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00:00 - Intro 01:18 - Case 02:05 - Approach to Imaging 02:50 - Landmark Review 02:53 - Head CT 09:30 - Asymmetry 12:18 - Density 12:40 - Hyperdensity 16:46 - Hypodensity 20:01 - MRI seqences 22:45 - Vasogenic vs Cytotoxic Edema 26:11 - Hyperintensity 39:28 - Hypointensity 40:34 - Summary for intensities 41:47 - Back to the case 43:06 - Patterns of Enhancement 53:31 - Case wrap-up 54:09 - Summary 57:56 - Bloopers This video is intended for medical students on clinical rotation and junior trainees to understand an approach, ordering and interpretation of CT-based and MR-based imaging. Created by: Igor Rybinnik MD and Steven Schonfeld, MD Produced and narrated by: Igor Rybinnik MD Neurology Clerkship Director Rutgers Robert Wood Johnson Medical School Images adapted from, and redrawn whenever possible: Lee TC, Mukundan S. Netter's Correlative Imaging Neuroanatomy. Saunders, 2015 Posner JB, Saper CB, Schiff ND, Plum F. Diagnosis of Stupor and Coma, 4th Ed. Oxford, 2007 Zimny A, et al. Pol J Radiol. 2013;78(4): 36–46. El-Feky M, , rID: 53180 Photo by Joel Sartore for National Geographic, 2014. Smirniotopoulos JG, et al. RadioGraphics 2007; 27:525–551 Wijdicks EFM, Kramer AH. Handbook of Clinical Neurology. Elsevier, 2017. Jonas SN, et al. AJNR 2018 Ruales F. , rID 16111. Gaillard F. , rID 59537. Videos clips: “Sherlock Holmes.“ Warner Bros, 2009. Directed by Guy Richie. “Star Wars: The Rise of Skywalker.“ Disney, 2019. Directed by J.J. Abrams. “The Empire Strikes Back.“ 20th Century Fox, 1980. Directed by Irvin Kershner. “Aladdin.“ Disney, 1992. Directed by Ron Clements, John Musker. Audio clips and sound effects: “Kylo Ren Arrives at the Battle“ by John Williams “The Jedi Steps and Finale“ by John Williams “Discombobulate“ by Hans Zimmer “The Force Theme“ (Piano Version) by Patrik Pietschmann Adobe Audition Content Disclaimer: Please note that this material was simplified for educational purposes. For patient management, please review your clinical society's guidelines and engage expert consultation where appropriate. Also, the opinions expressed in this talk do not necessarily reflect those of Rutgers Robert Wood Johnson Medical school or Rutgers University as a whole.
