CLINICAL NEUROLOGY - Brain Imaging

Question 1

Ruling out what condition would make one choose a CT instead of an MRI in a patient with abnormal mental status?

Answer 1

Acute brain hemorrhage

Question 2

7 yo child with new onset esotropia, 1st
step in management?

Answer 2

Order MRI of brain

Question 3

Modality of neuro imaging to demonstrate differences in gray and white matter in children w/ schizophrenia and ADHD compared to healthy children

Answer 3

MRI

Question 4

Neuroimaging finding most common in non-accidental head trauma?

Answer 4

Subdural hematoma

Question 5

14 yo falls off a house, brief loss of consciousness, then recovered, 3 hours later becomes unconscious and taken to ER with right dilated pupil. Head CT shows?

Answer 5

Epidural hematoma

Question 6

What findings on CT would make you consider substance-induced neurocognitive disorder from inhalant abuse?

Answer 6

1) Global cerebral and cerebellar atrophy

2) Loss of brain mass in thalamus, basal ganglia, pons, and cerebellum