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Musculoskeletal Imaging
Emergency Imaging
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Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
Sale 25% OffOn-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Sale 25% OffPractice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Sale 30% OffUnlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
1 topic, 2 min.
24 topics, 2 hr. 9 min.
Clinical Scenario 1: New Neurologic Deficit Introduction
3 m.Case: Left MCA Stroke on Non-Contrast CT
5 m.Case: Left MCA Stroke on CTA
13 m.Case: Left MCA Stroke on MRI
9 m.Non-Contrast Findings in CT and Stroke
7 m.ASPECTS Score
4 m.Perfusion Evaluation
7 m.Timing of Therapy for Stroke
6 m.Case: Occluded Right MCA
11 m.Case: Acute Left MCA Infarct with Penumbra
12 m.Case: RAPID Analysis
4 m.Case: Right M1 Occlusion on MRI
9 m.Case: Old and New Strokes: Cardioembolic Phenomenon
7 m.Case: Basilar Artery Clot on CTA, CT, CTP
8 m.Case: Childhood Stroke on MRI, MRA, MRP
7 m.Case: Moyamoya Syndrome
4 m.Case: Childhood Stroke, Moyamoya on CT
4 m.Case: Superior Sagittal Sinus Thrombosison CT, CTV
4 m.Case: Imaging of Sinus Thrombosis
6 m.Case: Cortical Vein Thrombosis on CT, MRI, MRV
4 m.Case: Cortical Vein Thrombosis on CTV
3 m.Case: New Neurologic Deficit from Multiple Sclerosis
2 m.Case: Glioblastoma
3 m.New Neurologic Deficit Lesson Reinforcement Quiz
29 topics, 1 hr. 40 min.
Clinical Scenario 2: Head Trauma Introduction
3 m.Case: Head Trauma wtih Multicompartmental Hemorrhage
6 m.Case: SDH with Active Bleeding
4 m.Traumatic Brain Injury
7 m.Cortical Contusions
7 m.Extra-Axial Collections
3 m.Case: Subdural Hematoma on CT
2 m.Case: Epidural Hematoma on CT
3 m.Case: Epidural Hematoma from Transverse Sinus Injury on CT
3 m.Case: Epidural Hematoma from Transverse Sinus Injury, Prognosis on CT
2 m.Acute Epidural Hematomas
2 m.Epidural Hematomas, Continued
2 m.Case: Isodense Subdural Hematoma
4 m.Acute Subdural Hematomas & Diffuse Axonal Injury
10 m.Density of Falx/Tentorium
6 m.Depressed Skull Fractures
4 m.Case: Occipital Bone Open/Depressed Fracture on CT
3 m.Role of MRI in Head Trauma
3 m.Case: Non-Accidental Trauma
6 m.Non-Accidental Trauma CT (Part 1)
3 m.Non-Accidental Trauma CT (Part 2)
2 m.Posterior Fossa Lesions from Trauma
3 m.Case: DAI on MRI
7 m.Case: DAI on CT
3 m.Diffuse Axonal Injury
3 m.Case: DAI with Blood Products on CT
3 m.Traumatic Injuries: Herniation
6 m.Case: Herniations on CT
4 m.Head Trauma Lesson Reinforcement Quiz
19 topics, 1 hr. 24 min.
Clinical Scenario 3: Worst Headache of Life Introduction
2 m.Case: Ruptured PCA Aneurysm Leading to IPH on CT, Arteriogram
5 m.Case 26: Basilar Artery Aneurysm on CT, CTA
7 m.Localization of Aneurysm with SAH
3 m.Imaging of Aneurysms
9 m.Case: Mycotic Aneurysm on CT, CTA
4 m.Case 28: Non-Infectious Mycotic Aneurysm on CT
4 m.Arteriovenous Malformation
5 m.Case: Hypertensive Bleed, IPH with IVH on CT (Case 1)
4 m.Case: Hypertensive Bleed, IPH with IVH on CT (Case 2)
3 m.Signal Intensity of IPH on MRI by Age
12 m.Reversible Cerebral Vasoconstriction Syndrome (RCVS)
4 m.Non-Aneurysmal Perimesencephalic SAH
4 m.Cerebral Amyloid Angiopathy
4 m.Case: Idiopathic Intracranial Hypertension on CTA, CTV
5 m.Idiopathic Intracranial Hypertension (IIH)
6 m.Case: Intracranial Hypotension on MRI
6 m.Case: Intracranial Hypotension - Spinal Imaging on MRI
5 m.Worst Headache of Life Lesson Reinforcement Quiz
16 topics, 41 min.
Clinical Scenario 4: Found Down Introduction
2 m.Case: Anoxic Brain Injury
3 m.Metabolic Brain Disease
5 m.Case: Hyperammonemia on MRI
3 m.Case: Thiamine Deficiency on MRI
5 m.Thiamine Deficiency
3 m.Posterior reversible encephalopathy syndrome (PRES)
5 m.Case: PRES: MRI
3 m.PRES Variants
2 m.Cytotoxic Lesions of the Corpus Callosum (CLOCC)
2 m.Case: CLOCC from Seizure Medication on MRI
2 m.Case: Toxic Leukoencephalopathy on MRI
3 m.Case: Toxic Leukoencephalopathy from Medication on MRI
2 m.Toxic Leukoencephalopathy
3 m.Case: Hypoxic Ischemic Encephalopathy
6 m.Found Down Lesson Reinforcement Quiz
9 topics, 26 min.
Clinical Scenario 5: Fever and Seizure Introduction
2 m.Case: Herpes Encephalitis on MRI
6 m.Case: Herpes Encephalitis in a Lung Cancer Patient on MRI
3 m.Case: Listeria Rhombencephalitis on MRI
4 m.Status Epelipticus, CJD, and Encephalitis
4 m.Case: Abscess on MRI (Case 1)
4 m.Case: Abscess on MRI (Case 2)
3 m.Case 37 - Subacute BE with ventriculitis and sceptic emboli
4 m.Fever & Seizures Lesson Reinforcement Quiz
4 topics, 14 min.
0:01
Another patient presenting with worse
0:03
headache of life and elevated blood pressure.
0:06
Now, it's true that when you have subarachnoid
0:09
hemorrhage, the presence of the hemorrhage in the
0:13
brain and the anxiety associated with the severe
0:16
pain can lead to elevation of the blood pressure.
0:19
And then we say, well, is it primarily hypertension,
0:22
secondary to the subarachnoid hemorrhage, or
0:26
did the patient have hypertension in advance?
0:29
And, you know, often the patient has
0:30
a clinical history of hypertension.
0:32
This patient had a clinical history of hypertension.
0:35
And once again, what we see is a parenchymal
0:38
hemorrhage that is associated with perforation into the
0:42
ventricular system with intraventricular hemorrhage,
0:47
in the absence of basal cistern subarachnoid hemorrhage.
0:52
And therefore, one should suggest that this
0:55
represents a primary hypertensive bleed with
1:00
perforation into the ventricular system.
1:03
If you have isolated hemorrhage in the ventricle,
1:08
with no other findings, the things we think
1:11
about are, number one, trauma with splenium tear
1:17
and collection of blood in the occipital
1:19
horns of the lateral ventricles.
1:21
Number two, hypertensive bleed with a small
1:24
parenchymal component that bleeds into and
1:27
perforates into the ventricular system.
1:30
And number three is arteriovenous malformation,
1:34
in the absence of subarachnoid hemorrhage,
1:37
and isolated intraventricular hemorrhage.
1:39
Arteriovenous malformations are a
1:42
more common source than aneurysm.
1:45
Aneurysms, because they float in the
1:47
subarachnoid space around the circle of Willis,
1:50
are going to cause subarachnoid hemorrhage.
1:53
In the absence of subarachnoid hemorrhage and
1:55
isolated intraventricular hemorrhage, arteriovenous
2:00
malformations are a more common source than aneurysms.
2:04
So in this situation, again, we would say hypertension,
2:08
with intraventricular hemorrhage, no need for a CTA.
2:12
This is a hypertensive bleed.
2:15
And nonetheless, you'll find that
2:19
the clinicians will order a CTA.
2:22
Sometimes the CTA will show an
2:23
incidental aneurysm that is unrelated
2:26
to the bleeding.
2:27
So if you find an intercommunicating artery
2:30
aneurysm in this patient, it's not going
2:32
to be the source of this thalamic bleed.
2:35
But it will be an aneurysm that
2:37
potentially needs treating at some
2:39
point, depending upon the patient's age.
Interactive Transcript
0:01
Another patient presenting with worse
0:03
headache of life and elevated blood pressure.
0:06
Now, it's true that when you have subarachnoid
0:09
hemorrhage, the presence of the hemorrhage in the
0:13
brain and the anxiety associated with the severe
0:16
pain can lead to elevation of the blood pressure.
0:19
And then we say, well, is it primarily hypertension,
0:22
secondary to the subarachnoid hemorrhage, or
0:26
did the patient have hypertension in advance?
0:29
And, you know, often the patient has
0:30
a clinical history of hypertension.
0:32
This patient had a clinical history of hypertension.
0:35
And once again, what we see is a parenchymal
0:38
hemorrhage that is associated with perforation into the
0:42
ventricular system with intraventricular hemorrhage,
0:47
in the absence of basal cistern subarachnoid hemorrhage.
0:52
And therefore, one should suggest that this
0:55
represents a primary hypertensive bleed with
1:00
perforation into the ventricular system.
1:03
If you have isolated hemorrhage in the ventricle,
1:08
with no other findings, the things we think
1:11
about are, number one, trauma with splenium tear
1:17
and collection of blood in the occipital
1:19
horns of the lateral ventricles.
1:21
Number two, hypertensive bleed with a small
1:24
parenchymal component that bleeds into and
1:27
perforates into the ventricular system.
1:30
And number three is arteriovenous malformation,
1:34
in the absence of subarachnoid hemorrhage,
1:37
and isolated intraventricular hemorrhage.
1:39
Arteriovenous malformations are a
1:42
more common source than aneurysm.
1:45
Aneurysms, because they float in the
1:47
subarachnoid space around the circle of Willis,
1:50
are going to cause subarachnoid hemorrhage.
1:53
In the absence of subarachnoid hemorrhage and
1:55
isolated intraventricular hemorrhage, arteriovenous
2:00
malformations are a more common source than aneurysms.
2:04
So in this situation, again, we would say hypertension,
2:08
with intraventricular hemorrhage, no need for a CTA.
2:12
This is a hypertensive bleed.
2:15
And nonetheless, you'll find that
2:19
the clinicians will order a CTA.
2:22
Sometimes the CTA will show an
2:23
incidental aneurysm that is unrelated
2:26
to the bleeding.
2:27
So if you find an intercommunicating artery
2:30
aneurysm in this patient, it's not going
2:32
to be the source of this thalamic bleed.
2:35
But it will be an aneurysm that
2:37
potentially needs treating at some
2:39
point, depending upon the patient's age.
Report
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Tags
Neuroradiology
Emergency
CT
Brain
Acquired/Developmental
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