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NEURORADIOLOGY

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Question
Answer
STROKE IMAGING = ?   * 1st thing to do = NONCONTRAST CT (see what the cause is or bd/no bd) .... * 2nd thing is to do a Diffusion Weighted MRI  
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Areas more prone to having an infarct ?   * Watershed zones where the cerebral arteries end.... * Rare to see a cerebral artery injury n someone under 40  
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ISCHEMIC STROKE causes ?   * due to any occlusive arterial disease  
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MRI vs CT on imaging ?   * CT = bone is white ..... * MRI depends on type T1 vs T2, but Fat is white on T1, T2 = fat is black and bone is white  
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>50%MCA territory involved = ?   * A HIGH mortality rate  
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Vasogenic Edema = ?   * increased extracellular fluid and affects with white matter  
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Cytotoxic Edema = ?   * increased intracellular water and affects both white and gray matter  
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How to see if it is a new stroke vs. a new stroke ?   * Easiest = see older films... * Older = no midline shift, atrophy, and large ventricle  
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What are Lacunar Infarcts ?   * Usu due to some HTN issue and see little black areas from end arteries  
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Hemorrhagic Stroke causes ?   * Usu see inolder ppl and usu due to a HTN issue  
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SUBARACNOID HEMORRHAGE cause and what it presents like ?   * Top cause is due to a ruptured aneurysm... * Complains of WORST headache of their life.  
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SUBDURAL HEMATOMA = ?   * Crescent shape and should concern you if a child presents with this  
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EPIDURAL HEMATOMA = ?   * looks like a biconvex appearance  
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EPIDURAL HEMATOMA Cx ?   * Can have a Lucid Interval, where they get knocked out, seem fine after, and then get way worse.... * usu from a skull fracture  
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Used to measure Midline Shifts ?   * Septum Pellucidum  
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