Module 7 (cerebral Pathologies) Flashcards

1
Q

Stiffness of neck + headache + hyper attenuation around circle of Willis on CT directs towards what condition?

A

Subarachnoid haemorrhage

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2
Q

Which is the most common site for hypertensive bleed?

A

Basal ganglia, putamen

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3
Q

Where do you see banana shape on CT?

A

subdural hematoma

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4
Q

Where do you see oval shape on CT

A

Epidural hematoma

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5
Q

Where do you see puff of smoke up appearance on brain, x-ray angiography?

A

Moya moya disease

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6
Q

Where do you see Mount Fuji sign on CT?

A

Tension pneumoceohalus. It is seen as air between the tips of frontal lobes.

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7
Q

Where do you see empty delta sign on CT?

A

On CT or dual Venous sinus thrombosis of the superior sagittal sinus. (The superior Sagittal side is a midline vein without valves and tunica)

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8
Q

Where do you see pancake brain sign on CT?

A

Alobar holoprocencephaly (inadequate formation of forebrain structures]
(Due to trisomy 13 petau syndrome)

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9
Q

Where do you see figure of 8 or snowman sign on brain MRI?

A

Lissencephaly (smooth brain, no gyri and sulci)

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10
Q

What is schizencephaly?

A

Unilateral or bilateral clefts within the cerebral hemisphere

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11
Q

What is porencephaly?

A

Cavities within the brain hemispheres due to encephalomalacia

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12
Q

What do you see in Dandy Walker malformation

A

On CT large posterior cystic area connecting to the 4th ventricle.
Clinically - macrocephaly, bulging fontanelles
(Head hit to the wall while walking and got two bulges)

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13
Q

What do you see in Arnold chiari malformation?

A

Herniation of cerebellar contents through the foramen magnum

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14
Q

What do you see in Joubert syndrome?

A

Molar tooth sign on MRI (remember as jaw bite teeth )

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15
Q

What do you see in Vein of Galen formation?

A

You can see enlarged midline venous structure with multiple arteriovenous communications on MRI angiography

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16
Q

What are findings seen in tuberous sclerosis ?

A

It is a neuro cutaneous disease. It has hypopigmented/ash-leaf macules in brain CT + calcified nodules in CT brain + facial angiofibroma.

17
Q

Where do you see eye of Tiger sign on MRI brain?

A

Hallervorden spatz syndrome (occurs due to abnormal iron accumulation in globus pallidus

18
Q

Which is the earliest skull x-ray sign in a child with increased intra cranial tension?

A

Sutural diastasis

19
Q

What is moya moya disease?

A

It is a disease of occlusion of large intracranial arteries. Puff of smoke appearance is seen in x-ray angiography of skull.