dwi | STROKE MANUAL

MR-DWI in the acute stroke diagnosis

Hemorrhagic transformation (DWI with T2 blackout)

NEUROIMAGING / MAGNETIC RESONANCE MR-DWI in the acute stroke diagnosis David Goldemund M.D.Updated on 21/12/2023, published on 24/05/2021 [toc] Diffusion-weighted imaging (DWI) is a common MRI sequence used to evaluate acute ischemic stroke. Increased DWI signal in ischemic brain tissue is usually observed within minutes of arterial occlusion. Technical notes ischemia leads to diffusion restriction ... Read more

Inclisiran

ADD-ONS / MEDICATION Inclisiran (LEQVIO) David Goldemund M.D.Updated on 21/03/2024, published on 19/03/2024 [toc] in recent years, the prevalence of cardiovascular disease (CVD) has been reduced by aggressive management of vascular risk factors in primary and secondary prevention (especially arterial hypertension and dyslipidemia) statin therapy alone often fails to achieve target serum lipid levels (Bytyci, ... Read more

Bempedoic acid

ADD-ONS / MEDICATION Bempedoic acid David Goldemund M.D.Updated on 21/03/2024, published on 18/03/2024 [toc] in recent years, there has been a significant decrease in the prevalence of cardiovascular diseases (CVD) due to the effective management of vascular risk factors in primary and secondary prevention (mainly arterial hypertension and dyslipidemia) the target serum lipid levels are ... Read more

Management of cerebral venous sinus thrombosis

The right sigmoid and straight sinus thrombosis - hyperdense sign with 80HU

CEREBRAL VENOUS SINUS THROMBOSIS Management of cerebral venous sinus thrombosis David Goldemund M.D.Updated on 21/03/2024, published on 13/03/2024 cerebral venous sinus thrombosis (CVST) is a potentially life-threatening condition that demands prompt diagnosis and appropriate management to reduce associated morbidity and mortality if CVST is suspected, imaging modalities such as MR imaging and MR or CT ... Read more

Subarachnoid cisterns

ADDONS / ANATOMY Subarachnoid (basal) cisterns David Goldemund M.D.Updated on 08/03/2024, published on 06/03/2024 The subarachnoid cisterns are compartments in which the pia mater and arachnoid membrane are not in close contact and form cavities filled with cerebrospinal fluid (CSF). They are interconnected, and their patency is essential for the proper circulation of CSF. These ... Read more

Raeder paratrigeminal syndrome

ADDONS / GENERAL NEUROLOGY Raeder paratrigeminal syndrome David Goldemund M.D.Updated on 17/03/2024, published on 03/03/2024 [toc] Raeder paratrigeminal syndrome (RPS) is a rare neurologic disorder characterized by unilateral oculosympathetic paralysis (postganglionic Horner syndrome) + ipsilateral sensory and/or motor abnormalities in the distribution of the trigeminal nerve (usually the first branch) also known as Raeder syndrome ... Read more

Neurosarcoidosis

ISCHEMICKÉ CMP / KLASIFIKACE A ETIOPATOGENEZE Neurosarcoidosis David Goldemund M.D.Updated on 03/03/2024, published on 02/03/2024 [toc] sarcoidosis is a multisystem granulomatous disorder of unknown etiology, usually affecting younger people (most commonly between 25-50 years of age), more prevalent in women neurosarcoidosis = manifestation of sarcoidosis in the central nervous system rare but serious disease (~ ... Read more

Tinnitus

ADDONS / GENERAL NEUROLOGY Tinnitus David Goldemund M.D.Updated on 22/03/2024, published on 29/02/2024 [toc] tinnitus = perception of sound within the head or ears in most cases, subjective tinnitus is characterized by sound perception in the absence of an external auditory stimulus (only audible to the individual experiencing it) objective tinnitus tends to occur in ... Read more

Differential diagnosis of visual impairment

ADDONS / GENERAL NEUROLOGY Differential diagnosis of visual impairment David Goldemund M.D.Updated on 05/03/2024, published on 26/02/2024 [toc] the diagnosis of visual impairment is based on the patient's medical history, clinical examination (neurologic and ophthalmologic), and laboratory and imaging studies the nature and dynamics of the visual disturbance, together with accompanying symptoms, are essential for ... Read more

Neuroborreliosis and stroke

ISCHEMIC STROKE / ETIOPATOGENESIS / INFECTIOUS VASCULOPATHIES Neuroborreliosis and stroke David Goldemund M.D.Updated on 10/03/2024, published on 22/02/2024 [toc] EFNS guidelines on the diagnosis and management of European Lyme neuroborreliosis (LNB) Introduction Lyme disease (borreliosis) is the most common anthropozoonosis; the typical vector of borrelia is the tick Ixodes ricinus ticks, larvae, and nymphs are ... Read more