Definitions. Canine Encephalitis. Neurodiagnostic Tools. Neurologic Examination. CSF Risks and Drawbacks. CSF Analysis
|
|
|
- Cecil Ramsey
- 5 years ago
- Views:
Transcription
1 Definitions Canine Encephalitis Christopher L. Mariani, DVM, PhD, DACVIM (Neurology) Assistant Professor College of Veterinary Medicine North Carolina State University Encephalitis: Inflammation of the brain Meningitis: Inflammation of the meninges Myelitis: Inflammation of the spinal cord Neurodiagnostic Tools Neurologic Examination Neurologic examination Blood and urine tests Radiographs (x-rays) Cerebrospinal fluid evaluation Infectious disease titers/pcr Advanced diagnostic imaging Computed tomography (CT) Magnetic resonance imaging (MRI) Attitude and responsiveness Cranial nerve examination Gait Proprioception (position sense) Spinal reflexes Spinal pain CSF Risks and Drawbacks Penetration of neural tissue CSF Analysis Routine with collection from LC At CMC enter brainstem (vestibular signs, respiratory compromise) Shifts of intracranial tissue ( ICP) Brain herniation Cell counts Cytology Protein Death Pre-emptive imaging and mannitol 1
2 Normal CSF CSF Analysis Small numbers white blood cells 0-5 cells/ l (CMC), 0-8 cells/ l (LC) Lymphocytes Large mononuclear phagocytes (macrophages) No red blood cells Protein Less than mg/dl (CMC) Less than mg/dl (LC) CSF Cell Counts RBC count Usually iatrogenic (obvious at time of collection) Occasionally CNS hemorrhage If old, xanthochromia may be present WBC count Meningoencephalitis Neoplasia Acute trauma Normal CSF Cytology CT Risks and Drawbacks Lymphocytes and mononuclear phagocytes Abnormal Neutrophils Eosinophils Neoplastic cells Infectious organisms Vacuolation of phagocytes General anesthesia X-ray radiation Health hazard Limited patient access during procedure Limited imaging of brainstem Beam hardening artifact Cost Other material (e.g. myelin) CT Usefulness Very good resolution of bone Much better than plain x-rays Visualization of acute hemorrhage Compatibility with anesthetic machines and monitoring devices No contraindication with pacemakers, medical implants Rapid image acquisition MRI Risks and Drawbacks General anesthesia Very strong magnetic field Not safe for pacemakers Other metal implants can be troublesome Not compatible with standard anesthesia machines or monitoring equipment 2
3 MRI Advantages/Usefulness Indications Any disease of the nervous system No beam hardening artifact in brainstem Superior image resolution and sensitivity Multiple plane imaging Multiple protocols available Encephalitis Terminology Little white shaker disease Steroid-responsive meningitis-arteritis Granulomatous meningoencephalitis meningoencephalitis Steroid-responsive meningoencephalitis Meningoencephalitis of unknown etiology Little White Shaker Syndrome Little White Shaker Syndrome Sudden onset of tremors all over body Worsens with excitement, handling, locomotion Improves with relaxation, sleep Rare seizures Steroid-Responsive Meningitis-Arteritis Mainly large breeds Typically neck pain without deficits Neutrophilic inflammation in CSF Granulomatous Meningoencephalitis (GME) Brainstem, cerebellar, spinal cord more involved than forebrain Mononuclear cells or mixed cells in CSF Initially responsive to prednisone but usually becomes resistant 3
4 Granulomatous Meningoencephalitis (GME) Meningoencephalitis (NME) Meningoencephalitis (NME) Meningoencephalitis (NME) Diagnosis Forebrain more involved than brainstem, cerebellum, spinal cord Seizures, altered awareness, blindness, circling, weakness Advanced imaging Mononuclear cells in CSF Response to medications unclear Often unresponsive to prednisone May respond to more potent immunosuppressive medications Meningoencephalitis (NME) Leukoencephalitis (NLE) Like NME but little meningeal involvement and more brainstem signs
5 Treatment Treatment Infectious disease Antibiotics Antifungals Anti-rickettsials Anti-inflammatory therapy Little white shakers Steroids (prednisone) Diazepam (valium) Steroids Treatment Immunosuppression GME, NME, MUE Antibiotics while awaiting infectious tests Anti-inflammatory vs. immunosupression Steroids Immunosuppressives Cyclosporine (Sandimmune, Neoral) Leflunomide Mycophenolate mofetil (Cellcept) Anti-cancer drugs Cytosine arabinoside (Cytosar, Ara-c) Procarbazine Lomustine (CCNU) Immunosuppression Prednisone Risks and side effects Worsening infectious disease Myelosuppression (low white blood cells) Secondary infections Gastrointestinal Vomiting, diarrhea Risks and side effects Increased risk of secondary infections Increased thirst and urination Increased hunger Weight gain Muscle wasting Coagulation problems Lung clots 5
6 Prognosis Challenges & Problems Little white shakers - Good - excellent GME - guarded - poor NME - poor MUE - variable No idea of underlying cause Genetic influence Occult infection? Autoimmune disease? Triggers? Challenges & Problems Challenges & Problems Sorting out multiple disease problems Poor sense of underlying disease course GME NME Encephalitis Chiari-like malformation (COMS) Stroke Liver shunts Challenges & Problems The Way Forward... Diagnostic tests Limitations current diagnostic tests Imaging Equivocal CSF results CSF not absolutely specific for encephalitis Diagnostic imaging Biopsy systems Additional organisms Genetic based test Causative gene Susceptibility genes 6
7 The Way Forward... Mariani Lab Treatment Prednisone vs. other immunosuppressive and anti-cancer drug trial Immuomodulatory therapy Plasma exchange Intravenous immunoglobulin Targeted molecular therapy Characterization of immune response Blood, spinal fluid, tissue samples Design better diagnostic tests Tailor choice of therapies Mariani Lab How You Can Help... Support encephalitis research Define genetic predisposition Linkage studies Association studies Haplotype analysis Affected and unaffected dogs AKC Canine Health Foundation CREATE Fund (NCSU) We need: Blood samples, CSF, tissue from affected dogs DNA from affected and unaffected dogs Blood samples Cheek swabs Acknowledgements Questions? AMA Colleagues at NCSU Pete Early Karen Munana Natasha Olby Ed MacKillop Stacey Dillard Zach Niman Ryan Gallagher Chelle Zulick CREATE fund Sarah Moore 7
8 Contact Information Chris Mariani Department of Clinical Sciences College of Veterinary Medicine North Carolina State University 4700 Hillsborough Street Raleigh, NC
Treatment of Autoimmune Diseases of the Central Nervous System of Dogs
Page 1 of 6 Angell Navigation Site Navigation Emergency Treatment of Autoimmune Diseases of the Central Nervous System of Dogs By Allen Sisson, DVM, MS, DACVIM (Neurology) angell.org/neurology neurology@angell.org
CLINICOPATHOLOGIC FEATURES OF SPECIFIC MUE ENTITIES
Where are we with MUE (Meningoencephalitis of Unknown Etiology)? John H. Rossmeisl, Jr. DVM, MS, Dipl. ACVIM (SAIM and Neurology) Professor, Neurology and Neurosurgery VA-MD College of Veterinary Medicine,
Treatment of CNS Inflammatory Disease (GME, MUA, NME, CSRM ) in dogs Georgina Child BVSc, DACVIM(Neurology)
Treatment of CNS Inflammatory Disease (GME, MUA, NME, CSRM ) in dogs Georgina Child BVSc, DACVIM(Neurology) Small Animal Specialist Hospital, 1 Richardson Pl, North Ryde NSW 2113 Inflammatory diseases
Encephalitis (Inflammation of the Brain) Basics
Encephalitis (Inflammation of the Brain) Basics OVERVIEW Encephalitis is the medical term for inflammation of the brain May be accompanied by inflammation of the spinal cord (known as myelitis ) and/or
Meningoencephalitides of unknown etiology (MUE) in dogs
Meningoencephalitides of unknown etiology (MUE) in dogs Andrea Tipold TiHo Hannover Meningoencephalitides of unknown etiology/origin Granulomatous meningoencephalomyelitis (GME) Necrotizing encephalitis
Making headway: problem-oriented approaches to neurological disease
Vet Times The website for the veterinary profession https://www.vettimes.co.uk Making headway: problem-oriented approaches to neurological disease Author : Mark Lowrie Categories : Vets Date : July 4,
Proceedings of the World Small Animal Veterinary Association Sydney, Australia 2007
Proceedings of the World Small Animal Sydney, Australia 2007 Hosted by: Next WSAVA Congress USE AND MISUSE OF GLUCOCORTICOIDS IN VETERINARY NEUROLOGY/NEUROSURGERY Richard A. LeCouteur, BVSc, PhD, DIP ACVIM
Central nervous system
Central nervous system By Dr. Mohsen Dashti Clinical Medicine & Pathology 316 7 th Lecture Lecture outline Review of structure & function. Symptoms, signs & tests. Specific diseases. Review of structure
Proceedings of the European Veterinary Conference Voorjaarsdagen
Close this window to return to IVIS www.ivis.org Proceedings of the European Veterinary Conference Voorjaarsdagen Apr. 13-15, 2016 Next Meeting: April 1 -, 201 The Hague, The Netherlands Reprinted in IVIS
Non-infectious inflammatory diseases of the central nervous system in dogs
Non-infectious inflammatory diseases of the central nervous system in dogs Inflammatory diseases of the CNS present as progressive diseases, often with a collection of neurological deficits reflecting
Spinal Cord Diseases Part 1. Casey P. Neary, DVM, DACVIM (Neurology) Neurology/Neurosurgery 7/16/17
Spinal Cord Diseases Part 1 Casey P. Neary, DVM, DACVIM (Neurology) Neurology/Neurosurgery 7/16/17 About Me. Hometown Roswell, GA High School Roswell High Vet Assistant WHVH Smyrna, GA About Me. Auburn
Neurology - Principles of Diagnosis and Treatment Georgina Child BVSc DACVIM (Neurology)
Neurology - Principles of Diagnosis and Treatment Georgina Child BVSc DACVIM (Neurology) Neurologic diseases are seen almost entirely as dysfunction rather than observable structural abnormalities. Neural
FOR CMS (MEDICARE) MEMBERS ONLY NATIONAL COVERAGE DETERMINATION (NCD) FOR MAGNETIC RESONANCE IMAGING:
National Imaging Associates, Inc. Clinical guidelines SINUS MRI Original Date: November 2007 Page 1 of 5 CPT Codes: 70540, 70542, 70543 Last Review Date: July 2014 NCD 220.2 MRI Last Effective Date: July
SHAKE, RATTLE AND ROLL: AN APPROACH TO LATE-ONSET EPILEPSY. Laura Harvey, DVM DACVIM (Neurology) Veterinary Neurology of the Chesapeake
SHAKE, RATTLE AND ROLL: AN APPROACH TO LATE-ONSET EPILEPSY Laura Harvey, DVM DACVIM (Neurology) Veterinary Neurology of the Chesapeake Outline Case presentation: a tale of 3 Goldens Late-onset epilepsy
COPYRIGHT 2012 THE TRANSVERSE MYELITIS ASSOCIATION. ALL RIGHTS RESERVED
The Transverse Myelitis Association...advocating for those with acute disseminated encephalomyelitis, neuromyelitis optica, optic neuritis and transverse myelitis ACUTE DISSEMINATED ENCEPHALOMYELITIS (ADEM)
The University of Arizona Pediatric Residency Program. Primary Goals for Rotation. Neurology
The University of Arizona Pediatric Residency Program Primary Goals for Rotation Neurology 1. GOAL: Understand the role of the pediatrician in preventing neurological diseases, and in counseling and screening
Magnetic Resonance Imaging Findings of Eosinophilic Meningoencephalitis Caused by Angiostrongyliasis
Chin J Radiol 2001; 26: 45-49 45 CASE REPORT Magnetic Resonance Imaging Findings of Eosinophilic Meningoencephalitis Caused by Angiostrongyliasis TSYH-JYI HSIEH 1 GIN-CHUNG LIU 1 CHUAN-MIN YEN 2 YU-TING
Practical CT and MRI Anthony J. Fischetti, DVM, MS, DACVR Department Head of Diagnostic Imaging The Animal Medical Center, New York OBJECTIVE:
Practical CT and MRI Anthony J. Fischetti, DVM, MS, DACVR Department Head of Diagnostic Imaging The Animal Medical Center, New York OBJECTIVE: This lecture describes the most common indications for referred
Lumbar cistern is site of lumbar puncture for removal of CSF sample LC contains cauda equina. Anatomical Review
Lumbar Puncture Lumbar cistern is site of lumbar puncture for removal of CSF sample LC contains cauda equina Anatomical Review Anatomical review Overview An LP (lumbar puncture) is an invasive diagnostic
DISORDERS OF THE NERVOUS SYSTEM
DISORDERS OF THE NERVOUS SYSTEM Bell Work What s your reaction time? Go to this website and check it out: https://www.justpark.com/creative/reaction-timetest/ Read the following brief article and summarize
SPINAL CORD DISEASE IN DOGS PART TWO: MOST LIKELY CAUSES
Vet Times The website for the veterinary profession https://www.vettimes.co.uk SPINAL CORD DISEASE IN DOGS PART TWO: MOST LIKELY CAUSES Author : RITA GONÇALVES Categories : Vets Date : April 7, 2014 RITA
Proceedings of the World Small Animal Veterinary Association Sydney, Australia 2007
Proceedings of the World Small Animal Veterinary Association Sydney, Australia 2007 Hosted by: Australian Small Animal Veterinary Association (ASAVA) Australian Small Animal Veterinary Association (ASAVA)
Adult Neurology Residency Training Program McGill University Objectives of Training and Training Requirements. For Outpatient Neurology Clinics
Neurology Residency Program Department of Neurology & Neurosurgery Postal address: Montreal Neurological Institute 3801 University Street Montreal, PQ, Canada H3A 2B4 Tel.: (514) 398-1904 Fax: (514) 398-4621
Barbara Licht, Ph.D., Kathy Harper, DVM, Ph.D., Mark Licht, Ph.D. Cheryl Chrisman, DVM, MS, EdS, DACVIM-Neurology
Date: Mon, 01 September 2003 From: Barbara Licht Subject: Diagnostic Testing DIAGNOSTIC WORK-UP FOR DOGS WITH SEIZURES Barbara Licht, Ph.D., Kathy Harper, DVM, Ph.D., Mark Licht,
Retrospective Study. Abbreviations
Retrospective Study Journal of Veterinary Emergency and Critical Care 26(1) 2016, pp 116 124 doi: 10.1111/vec.12399 Retrospective evaluation of combined mycophenolate mofetil and prednisone treatment for
Subspecialty Rotation: Child Neurology at SUNY (KCHC and UHB) Residents: Pediatric residents at the PL1, PL2, PL3 level
Subspecialty Rotation: Child Neurology at SUNY (KCHC and UHB) Residents: Pediatric residents at the PL1, PL2, PL3 level Prerequisites: Any prior pediatric rotations and experience Primary Goals for this
Difficult Diagnosis: Case History. 7 months prior, she happened to have undergone a C-spine MRI after a car accident
Relevant Disclosures: None Difficult Diagnosis: Recent Advances in Neurology 2013 Jeffrey M. Gelfand, MD Assistant Professor UCSF Neuroinflammation and MS Center UCSF Department of Neurology Case History
Cerebrovascular Disease. Mike Higginbotham, DVM, DACVIM (neurology) BVNS - Richmond CE event September 27, 2015
Cerebrovascular Disease Mike Higginbotham, DVM, DACVIM (neurology) BVNS - Richmond CE event September 27, 2015 Barney 12 yr MN Lab Mix Past medical Kidney disease, hypertension Pertinent history Normal
This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and
This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution
Provide specific counseling to parents and patients with neurological disorders, addressing:
Neurology Description: The Pediatric Neurology elective will give the resident the opportunity to learn how to obtain an appropriate history and perform a complete neurologic exam. Four to five half days
Acute Seizure Management: What Do We Really Know About the Drugs We Give? Heidi Barnes Heller, DVM, DACVIM University of Wisconsin Madison, WI
Acute Seizure Management: What Do We Really Know About the Drugs We Give? Heidi Barnes Heller, DVM, DACVIM University of Wisconsin Madison, WI A seizure is the outward, observable outcome following a transient
The Neurology of HIV Infection. Carolyn Barley Britton, MD, MS Associate Professor of Clinical Neurology Columbia University
The Neurology of HIV Infection Carolyn Barley Britton, MD, MS Associate Professor of Clinical Neurology Columbia University HIV/AIDS Epidemiology World-wide pandemic, 40 million affected U.S.- Disproportionate
Dog s name: Owner s name:.. Address: Postcode: Telephone No:. . Dog s Breed:
If you have not yet sent a cheek swab DNA sample from your dog for our research, and would like to receive a cheek swab collection kit, please tick this box: Epilepsy Questionnaire Dog s name: Owner s
CNS Infections in the Pediatric Age Group
CNS Infections in the Pediatric Age Group Introduction CNS infections are frequently life-threatening In the Philippines, bacterial meningitis is one of the top leading causes of mortality in children
Intracranial hypotension secondary to spinal CSF leak: diagnosis
Intracranial hypotension secondary to spinal CSF leak: diagnosis Spinal cerebrospinal fluid (CSF) leak is an important and underdiagnosed cause of new onset headache that is treatable. Cerebrospinal fluid
Advanced Animal Imaging Ryan Harrell BS, BS, CNMT
Advanced Animal Imaging Ryan Harrell BS, BS, CNMT It is a specialized form of x -ray that helps veterinarians determine damage to th e spinal cord. A myelogram can help determine if there is a serious
Alterations of Neurologic Function
Pathophysiology JP Advis DVM, Ph.D. Bartlett Hall, Animal Sciences, Cook, 932-9240, advis@aesop.rutgers.edu 08 Course website: rci.rutgers.edu/~advis Lectures, tests, grades, office hours, textbook, Material
Nervous System Task Exploration
Nervous System Task Exploration Read It! Directions: Each member of the group will read the passage and answer the task questions. It is important to remember that the answers will come directly from the
Nervous System Task Exploration
Nervous System Task Exploration Read It! Directions: Each member of the group will read the passage and answer the task questions. It is important to remember that the answers will come directly from the
December 19th, 2012 Newsletter Sign Up June 20th, 2013 Update on Canine Degenerative Myelopathy 6565 353 0 50 by Stacey A. Sullivan, DVM, Diplomate American College of Veterinary Internal Medicine Historically,
Role of MRI in acute disseminated encephalomyelitis
Original Research Article Role of MRI in acute disseminated encephalomyelitis Shashvat Modiya 1*, Jayesh Shah 2, C. Raychaudhuri 3 1 1 st year resident, 2 Associate Professor, 3 HOD and Professor Department
APPROACHES TO NEUROLOGICAL EXAMINATION IN RABBITS
Vet Times The website for the veterinary profession https://www.vettimes.co.uk APPROACHES TO NEUROLOGICAL EXAMINATION IN RABBITS Author : ELISABETTA MANCINELLI Categories : Vets Date : October 6, 2014
Lumbar 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):
CANINE EPILEPSY. Types of epilepsy: Types of seizures:
CANINE EPILEPSY Epilepsy is found in all breeds and mixed breeds of dogs. The prevalence of epilepsy in the general dog population has been estimated at 0.5 to 5.7%. Seizures can be severe and frequent
Would you consent to us contacting your veterinary surgeon if we need clarifications or additional information?
If you have not yet sent a cheek swab DNA sample from your dog for our research, and would like to receive a cheek swab collection kit, please tick this box: Epilepsy Questionnaire Date questionnaire completed
SHASTA COUNTY Health and Human Services Agency
FROM: 530 229 8447 TO: 15302293984 08/06/14 12:30 Pg 1 of 5 especially SHASTA COUNTY Health and Human Services Agency Public Health 2650RreslauerWay Redding, CA 96001-4297 (530) 229-8484 FAX (530) 225-3743
Chiari FAQ's. 1. What is a Chiari Malformation?
Chiari FAQ's These FAQ's are for informational purposes only and in no way represent an attempt to provide medical advice. This information may or may not apply to your case and anyone with a question
CEREBROSPINAL FLUID [CSF]
![CEREBROSPINAL FLUID [CSF]](/thumbs/89/100552494.jpg "CEREBROSPINAL FLUID [CSF]")
CEREBROSPINAL FLUID [CSF] All question is compulsory Minimum passing mark is 15. 1. Full form of a) CSF = b) LDH = c) ADA = 2. If patient serum glucose level is 300 mg%,than expected csf glucose level
FOR CMS (MEDICARE) MEMBERS ONLY NATIONAL COVERAGE DETERMINATION (NCD) FOR MAGNETIC RESONANCE IMAGING:
National Imaging Associates, Inc. Clinical guidelines BONE MARROW MRI Original Date: July 2008 Page 1 of 5 CPT Codes: 77084 Last Review Date: September 2014 NCD 220.2 MRI Last Effective Date: July 2011
Arthritis & Rheumatology Clinics of Kansas PATIENT EDUCATION SYSTEMIC LUPUS ERYTHEMATOSUS
Arthritis & Rheumatology Clinics of Kansas PATIENT EDUCATION SYSTEMIC LUPUS ERYTHEMATOSUS Introduction: There is perhaps no rheumatic disease that evokes so much fear and confusion among both patients
May He Rest in Peace
May He Rest in Peace Neurologic Complications of AIDS Medical Knowledge Fiesta 2012 Paul K. King MD pkingmd@yahoo.com Objectives definition of HIV/AIDS what are the neurologic complications of AIDS how
S (18) doi: /j.ensci Reference: ENSCI 122
Accepted Manuscript A case of cerebellar ataxia associated with VZV infection Hirofumi Matsuyama, Takekazu Ohi PII: S2405-6502(18)30012-1 DOI: doi:10.1016/j.ensci.2018.04.003 Reference: ENSCI 122 To appear
Hydrocephalus 1/16/2015. Hydrocephalus. Functions of Cerebrospinal fluid (CSF) Flow of CSF
Hydrocephalus Hydrocephalus Ruth Arms, MSN, CNS-BC, SCRN Hydrocephalus is the buildup of fluid in the cavities (ventricles) deep within the brain. The excess fluid increases the size of the ventricles
Proceedings of the World Small Animal Veterinary Association Sydney, Australia 2007
Proceedings of the World Small Animal Veterinary Association Sydney, Australia 2007 Hosted by: Australian Small Animal Veterinary Association (ASAVA) Australian Small Animal Veterinary Association (ASAVA)
Spinal diseases: non-surgical options
Vet Times The website for the veterinary profession https://www.vettimes.co.uk Spinal diseases: non-surgical options Author : MARIANNE STABAEK MARTIN Categories : Vets Date : June 2, 2008 MARIANNE STABAEK
Spring Semester OST 571 Neuromusculoskeletal Lecture-Lab Schedule Revised
Revised 1-07-16 Week 1: Monday, January 11, 2016 9:00-9:50 a.m. 001 - Principles of Neurobiology/Orientation Lovell Online 10:00-10:50 a.m. 002 - Cells, synapses & neurotransmitter systems Nazaroff Online
CENTRAL NERVOUS SYSTEM VASCULITIS
What is central nervous system (CNS) vasculitis? Central nervous system (CNS) vasculitis is among a family of rare disorders characterized by inflammation of the blood vessels, which restricts blood flow
Introduction. Brain Abscess. Stages of Abscess Formation. Pathogenesis of Hematogneous Bacterial CNS Infection. Entry of CNS Infections
Bacterial and Fungal Disease of the CNS Introduction Simon R Platt BVM&S MRCVS Dipl. ACVIM (Neurology) Dipl. ECVN College of Veterinary Medicine University of Georgia, Athens, USA n Meningitis / Encephalitis
Supplement Table 1. Definitions for Causes of Death
Supplement Table 1. Definitions for Causes of Death 3. Cause of Death: To record the primary cause of death. Record only one answer. Classify cause of death as one of the following: 3.1 Cardiac: Death
Spring Semester OST 571 Neuromusculoskeletal Lecture-Lab Schedule
Week 1: Monday, January 5, 2015 9:00-9:50 a.m. 001 - Principles of Neurobiology Lovell Online 10:00-10:50 a.m. 002 - Cells, synapses & neurotransmitters Nazaroff Online 11:00-11:50 a.m. 003 - Development
The Clinician s Guide to Localiza4on in the Cerebellum and Ves4bular System
The Clinician s Guide to Localiza4on in the Cerebellum and Ves4bular System Stacey A Sullivan, DVM, DACVIM (Neurology) Animal Specialty Group, Los Angeles Welcome Stacey Sullivan, DVM, DACVIM (Neurology)
Brain abscess rupturing into the lateral ventricle causing meningitis: a case report
Brain abscess rupturing into the lateral ventricle causing meningitis: a case report Endry Martinez, and Judith Berger SBH Health System, 4422 Third Ave, Bronx, NY 10457 Key words: brain abscess, rupture
Periodic and Rhythmic Patterns. Suzette M LaRoche, MD Mission Health Epilepsy Center Asheville, North Carolina
Periodic and Rhythmic Patterns Suzette M LaRoche, MD Mission Health Epilepsy Center Asheville, North Carolina Continuum of EEG Activity Neuronal Injury LRDA GPDs SIRPIDs LPDs + NCS Burst-Suppression LPDs
In Smaller and Medium Breed Dogs
Neck Pain In Smaller and Medium Breed Dogs Dr. Alain Carter BVSc (Hons) MMedVet(Med) Fourways Veterinary Hospital and Specialist Referral Centre. Reviewed and Edited by Liesel van der Merwe BVSc (Hons)
What Is an Arteriovenous malformation (AVM)?
American Society of Neuroradiology What Is an Arteriovenous malformation (AVM)? From the Cerebrovascular Imaging and Intervention Committee of the American Heart Association Cardiovascular Council Randall
NMH happens when there is an abnormal reflex interaction between the heart and the brain, although both are structurally normal.
Neurally mediated hypotension: is also known as: the fainting reflex, neurocardiogenic syncope, vasodepressor syncope, the vaso-vagal reflex, and autonomic dysfunction. (Hypotension= low blood pressure,
Chiari Malformations. Google. Objectives Seventh Annual NKY TBI Conference 3/22/13. Kerry R. Crone, M.D.
Chiari Malformations Kerry R. Crone, M.D. Professor of Neurosurgery and Pediatrics University of Cincinnati College of Medicine University of Cincinnati Medical Center Cincinnati Children s Hospital Medical
Accepted Manuscript. Comparison of costs and outcomes of patients presenting with a rare brainstem syndrome. Devin E. Prior, Vijay Renga
Accepted Manuscript Comparison of costs and outcomes of patients presenting with a rare brainstem syndrome Devin E. Prior, Vijay Renga PII: S2405-6502(18)30036-4 DOI: https://doi.org/10.1016/j.ensci.2018.11.004
New Insights on Optic Neuritis in Young People
Cronicon OPEN ACCESS EC OPHTHALMOLOGY Case Study New Insights on Optic Neuritis in Young People Sergio Carmona 1, Sandra Barbosa 1 and Maria Laura Ortube 2 * 1 Department of Neuro-ophthalmology, Hospital
Case Report Three Cases of Neoplastic Meningitis Initially Diagnosed with Infectious Meningitis in Emergency Department
Case Reports in Emergency Medicine Volume 2013, Article ID 561475, 4 pages http://dx.doi.org/10.1155/2013/561475 Case Report Three Cases of Neoplastic Meningitis Initially Diagnosed with Infectious Meningitis
Child Neurology Elective PL1 Rotation
PL1 Rotation The neurology elective is available to first year residents in either a 2 or 4 week block rotation. The experience will include performing inpatient consultations, attending outpatient clinics
MULTIPLE SCLEROSIS PROFILE
MULTIPLE SCLEROSIS PROFILE What is Multiple Sclerosis? Multiple sclerosis (MS) is a chronic, inflammatory disease of unknown etiology that involves an immune-mediated attack on the central nervous system
LOOKING AT BLINDNESS FROM NEUROLOGIST S PERSPECTIVE
Vet Times The website for the veterinary profession https://www.vettimes.co.uk LOOKING AT BLINDNESS FROM NEUROLOGIST S PERSPECTIVE Author : LAURENT S GAROSI Categories : Vets Date : June 23, 2008 LAURENT
Atlas of the Vasculitic Syndromes
CHAPTER e40 Atlas of the Vasculitic Syndromes Carol A. Langford Anthony S. Fauci Diagnosis of the vasculitic syndromes is usually based upon characteristic histologic or arteriographic findings in a patient
Chiari Malformation: Diagnosis
Chiari Malformation: Diagnosis SYMPTOMS DIAGNOSIS LIVING WITH CHIARI TREATMENT Rick Labuda, Executive Director director@conquerchiari.org 724-940-0116 Disclaimer: This presentation is intended for informational
ANCILLARY DIAGNOSTIC TESTS FOR NEUROLOGIC PATIENTS
ANCILLARY DIAGNOSTIC TESTS FOR NEUROLOGIC PATIENTS by R.M. Clemmons, DVM, PhD Associate Professor of Neurology & Neurosurgery After determining that the patient has a neurologic disease, localizing the
Feasibility Trial of Optune for Children with Recurrent or Progressive Supratentorial High-Grade Glioma and Ependymoma
Feasibility Trial of Optune for Children with Recurrent or Progressive Supratentorial High-Grade Glioma and Ependymoma ABSTRACT Recurrent or progressive pediatric CNS tumors generally have a poor prognosis
Cerebrospinal fluid - role
Cerebrospinal fluid Cerebrospinal fluid CSF is a mixture of fluid generated locally in the brain and filtered serum Total volume 150 ml (the fluid that fills the cerebral ventricles, subarachnoid space
Pain Management Questionnaire
In order to make the most of your visit, we require this form to be completed to the best of your ability and sent to the Pain Management Clinic a copy should be shared with your Primary Care Provider
Treating neck pain in dogs neurological five-step approach
Vet Times The website for the veterinary profession https://www.vettimes.co.uk Treating neck pain in dogs neurological five-step approach Author : Johnny (Ioannis) Plessas Categories : Canine, Vets Date
387
http://images.tutorvista.com/content/control5coordination/human5brain.jpeg!! 387! 388! http://my.fresnounified.org/personal/lygonza/gonzalez/neuron/neuron5synapse%20communication.png!! http://www.urbanchildinstitute.org/sites/all/files/databooks/2011/ch15fg25communication5between5neurons.jpg!!
Spinal Stenosis Surgical
Spinal Stenosis Surgical Disclaimer This movie is an educational resource only and should not be used to make a decision on. All decisions about surgery must be made in conjunction with your surgeon or
MALIGNANT GLIOMAS: TREATMENT AND CHALLENGES
MALIGNANT GLIOMAS: TREATMENT AND CHALLENGES DISCLOSURE No conflicts of interest to disclose Patricia Bruns APRN, CNS Givens Brain Tumor Center Abbott Northwestern Hospital October 12, 2018 OBJECTIVES THEN
NEUROLOGICAL EXAMINATIONS: LOCALISATION AND GRADING
Vet Times The website for the veterinary profession https://www.vettimes.co.uk NEUROLOGICAL EXAMINATIONS: LOCALISATION AND GRADING Author : MARK LOWRIE Categories : Vets Date : June 16, 2014 MARK LOWRIE
Procedures commonly seen at Vanderbilt Medical Center PACU s: Cervical, thoracic, lumbar, and sacral spine surgeries. Goes to 6N
Procedures commonly seen at Vanderbilt Medical Center PACU s: Cervical, thoracic, lumbar, and sacral spine surgeries Goes to 6N Burr holes and Craniotomies for hemorrhage, tumors, trauma, debulking Goes
Subject: Brain CT. Original Effective Date: 11/7/2017. Policy Number: MCR: 600. Revision Date(s): Review Date:
Subject: Brain CT Policy Number: MCR: 600 Revision Date(s): MHW Original Effective Date: 11/7/2017 Review Date: DISCLAIMER This Molina Clinical Review (MCR) is intended to facilitate the Utilization Management
The Transverse Myelitis Association Page 39
The Transverse Myelitis Association Page 39 Neurosarcoidosis: Clinical, Pathological and Therapeutic Issues Carlos Pardo, M.D. Directory, Transverse Myelitis Center Department of Neurology Johns Hopkins
Don t lose your life to NPH.
Don t lose your life to NPH. NPH The little-known neurological disorder that affects more than one in every two hundred adults over 55. Never heard of NPH? Well, you re not alone. NPH, or Normal Pressure
Brain and Central Nervous System Cancers
Brain and Central Nervous System Cancers NICE guidance link: https://www.nice.org.uk/guidance/ta121 Clinical presentation of brain tumours History and Examination Consider immediate referral Management
Clinical Information on West Nile Virus (WNV) Infection
Clinical Information on West Nile Virus (WNV) Infection Introduction In 1999, West Nile Virus (WNV), an Old World flavivirus, producing a spectrum of disease including severe meningoencephalitis, appeared
FOR CMS (MEDICARE) MEMBERS ONLY NATIONAL COVERAGE DETERMINATION (NCD) FOR MAGNETIC RESONANCE IMAGING:
National Imaging Associates, Inc. Clinical guidelines TEMPOROMANDIBULAR JOINT (TMJ) MRI Original Date: May 23, 2003 Page 1 of 5 CPT Code: 70336 Last Review Date: May 2016 NCD 220.2 MRI Last Effective Date:
MANAGEMENT OF SUSPECTED VIRAL ENCEPHALITIS IN CHILDREN
MANAGEMENT OF SUSPECTED VIRAL ENCEPHALITIS IN CHILDREN OVERVIEW 1980s: dramatically improved by aciclovir HSV encephalitis in adults Delays treatment(> 48h after hospital admission): associated with a
Thyroid Tumors in Dogs A Big Gland in the Neck
Thyroid Tumors in Dogs A Big Gland in the Neck This week I had the privilege of meeting a wonderful patient referred to me for evaluation of a thyroid tumor. After consulting with the family, I visited
Pediatric Imaging Spine MRI and Spine CT Test Request Tip Sheet
Pediatric Imaging Spine MRI and Spine CT MRI is almost always preferred over CT scan; if ordering CT, CLEARLY document why MRI is not appropriate. In cases of ongoing back pain, six weeks of conservative
Canine Chronic Idiopathic Hepatitis
Canine Chronic Idiopathic Hepatitis David C. Twedt DVM, DACVIM Problem Acute Rt rear leg lameness History Probably stepped on by owner s horse Healthy otherwise No medications Physical exam Possible partial
PA SYLLABUS. Syllabus for students of the FACULTY OF MEDICINE No.2
Approved At the meeting of the Faculty Council Medicine No. of Approved At the meeting of the chair of Neurosurgery No. of Dean of the Faculty Medicine No.2 PhD, associate professor M. Betiu Head of the
Tracheal Collapse: Medical Management Versus Implantable Stents
What is Tracheal Collapse? The trachea (windpipe) is a large tube that is reinforced by cartilage rings. The trachea runs alongside of the esophagus (food pipe) and delivers air to the lungs. Tracheal
Canine Histiocytic Disorders DR. MEREDITH GAUTHIER, DVM DACVIM (ONCOLOGY) OCTOBER 29, 2015
Canine Histiocytic Disorders DR. MEREDITH GAUTHIER, DVM DACVIM (ONCOLOGY) OCTOBER 29, 2015 Canine Histiocytes! Cells derived from CD34+ stem cells and blood monocytes! Macrophages! Dendritic cells (DC)!
Vascular Disorders. Nervous System Disorders (Part B-1) Module 8 -Chapter 14. Cerebrovascular disease S/S 1/9/2013
Nervous System Disorders (Part B-1) Module 8 -Chapter 14 Overview ACUTE NEUROLOGIC DISORDERS Vascular Disorders Infections/Inflammation/Toxins Metabolic, Endocrinologic, Nutritional, Toxic Neoplastic Traumatic
KIDNEY FAILURE. What causes kidney failure People who are most at risk for kidney failure usually have one or more of the following causes:
KIDNEY FAILURE Your kidneys are a pair of organs located toward your lower back. One kidney is on each side of your spine. They filter your blood and remove toxins from your body. Your kidneys send toxins