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Musculoskeletal Imaging
Emergency Imaging
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Emergency Call Prep
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
The location of the subarachnoid hemorrhage gives
0:04
some indication of the location of the aneurysm.
0:08
If you have hemorrhage that is predominantly in the
0:11
interhemispheric fissure anteriorly, we're going to be
0:14
more concerned with an anterior communicating artery
0:18
or anterior cerebral artery aneurysm.
0:20
If you have hemorrhage that is localized
0:23
to one Sylvian fissure over the other,
0:26
we're gonna be more concerned about a middle
0:28
cerebral artery distribution aneurysm.
0:31
If you have hemorrhage, which is diffuse in the
0:34
basal cisterns, that may be due to a posterior
0:37
communicating artery aneurysm or a distal internal
0:40
carotid artery terminus aneurysm if you have hemorrhage,
0:44
which is predominantly in the posterior fossa.
0:47
Or in the fourth ventricle, we're going to be more
0:50
concerned with a vertebral basilar artery aneurysm.
0:53
Usually, the basilar tip is the most common of
0:56
these, but you can have those that occur
0:58
at the vertebral basilar junction or at the
1:02
posterior inferior cerebellar artery origin.
1:06
The PICA origin, those aneurysms of the PICA,
1:10
which are usually off of the vertebral artery, will
1:13
have hemorrhage that layers more commonly at the
1:16
foramen magnum. Some of the
1:19
aneurysms will burst into the brain.
1:21
Parenchyma.
1:22
ACOM aneurysms probably do this the most commonly,
1:25
and they will burst into medial frontal lobe parenchyma.
1:29
So if you have subarachnoid hemorrhage with medial
1:32
frontal lobe parenchymal hemorrhage, we're going to
1:35
be considering anterior communicating artery aneurysm.
1:39
Middle cerebral artery aneurysms will generally
1:42
cause parenchymal hemorrhage in the adjacent
1:45
temporal lobe, and we already saw a posterior
1:48
communicating artery aneurysm, which involved
1:51
the medial temporal lobe in that case.
1:55
On the left side, there are additional aneurysms,
1:58
the anterior choroidal aneurysm that will
2:01
generally hemorrhage into the choroidal fissure
2:03
and get into the lateral ventricular system.
2:06
So by virtue of these localization
2:08
features, you may be able to identify the.
2:12
Source of the hemorrhage.
2:14
However, usually we're following this
2:16
with a CTA, and with the CTA you're
2:19
going to be able to see the aneurysms.
2:21
In the vast majority of cases, over 90%
2:24
of the cases, it's only if you have multiple
2:27
aneurysms that are visible on the CTA, that the
2:31
hemorrhage will tell you which one of those.
2:33
That bled?
2:34
Was it the right MCA, or was it the
2:36
anterior communicating artery aneurysm?
2:38
And for that reason, the site of the
2:41
subarachnoid hemorrhage is useful.
Interactive Transcript
0:01
The location of the subarachnoid hemorrhage gives
0:04
some indication of the location of the aneurysm.
0:08
If you have hemorrhage that is predominantly in the
0:11
interhemispheric fissure anteriorly, we're going to be
0:14
more concerned with an anterior communicating artery
0:18
or anterior cerebral artery aneurysm.
0:20
If you have hemorrhage that is localized
0:23
to one Sylvian fissure over the other,
0:26
we're gonna be more concerned about a middle
0:28
cerebral artery distribution aneurysm.
0:31
If you have hemorrhage, which is diffuse in the
0:34
basal cisterns, that may be due to a posterior
0:37
communicating artery aneurysm or a distal internal
0:40
carotid artery terminus aneurysm if you have hemorrhage,
0:44
which is predominantly in the posterior fossa.
0:47
Or in the fourth ventricle, we're going to be more
0:50
concerned with a vertebral basilar artery aneurysm.
0:53
Usually, the basilar tip is the most common of
0:56
these, but you can have those that occur
0:58
at the vertebral basilar junction or at the
1:02
posterior inferior cerebellar artery origin.
1:06
The PICA origin, those aneurysms of the PICA,
1:10
which are usually off of the vertebral artery, will
1:13
have hemorrhage that layers more commonly at the
1:16
foramen magnum. Some of the
1:19
aneurysms will burst into the brain.
1:21
Parenchyma.
1:22
ACOM aneurysms probably do this the most commonly,
1:25
and they will burst into medial frontal lobe parenchyma.
1:29
So if you have subarachnoid hemorrhage with medial
1:32
frontal lobe parenchymal hemorrhage, we're going to
1:35
be considering anterior communicating artery aneurysm.
1:39
Middle cerebral artery aneurysms will generally
1:42
cause parenchymal hemorrhage in the adjacent
1:45
temporal lobe, and we already saw a posterior
1:48
communicating artery aneurysm, which involved
1:51
the medial temporal lobe in that case.
1:55
On the left side, there are additional aneurysms,
1:58
the anterior choroidal aneurysm that will
2:01
generally hemorrhage into the choroidal fissure
2:03
and get into the lateral ventricular system.
2:06
So by virtue of these localization
2:08
features, you may be able to identify the.
2:12
Source of the hemorrhage.
2:14
However, usually we're following this
2:16
with a CTA, and with the CTA you're
2:19
going to be able to see the aneurysms.
2:21
In the vast majority of cases, over 90%
2:24
of the cases, it's only if you have multiple
2:27
aneurysms that are visible on the CTA, that the
2:31
hemorrhage will tell you which one of those.
2:33
That bled?
2:34
Was it the right MCA, or was it the
2:36
anterior communicating artery aneurysm?
2:38
And for that reason, the site of the
2:41
subarachnoid hemorrhage is useful.
Report
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Tags
Neuroradiology
Infectious
Emergency
CT
Brain
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