ECNR 4 Athens4
4 Kurs Brain Trauma
4 Kurs Brain Trauma
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Cartes-fiches
Aktivation learning, recall?
Learning medial temporal
recall lateral temporL
Prefrontal cortex
Makes humen
peronality
selecting
Working Memory
Short Time
Inferlor parital lobulus and prefrontal cortex
Language
Left 95% right and 70% lefthander
Verbindung Brocca und Wernicke ( Gyrus angularis)
wiegenannt?
Fascuculus srcuatus
Wo befindet sich brocca
Hinteres McDonald M
Wo befindet sich brocca
Hinteres McDonald M
Causes of coma
Intoxikation
diabetic
trauma to Head
Unknown coma - Look at
Brainstemm
Basal ganglia
thalami
corpus callosum
Low back pain , when mri ct?
Surgical selection
comvervatov Treatments 6-8 weeks
red flag
Cerebral swelling CBv?
Increase
Intrakraniell Pressure Formula to cerebral perfusion and Jean art press
Cpp = map -icp
mean art press
intracranial pressure
cererbrsl Perfusion presure
Difference Brain swelling die to hyperamia and oedema
Preserverytion of gray-white matter
in oedema this is nicht so
Duret hemitoma
Transtentorial Hernie make stretching of basilar vessels - makes hematoma
U-Fibers befallen
Cadasil
ms
adem
pml
Multiphasic adem
monophasic Adem
More Attacke > 3 month
Peruvascular enhancment which Krankheit ?
Neurosarkoidosis
What enhancment can adem do?
Leptomeningeal
Neuromyelitis optica
devic disease
Poorer prognosis
auqaporin 4 ab positiv
hypothalamus periductal brainstem
lesions in Brain can be similar to ms
PML-IRIS
Immune reconstutition inflammatory snydrom - when immunsystem recover
progressiv multifocal encephalopathy - natilizumab
Susac Syndrom
Bilateral Hearing loss
visual Problems - gefaessverschluesse
String of pearls - kleine ischaemien nebeneinander in capsula interna
, snowballs atrophy in Corpus callosum - encephalopthie
Entrapment of peripheral nerv
Proximal T2 hyperintesity
enlagerment proximal - More than adjacend vessel
fat peripher reduced
fascicular Pattern visible
mild T2 hyper
moderate - enlargement proximal
severe - enlargment distal km enhancing
Benigne nerventumoren
Fibrolipomatoeses hamartom
perineuroma - young, Trauma
amyloidoma - multiple myeloma
Prevalence of Epilepsie
O.4-1%
Which epllepsie is good responding to Medicamentaiton
General, Substrate in mri only 14%
not focal : 30% not responding
substrate in mri - 90%
Epilepsie Protokoll
Spezifisch Protokoll
Dual Pathologe in hippocampal sklerosis how mandy %?
8-22%
Success in chirurgical Therapie hippocampal sklerosis
58%
Taylor dysplasia
Focal cortical dysplasia
Gründe fokal Epilepsie
Hippocampal Sklerosen 65%
heterotopia - bands
mirgrations errors - schinzencephalie
Tumors dnet, gangioglioma, pleomorphic xanto astro
vascular
gliosis - postpartal, Rasmussen , Post traumatische , tuberosis sclerosis, sturge Weber
Success chirurgical in Epilepsie
with lesion
without
With 70%
without 40%
Use of fmri in Epilepsie ?
Lateralisation of Language
Use of fmri in Epilepsie ?
Lateralisation of Language
optic pathway
Parkinson DD
PSP
MSA
corticobasal Trophie
overlap in Symptoms !
Process der voxel analyse
Segmentation
modulation
diffusion
Parkinson disease
Dopamin in Substantiv nigra pars compacta decreased
direct pathway promotes cortical initiated movements
indirect pathway inhibits cortical initiated movements
increased Iron in subst nigra pars compacta
decreased Iron up putamen
PSP mri Sign.
Midbrain smaller than 14 mm
MSA Sign. MR
Iron in dorsal putamen
slip Sign capsula externa (atrophie T2 längliche Struktur )
hot cross bun sign
cerebellar middle cerebellar peduncle hyperintesities
BacteriL Meningitis keime
Adult : streptococcus pneumomiae, staph auteus, Neisseria Meningitis
Newborn: Group b streptoccocus, choli, listeria
Children : hemophilus, neisserien, streptoccocus
High Signal hyperintesities subarachnoid spaces
Meningits
blood
menigeosis carcinomatosis
