Neuro Flashcards
Neuro
Most sensitive standard sequence for detecting subacute subdural hematoma
FLAIR
Rare case of chronic subdural hematoma densely calcifiying or even ossifying
armored brain
CT appearance of brain with severe cerebral edema - hypodense brain makes circulating blood in arteries and veins look relatively hyperdense
pseudosubarachnoid hemorrhage
Most severe manifestation of frank brain laceration
burst lobe
Cutoff of abnormal tonsils below the foramen magnum especially if they are peg-like or pointed (rather than rounded)
> 5 mm
Earliest sign of posttraumatic brain swelling
subfalcine herniation > or = 3 mm than width of epidural or subdural hematoma
What conditions do typically cause hemorrhages at gray-white matter interface?
mets, septic emboli, and fungal
What intracranial hemorrhage is a common association with intracranial hypotension?
subdural hematoma
Posterior fossa neoplasms that frequently hemorrhage
ependymoma and rosette-forming glioneural tumor
Supratentorial tumors with a propensity to bleed
ependymoma and the spectrum of PNETs (malignant astrocytomas with hemorrhage are rare)
Convexal SAH in > or = 60 yo
think cerebral amyloid angiopathy (CAA)
Convexal SAH in < or = 60 yo
think reversible cerebral vasoconstriction syndrome (RCVS)
What artifact is the major imaging mimic of classic superficial siderosis?
bounce point artifact
Giant saccular aneurysm size
2.5 cm or > (sa table 2 cm)
Aneurysm size associated with a significantly increased risk of rupture compared with 2-4-mm aneurysms
> or = 5 mm
Other risks for aneurysmal rupture:
growth on surveillance imaging
Other risks for aneurysmal rupture:
nonsaccular (nonspherical) shape
Other risks for aneurysmal rupture:
daughter sac (irregular wall protrusion) and increased aspect ratio (length compared to width) - independent predictors
Other risks for aneurysmal rupture:
vertebrobasilar and ICA-PCoA - highest risk
Other risks for aneurysmal rupture:
MCA and ACA - modest risk
Other risks for aneurysmal rupture:
prior history of SAH - independent risk factor
Size of giant cerebral cavernous malformation (CCM)?
> 6 cm
What Zabramski type is the classic CCM appearing as a popcorn ball?
Zabramski type II (pag multiple microhemorrhages iyong appearance, type IV)
7 ICA segments:
C1 - cervical
8 ICA segments:
C2 - petrous
9 ICA segments:
C3 - lacerum
10 ICA segments:
C4 - cavernous
11 ICA segments:
C5 - clinoid
12 ICA segments:
C6 - ophthalmic
13 ICA segments:
C7 - communicating
Only CN that lies inside the cavernous sinus itself?
abducens (CN VI)
How many components do the the circle of Willis have?
10
In MS lesions especially large tumefactive lesions, where does the “open” nonenhancing segment of the horseshoe enhancement face?
cortex
2010 McDonald criteria for MS:
Dissemination in space - ≥1 T2 hyperintense lesion(s) in at least 2 of these 4 areas (periventricular, juxtacortical, infratentorial, spinal cord)