3 Course ECNR Antalya

Gefaesskrankenheiten

Gefaesskrankenheiten

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About these flashcards

Diese Karteikarten bieten einen umfassenden Überblick über neurologische Erkrankungen und deren Diagnostik, insbesondere im Bereich der vaskulären Pathologien. Sie behandeln Themen wie Aneurysmen, AVMs, TIA, Venenthrombosen und deren Risikofaktoren, Behandlungsoptionen sowie Bildgebungsmethoden wie MRT und CT. Medizinstudierende und Fachärzte profitieren von den detaillierten Informationen zu Symptomen, Therapien und Prognosen, um ihre diagnostischen und therapeutischen Fähigkeiten zu verbessern.

Flashcards

125

Students

1

Language

German

Category

Medical

Level

University

Created / Updated

30.10.2013 / 05.11.2013

What is the ABCD3-I score?

ABCD 6 Pkt

plus diabetes 1 Pkt

2 TIA in Last 7 days 2 pk

plus dwi posititvity 2 Pkt

plus stenosis ACI 2 Pkt

higher sensivitiy for highrisk Patient for Major stroke in next week and 90 days > 3 Punkte indetmediat risk

> 8 Pkt High Risk

Ziel Gamma kniffe avm

Single session

endothelien and myoplast proflieration

Erfolgsrate avm embolisarion, radiosurgery and surgery

> 85% onlitaration in 3-5 years

Systemic diseases involvieng vascular structures

infectious disease • neurosarcoidosis • paraneoplastic syndromes • drugs • immunocompromised patients – HIV • systemic lupus erythematosus (SLE) • diabetes • hypertension • amyloid

Herpes 1

herpes ?

which Patienten?

Neonates Herpes 2

chkildren Herpes 1

Basale Meningitis

welche Patienten Gruppe?

Children, adolocenens

older with tuberoloma and Abszesse

Tuberkulös in T2?.

T2 hypointens

ring enhancemnd

Diffuse dwi changes with normal adc?

which disease?

Creutzfeld Jacob

variant : with DWI in basal ganglia

Heroin?

kokain?

Heroin - diffuse encephalopaie

kokain - bilateral basalganlia Infarkt oder andere infarkt

HIV encepahlitis

Sparing u-fibers

enhancemant of encephalopathie possibek

DWI positiv possible

What dös Syphilis in cerebrum

Vasculitis and Infarkts

SLE

Autoimmmun

retroviral

sekundaere vasculitis

Spinal ischemia

Eulenaugenzeichen

owl-eye

t2 hyperintensities

greymatter

Fibrocartolagenous embolisme

Spinal ischemia due to Minor Trauma an nucleus polposus embolisation through schmort Node

Vertebral Body infarction can be combined with spinal Cord Infarkation

Segmental Arterie

Surfer myelopathie

Long hyperintetnsio makes insuffiecency spinal anterior Arterie

Myeolopathie conus with enhancemet?

Spinal vasculitis

What is Important of an aneurysma

Lokation

Neck

Size

Warum ruptierieren aneurysma 1 Monat nach Flow diverter

Thrombosis make inflammation und changes in wall, which can make a rupter

Difference. MRI wall Imaging

vasculatis

aterhoamtosis

Long circular enhancment -> vascultis

short fokal enhancement

Grund fuer white matter hyperintensities

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Diffuse endo damage with age (x2 >70)

BBBpermeability

Extravasation of proteins, inflammatory cells, biomarkers & RBCs

PV oedema

Failure draining interstitial fluid

Inflammation

Was können Virchow Robin räume darstellen?

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Could reflect inflammation from BBB failure

Conduit for inflammatory process

Not a simple reflection of atrophy

Small vessel disease

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MR manifestations: WMH, lacunes, EPVS, microbleeds, WM+GM atrophy Develops gradually, WMH are tip of iceberg Mechanisms 1. Ischemia 2. Diffuse endothelial failure, Virchow Robin räume ?

Amyloid angiopathie Manifestationen

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Manifestation ● CMB ● WMH ● Convexity SAH ● Cortical superficial siderosis (47%) ● Silent acute ischaemic lesions

Lokalisation amyloidangiopathie?

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Lobar

Occipital > frontal temporal parietal

Grund fuer punktförmig mikroangiopahtie

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Commonly non-ischemic origin Widening periarteriolar spaces Reduced myelination Neuropil atrophy around fibrohyalinotic arteries

Grund fuer beginnend konkludierende mirkoangiopahtie

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Early Confluent & Confluent True ischemic lesions- A continuum of increasing tissue damage Perivascular myelin rarefaction Mild/moderate fiber loss varying extents of gliosis.

Intrakraniell stenosis

Riskfaktor of Stroke in Same Territory

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• Stenosis > 70%

• Patients included <17 days after first stroke •

Female

What are the NON- indications Post-Sammpris? For stenting intrakranial stenosis

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• Asymptomatic stenosis • Stenosis < 70 % • Unstable patients • Basilar stenosis ? • Old patients • Diabetic

What are the indications post-Sammpris? For stenting intrakranial stenosis

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• Symptomatic stenosis > 70 % with failure 2 antiplatelet • Hemodynamic stenosis with no reserve after Diamox! • Embolic stenosis ? • Female • Smokers???

What do You know of reverse cerebral vasoconstrictive Syndrom

Call flemming Syndrom Worst headache of live Spontanous Or pregnancy , drug, Cannabis , Benigne course Ca channelm Blocker

Ätiologie RVCS

ct mri?

therapy?

SympatIc activitiy Endeothelial dysfunction - vasocontrictiv or breakdokwn (PRES) 94% recurrent thunderclap headache in 1 week Reversible Ischaemie possible Bleeding possible Benign liquor Miltufocal narrowing DD primäre cns vasculitis

Warum befällt m behcet Hirnstamm

Venöser vascultischer befall - im hirnstAmm fliessen Venen nur in eine richtung - stase bei Befall

Ätiologie stroke in pediatrimcs

Moyamoya Dissection Vasculitis - String of bead Focal cerebral arthropathie (lenticulostristal infarction, Varizellen, nach krankheit, unilateral, selflimiting Metabolic stroke - melas mitochondrial defekt Fabry disease - Large basilasris, pulvinar Sign(hyperintense T1 thalami). Galatinase x linked Heart disease

Where can you See the ivy sign

Moyamoya - collaterals pial with slower flow

What is the Fabri disease

Fabry disease - Large basilasris, pulvinar Sign(hyperintense T1 thalami). Galatinase x linked Strokes

Pediatric hemoragical stroke

aetiologie

Vascular malformation rendu-osler multiple avm Aneurysma patholocial other than adults - mycotic, dissction, venous, Phace, dysplasia Brain Tumors - delayed break Down of blood products

Ependymoma with cap sign

Coaguloaphie Leukämie DIC Haephilia Drugs heparin, asparagase ALL chemo, cyclosporin PRES with bleeding

Neonatal haemorrhagic stroke

Venous thrombosis deep venous system DVA bleeding compressing while birth Thromozytopenia Gentic col41 defect The cerebellum has a external granoukomats Layer till 1 year - germinal Matrix empfindlich fuer bleeding

M . Binswanger wird nicht mehr genannt

was war diese

Cognitiv impairment by vascular pathologisch inkl small vessel disease

Maligner Infarkt - guter predictor ?

DWI > 100 ml

TTP > 10 sek

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Flashcards

Surfer myelopathie

Long hyperintetnsio makes insuffiecency spinal anterior Arterie

Myeolopathie conus with enhancemet?

Spinal vasculitis

What is Important of an aneurysma

Lokation

Neck

Size

Warum ruptierieren aneurysma 1 Monat nach Flow diverter

Thrombosis make inflammation und changes in wall, which can make a rupter

Difference. MRI wall Imaging

vasculatis

aterhoamtosis

Long circular enhancment -> vascultis

short fokal enhancement

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