Peter Fiester, MDさんのイラストまとめ

Friendly reminder that isolated OCF's without joint space widening are stable injuries that do NOT require cervical #MRI (and that includes "avulsion" fractures 😉!)

#Trauma #Spine #Neurosurgery #Neurorad #Radres

https://t.co/HKtnaCLaMF

"A normal atlanto-occipital joint space and skull base line measurements demonstrated a low predictive value for detecting unstable craniocervical injuries."

Single picture worth a thousand words when teaching facial #trauma to my new #radiology residents 🙂

Zygomatic sutures = -maxillary, -temporal, -frontal, & -sphenoid

#radres #emrad #neurorad

Recurrent A. Heubner 🔁 Medial LS of A2 ACA 🧠

✅ Parallels course of A1 ACA

✅ Supply ant. perf substance & anteroinferior caudate/IC/putamen

✅ #Stroke = contralateral hemiparesis, dysarthria, behavior🔺️

#radres #FOAMrad #radiology #neurology #neurores #MedEd

Detecting M2 MCA #clot on 🧠CTA is challenging (esp. for a new #radres) vascular supply ⬇️:

Sup division ➡️ Anterior to sylvian fissure

Inf division ➡️ Posterior to sylvian fissure

Its a CTA⏳saver when +EIC

#FOAMrad #FOAMED #neurology #neurotwitter #stroke #MedEd #medtwitter

Classic INO (MLF lesion) = 1 of 4 MLF related syndromes (along with #dizziness via the VOR). The others...

1. ➡️ MLF+CN 4 - INO/Lat. hyperdeviation

2. ➡️ MLF+CN 6 - INO/Lat. palsy

3. ➡️ B/L MLF - Wall-eyed (#MRI below)

#neurology #neurotwitter #neurorad #radres #FOAMed

Stable or unstable fracture?
Follow up cervical MRI ALWAYS warranted?
➡️ https://t.co/KFc7dnHQeP ⬅️

@EurSpineJournal #neurorad #emrad #spine #spinetrauma #trauma #craniocervical #globalreadingroom

Hx: High-speed MVA trauma

⬆️STIR signal superior to C2 dens related to a normal venous plexus (🔑: please do not mistake for edema related to #spine #trauma & #craniocervical / apical ligament injury) #FOAMed #FOAMrad #radres #futureradres #neurorad #emrad #globalreadingroom

The osteoligamentous anatomy of the craniocervical junction is complex and unique. It exquisitely affords maximum stability with the greatest possible range of motion. Subsequently, trauma to the CCJ is as equally complex and challenging to manage. #neurorad #radiology #emrad