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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.
Introduction
Introduction to the Emergency Brain Imaging Course
1 topic, 2 min.
CLINICAL SCENARIO 1
New Neurologic Deficit
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
CLINICAL SCENARIO 2
Head Trauma Introduction
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
CLINICAL SCENARIO 3
Worst Headache of Life
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
CLINICAL SCENARIO 4
Found Down
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
CLINICAL SCENARIO 5
Fever and Seizure
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
CLINICAL SCENARIO 6
Ventriculoperitoneal Shunt with New Lethargy
4 topics, 14 min.
0:01
As I mentioned, we at Johns Hopkins have the
0:04
favor of having an emergency room MRI scanner
0:08
that's just adjacent to the clinical area.
0:11
For those institutions that don't have ready access to
0:15
24/7 MRI scanning, the evaluation of the child for potential
0:20
non-accidental trauma will be performed with CT
0:23
scanning, despite the fact that we're trying to reduce
0:26
radiation exposure to children as much as possible.
0:30
Here is an example of a patient
0:32
who had non-accidental trauma.
0:34
It's nice because it shows, in coronal and axial planes,
0:38
the presence of subdural hematomas of different ages.
0:43
How do we know that?
0:43
Different ages, different density.
0:46
Here's the hyperdense subdural hematoma.
0:50
Here is a low-density, chronic subdural
0:53
hematoma, and this is a bilateral process.
0:58
When you have
0:59
subdural collections along the posterior falx,
1:03
it's highly suggestive of non-accidental trauma.
1:07
So if you have hemorrhage on the surface of
1:11
the brain, along the cortical surface, again,
1:14
it's often seen in patients who have diffuse
1:16
axonal injury, which may be secondary to
1:19
quote-unquote "shaken baby syndrome."
1:22
Unfortunately, one of the manifestations of
1:24
non-accidental trauma is diffuse cerebral edema.
1:28
This is secondary to that severe trauma where you have
1:32
effectively a glutaminergic outpouring, which leads
1:35
to cytotoxic edema of the brain, cerebral swelling,
1:40
and a diffuse process that has a very poor prognosis.
1:44
Here is a child. You see open
1:46
sutures, but in addition to the open
1:49
coronal suture and lambdoid
1:52
suture, we see fractures occurring.
1:54
So the presence of fractures with subdurals
1:57
of different ages will elicit a concern for
2:01
non-accidental trauma in all likelihood.
2:04
The next thing that will happen is you'll have the
2:06
ophthalmologist looking for retinal hemorrhages.
2:09
You'll have a screening whole-body plain film
2:12
examination for metaphyseal fractures, rib
2:15
fractures, or evidence of additional trauma.
Non-Accidental Trauma CT (Part 1)
HIDEInteractive Transcript
0:01
As I mentioned, we at Johns Hopkins have the
0:04
favor of having an emergency room MRI scanner
0:08
that's just adjacent to the clinical area.
0:11
For those institutions that don't have ready access to
0:15
24/7 MRI scanning, the evaluation of the child for potential
0:20
non-accidental trauma will be performed with CT
0:23
scanning, despite the fact that we're trying to reduce
0:26
radiation exposure to children as much as possible.
0:30
Here is an example of a patient
0:32
who had non-accidental trauma.
0:34
It's nice because it shows, in coronal and axial planes,
0:38
the presence of subdural hematomas of different ages.
0:43
How do we know that?
0:43
Different ages, different density.
0:46
Here's the hyperdense subdural hematoma.
0:50
Here is a low-density, chronic subdural
0:53
hematoma, and this is a bilateral process.
0:58
When you have
0:59
subdural collections along the posterior falx,
1:03
it's highly suggestive of non-accidental trauma.
1:07
So if you have hemorrhage on the surface of
1:11
the brain, along the cortical surface, again,
1:14
it's often seen in patients who have diffuse
1:16
axonal injury, which may be secondary to
1:19
quote-unquote "shaken baby syndrome."
1:22
Unfortunately, one of the manifestations of
1:24
non-accidental trauma is diffuse cerebral edema.
1:28
This is secondary to that severe trauma where you have
1:32
effectively a glutaminergic outpouring, which leads
1:35
to cytotoxic edema of the brain, cerebral swelling,
1:40
and a diffuse process that has a very poor prognosis.
1:44
Here is a child. You see open
1:46
sutures, but in addition to the open
1:49
coronal suture and lambdoid
1:52
suture, we see fractures occurring.
1:54
So the presence of fractures with subdurals
1:57
of different ages will elicit a concern for
2:01
non-accidental trauma in all likelihood.
2:04
The next thing that will happen is you'll have the
2:06
ophthalmologist looking for retinal hemorrhages.
2:09
You'll have a screening whole-body plain film
2:12
examination for metaphyseal fractures, rib
2:15
fractures, or evidence of additional trauma.
Report
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Tags
Trauma
Neuroradiology
Emergency
CT
Brain
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