranium 3. Superior sagittal sinus 4. Dura mater 5. Falx cerebri 6. Frontal lobes of the cerebrum 7. Middle meningeal artery 8. Cortex, grey matter 9. Cerebral vessels
More informationEssentials of Clinical MR, 2 nd edition. 14. Ischemia and Infarction II
14. Ischemia and Infarction II Lacunar infarcts are small deep parenchymal lesions involving the basal ganglia, internal capsule, thalamus, and brainstem. The vascular supply of these areas includes the
More informationHealth Sciences 1110 Module 8 Nervous System Part II LAB 8. Watch the Brain Surgery video and answer the questions on your worksheet.
Health Sciences 1110 Module 8 Nervous System Part II LAB 8 Watch the Brain Surgery video and answer the questions on your worksheet. Interactive Physiology o Open Internet Explorer and go to the Health
More informationA Healthy Brain. An Injured Brain
A Healthy Brain Before we can understand what happens when a brain is injured, we must realize what a healthy brain is made of and what it does. The brain is enclosed inside the skull. The skull acts as
More information8th Annual NKY TBI Conference 3/28/2014
Closed Head Injury: Headache to Herniation A N T H O N Y T. K R A M E R U N I V E R S I T Y O F C I N C I N N A T I B L U E A S H E M S T E C H N O L O G Y P R O G R A M Objectives Describe the pathological
More informationBrain anatomy tutorial. Dr. Michal Ben-Shachar 459 Neurolinguistics
Brain anatomy tutorial Dr. Michal Ben-Shachar 459 Neurolinguistics The human brain Left hemisphere Right hemisphere http://www.brainmuseum.org/ Zoom out Zoom in Types of Brain Tissue Gray Matter: Cell
More informationPediatric Abusive Head Trauma
Pediatric Abusive Head Trauma Rebecca Girardet Associate Professor of Pediatrics Director, Division of Child Protection Pediatrics McGovern Medical School at The University of Texas Health Science Center
More informationNEURO IMAGING OF ACUTE STROKE
1 1 NEURO IMAGING OF ACUTE STROKE ALICIA RICHARDSON, MSN, RN, ACCNS-AG, ANVP-BC WENDY SMITH, MA, RN, MBA, SCRN, FAHA LYNN HUNDLEY, APRN, CNRN, CCNS, ANVP-BC 2 2 1 DISCLOSURES Alicia Richardson: Stryker
More informationThe Nervous System. The Central Nervous System. School of Social Work
School of Social Work The Nervous System Undergraduate researchers: Kate Decoste, Lauren Degrange, Liz Miller, Sean Mortenson, Batool Qweider, and Kaylie Reese (2009). Co-edited by Nancy D. Bergerson (2010).
More information