ECNR 4 Athens4

4 Kurs Brain Trauma

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Über diese Lernkartei

Diese Lernkarten bieten einen umfassenden Überblick über neurologische und radiologische Aspekte von Hirn- und Rückenmarkserkrankungen. Sie behandeln Themen wie Läsionen, Frakturen, HIV-bedingte Veränderungen, Meningitis, MRT-Befunde und spezifische Erkrankungen wie Alzheimer, Parkinson und Multiple Sklerose. Mediziner und Studierende profitieren von den detaillierten Erklärungen zu Diagnosen und Behandlungsoptionen, die auf aktuelle Forschung und klinische Praxis basieren.

Karten

231

Lernende

Sprache

Deutsch

Kategorie

Medizin/Pharmazie

Stufe

Andere

Erstellt / Aktualisiert

03.04.2014 / 14.11.2014

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Ischaemia vasoconstrictio

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Limited use gcs?

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Alkohol

drugs

Sekundäre Brain injuries

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Swelling

herniation

vascular complication

prevention

Epidural hemitoma Lage

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Inner table

dura mater

Epidural Hämatoms can Cross midline

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Yes

Epidural haematoma

Arterial

venous

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Most arterial

less venous (cerebellar)

Subdural Hämatome Cross midline?

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Nö

Higighest Mortalität Rate hamatome

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Akute subduralhamatoma

Traumatische subarachnoid hemorage % of traumatische Patient ?

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In. 40 % of Patient

Where are cortical contusions seen? Coups comtrocoups

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More contrecoups

What mesns traumatische axonal injury

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1-3 lesions of Si abnormalitiy

80% are not hemoragical

more than 3 lesions - > diffuse axonal injuries

Marshall ct classificarion

Marshall classification

Diffuse injury I (no visible pathology) No visible intracranial pathology seen on CT scan

Diffuse injury II Cisterns are present with midline shift of 0-5 mm and/or lesions densities present; no high or mixed density lesion >25 cm3 may include bone fragments and foreign bodies

Diffuse injury III (swelling) Cisterns compressed or absent with midline shift of 0-5 mm; no high or mixed density lesion >25 cm3

Diffuse injury IV (shift) Midline shift >5 mm; no high or mixed density lesion >25 cm3

Evacuated mass lesion

Any lesion surgically evacuated

Non-evacuated mass lesion

High or mixed density lesion >25 cm3; not surgically evacuated

Rotterdam Score

Rotterdam CT score predictor value

basal cisterns score • normal O • compressed 1 • absent 2 •

midline shift • no shift or shift ≤ 5mm 0 • shift>5mm 1 •

Epidural Mass • present 0 • absent 1 •

Traumatic SAB or IVH absent 0 • present 1 •

sum score +1 max = 6 consistent with: motor GCS Marshall class.

How many Injurien are assotioated with Neurologie Defizit

50%

Canadian spine rule

highrisk

Low Risk

High

Age ≥ 65 years or
Dangerous mechanism* or
Paresthesias in extremities

immer Bild

low

Simple accident
sitting upride
always ambulant
delayed onset no midline pain
45 grade aktive Bewegung möglich

- kein Bild

Chance Frakturen

Horizontal pedikel und ruptured posterior Ligaments

ventral Kompression posterior ruptured

What does the stabile fractures in the spine not

Involviert nicht the middle colomne

Compressing Trauma spine

Multilevel fractures

Hangman - Stable?

Non stabile (hyperentension)

but good progrnosis

widening of spinal Canal

What is doing Iron in myelon

Chemicals make apoptosis of Healthy cells

Non hemoragical contusion of spinal Cord - prognosis

Netter than hemorrhaic

1 / 231

Cartes-fiches

Vertebral plana in children

Histizysosis

eosiniphiles granuloma

Welche Krankheiten machen Corpus callosum defekte

Susac 100%

CADASIL 40%

NMO

small vessel disease

MS: spinal Cord prevalemce of lesions in

radiologic isolated Syndrom?

clinical isolated syndrom

Early relapsing MS

spine alone in MS

With MS

RIS: 30%

CIS: 50%

early rMS: 80%

MS only in spine:6%

in MS: 90%

Image diagnosis of ms lesions

Ovoid

corpus callosum

periventricular hinterhorn, temporal

iron in SWI

Brainstem und spinal peripher

Manganese

Globus Palliums T1 hyperinteisery

Mercury

Occipital cernellar atrophie, sulcus Calcarinus

Lead

Cortical und subcortical

t2 hyper in BG

energy

Hb - mitochondrial

acutr globus pallidus

chronisch: periventricular peduncel cerebrum, BG

Cyanid

motor cortex

Ethanol

Thiamin - krebszyklus

wernicke enc

marchiavi bignmami

Methanol

Folat- mitochondrial

putamen necrosis

Coccain

Ischaemia vasoconstrictio

Methotextrat

Comfluant white mater

Alkohol and Brain ?

Spectrum - myoinositol low, glutamat high, naa normal - hepatic encephalopahtie

direct Volume loss

functional: microsturcture, naa down - Wernicke , marchiava bignami

atrophie frontal, superior vermis,

Cerebellar atrophie

Phenytoin

alkohol

msa

vertebrobasilar insuffiezieny

Can volume of brain reversible when stopping drinking

Yes partial

look at enough water befor scan

Bilateral thalamic lesion

Glioma

ADEM

percheron infracr

Westnile Virus, cmv

CJD

wernicke

Chronik Phase of zentral Pontin myelonlysis

Omega sign

Stroke and Alkohol?

Low consumer - protecti

high consumer - higher Risk of stroke

Hepatic encephalopathie

Liver dysfunction

Mangan - neurotoxic, parkinsonlike,

ammonia -

gaba agonist - nö Image

paramagnetic : change lokal field, T1 high (like gd)

High Signal Globus pallidus

Mangan

parental Ernährung (viel Mangan )

renal insuffiecieny

Ammoniak

Akute Phase oedema in cortex insula

osmotic Reaktion Ammoniak Enters the brain

chronic

myoinotiol and Cholin goes out of cell - spectra

Thalamic Overdrive ?

Diffusionsstörung im dorsalen thamalus nach Epilepsie

Cortical blindness After iodaded contrast

Resolves After days

DLB

Dopamindefizienzy

FDG-PET can bei normal - cingulat Island

Parkinson in

MSA

PSP

Lewy Body

Protein CJD

14-3-3 in liquor

Amyoid im liquor bei Alzheimer

Erniedrigt weil amyloid in Zelle

NINDS-AIREN kriteria

Kriteria for vascular dementia

Amyoidpet -wo pathologisch

Im cortex darf amyliod nicht sein

Semantik frontotemporal atrophie

Frontotemporal Variante left temporal lobe

Study

ECNR 4 Athens4

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