Brain Stem Lesion Mnemonic - CRASH! Medical Review Series

For just $1/month, you can help keep these videos free! Subscribe to my Patreon at / pwbmd
ADDENDUM: You should also be familiar with the basilar artery infarction, which causes "locked-in" syndrome!
(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)

Пікірлер: 70

  • @kina4288
    @kina42882 жыл бұрын

    Medical schools around the world need to pull their socks up and provide benchmark lectures to their students such as this one.

  • @theayesha141
    @theayesha1415 ай бұрын

    This is pure genius! Why is this diagram missing in our books! Awesome doctor,. Awesome explanation!

  • @OswinSamueloz
    @OswinSamueloz3 жыл бұрын

    It’s been so long since you uploaded. Thank you so much for all the hard work Paul. Forever grateful. :D

  • @senseofwonder4734
    @senseofwonder47343 жыл бұрын

    Thank you for sharing all of your videos. They are great and I am deeply thankful for them and the work you've done to make them.

  • @azizmohamed1884
    @azizmohamed18843 жыл бұрын

    Paul bolin we missed you! Glad to hear from you again!

  • @Lila.93
    @Lila.936 ай бұрын

    This comes exactly 1 week after my proffs. I looked for videos and couldn’t find it. I will make sure my juniors benefit from it

  • @raulszaboMD
    @raulszaboMD3 жыл бұрын

    I missed you so much! Thanks for sharing your knowledge once again!

  • @ArunKumar-rb4mx
    @ArunKumar-rb4mx2 жыл бұрын

    These lectures are a treasure trove of information which a family doctor should know. Wish there was an easy way to send money to him.

  • @medmankatowice
    @medmankatowice3 жыл бұрын

    These courses are good enough for any medical board exams through the world. So doctors please help your own countrymen and relatives because there are extreme shortage of doctors. Doctors are well paid and highly respected in the communities of your motherland.

  • @abigailchristina3072
    @abigailchristina30723 жыл бұрын

    Missed you man! Thanks so much for all the awesome content on your channel! It has been so helpful!!!!!

  • @dr.snekat.j9670
    @dr.snekat.j9670 Жыл бұрын

    Awesome simplification sir

  • @dsv2125
    @dsv21253 жыл бұрын

    So nice to hear from you. Thanking the Lord that He has kept you safe. Welcome back Dr. Bolin.

  • @Betterworldforyou.
    @Betterworldforyou.2 жыл бұрын

    Thank you . Great presentation.

  • @user-ef6gq3jc6s
    @user-ef6gq3jc6s28 күн бұрын

    Lovely presentation . Well delivered

  • @zoyamufti833
    @zoyamufti8333 жыл бұрын

    Paul bolin is back..... Thank you so muchhhhhhh

  • @HELPMEREACHKSUBSWITHOUTA-ph5me
    @HELPMEREACHKSUBSWITHOUTA-ph5me3 жыл бұрын

    Back after a long time... Good to see you. So will you upload regularly now?

  • @abduljalilel9422
    @abduljalilel9422 Жыл бұрын

    Phenomenal explanation.

  • @mumugugu8033
    @mumugugu80333 жыл бұрын

    Omg you're back!!! Yay

  • @drmrunalpanchal8456
    @drmrunalpanchal84562 жыл бұрын

    ❤️❤️ loved this simplified version... So easy to remember... I hv wasted so much of time trying to mug them

  • @marwaa2895
    @marwaa28953 жыл бұрын

    Thank u so much doc we missed u

  • @princessimi7519
    @princessimi75193 жыл бұрын

    I missed your lectures, hello from the Philippines 🙂

  • @ThisBim
    @ThisBim3 жыл бұрын

    Woahhhh welcome back 🙏🏼

  • @AAUN
    @AAUN3 жыл бұрын

    Thanks alot for sharing g8 video. Its quite informative. Keep it up . Its really very easy to understand and quite interesting.

  • @exmuslimkhalid138
    @exmuslimkhalid1383 жыл бұрын

    This is a great video - thanks

  • @sukh6566
    @sukh65662 ай бұрын

    Best explanation ever!

  • @ayeshaandrabi2406
    @ayeshaandrabi24063 жыл бұрын

    nice to hear from you

  • @sachiekind
    @sachiekindАй бұрын

    Wow completely life changing video! Thank you so much just thank you!!!

  • @Mindful_resting
    @Mindful_resting2 жыл бұрын

    Amazing video

  • @Zack_MD
    @Zack_MD3 жыл бұрын

    Welcome back

  • @jamese5936
    @jamese59366 ай бұрын

    What an amazing video!

  • @itsbeam0704
    @itsbeam07043 жыл бұрын

    THIS IS GONNA SAVE ME SO MUCH TIME. Thank you so much for this wisdom!

  • @woloabel
    @woloabel Жыл бұрын

    Thursday September 29, 2022. Neurology: Brain Stem Lesions (Midbrain [CN III, CN IV], Pons [CN V, CN VI, CN VII, CN VIII], and Medulla Oblongata [CN IX, CN X, CN XII]), Central Nervous System. Medial Cranial Nerve Anatomy follows: Oculomotor Nerve (CN III), Trochlear Nerve (CN IV), Abducent Nerve (CN VI), Hypoglossal Nerve (CN XII), while Lateral Nerves are Pathophysiology of Ischemia/Infarction and/or Compression: 1) Medial Medullary Syndrome (Anterior Spinal Artery [ASA]); 2) Lateral Medullary Syndrome (Wallenberg Syndrome) involves the Posterior Inferior Cerebellar Artery (PICA) and manifests as a 1) Loss of Gag Reflex (Mediated by Glossopharyngeal and Motor Vagus Nerve), 2) Vertigo, Vomiting Nystagmus (Vestibulocochlear Nerve), 3) Anesthesia due to CN V or Trigeminal Nerve, 4) and Chewing Difficulty (CN V2). Also, 5) Sympathetic Pathway is involved and manifests with Horner's Syndrome (Miosis, Ptosis, and Anhydrosis) along with 6) Contralateral Loss of Pain and Temperature Sensation (Spinothalamic Tract Involvement); 3) Lateral Pontine Syndrome implicates the Anterior Inferior Cerebellar Artery (AICA) and is Stereotyped by 1) Facial Drooping Symptoms and 2) Ataxia (Facial Nerve Origin), 3) CN VIII Symptoms: Vertigo, Vomiting and Nystagmus, 4) Facial Paralysis and Dysphagia (Cranial Nerve V, the Facial Nerve Involvement) ; 4) Medial Pontine Syndrome involves the Basilar Artery; 5) Weber Syndrome (Superior Alternating Hemiplegia) has the Paramedian Branches of the Posterior Cerebral Artery (PCA) will present with 1) Oculomotor Palsy (Down and Out Eye Morphology), 2) Upper Motor Neuron Paralysis (Contralateral Spastic Paralysis: Hypertonia, Positive Babinski Sign), 3) Contralateral Parkinsonism (Bradykinesia, Rigidity) due to Substantia Nigra (SN) Involvement; and the 6) Dorsal Midbrain Syndrome is Compression/Injury of the Rostral Interstitial Nucleus of Medial Longitudinal Fasciculus (riMLF), Structure Perfused by the Basilar Artery (Parinaud Syndrome) and Presenting with Upward Palsy or Best regarded as a Paresis; Aetiology is Compression; and 7) Cerebellopontine Angle Syndrome (CPAS) is Compression of the CN V (Ipsilateral Masseter/Temporalis, Medial Pterygoid and Lateral Pterygoid Muscle Weakness, Loss Of Corneal Reflex) and CN VIII (Acoustic Neuroma/Meningioma) showing 1) Tinnitus and 2) Hearing Loss; Ataxia (Cerebellum Involvement). A Non-Communicating Hydrocephalus is also Present in CPAS due to Fourth Ventricle Obstruction. In short, Cranial Nerve Involvement will hint as to Ischemia/Infarction/Compression Location while Motor and Sensory Deficits (Signs and Symptoms) will hint the Particular Involved Vessel. Goodness, Clinicopathological Correlation is indeed the Essence of Medicine. MD Paul W. Bolin, die Krankheit macht die Gesundheit aber ich manchmal dachte Gesundheit macht die Krankheit. Ich nur bin einer Mann. Prost!

  • @PAYDAYHEDGE
    @PAYDAYHEDGE3 жыл бұрын

    Anterior spinal artery doesn't give off Pica branch it comes from vertebrae directly

  • @hadis8647
    @hadis86473 жыл бұрын

    Thanks a lot Dr

  • @fabdoc6099
    @fabdoc60993 жыл бұрын

    Thank you 🙏🏻

  • @13Cyko38
    @13Cyko382 жыл бұрын

    this is a really good mnemonic

  • @DrMoProductions
    @DrMoProductions3 жыл бұрын

    Could it be? Dr. Bolin back at it again?

  • @avickdas7054
    @avickdas70546 ай бұрын

    Great video❤

  • @amanydubai7880
    @amanydubai78803 жыл бұрын

    THANK YOU

  • @NunuJaganath-ov9eo
    @NunuJaganath-ov9eo2 ай бұрын

    Thank you soo much

  • @tazeen.noman33
    @tazeen.noman333 жыл бұрын

    Sir, I was looking for neurocutaneous diseases on hour channel? Please tell me which lecture would contain this.

  • @nafeejal
    @nafeejal3 жыл бұрын

    Welcommeeee backkkk

  • @KA-jy7ty
    @KA-jy7ty3 жыл бұрын

    Good to see you

  • @pablosister2201
    @pablosister22013 жыл бұрын

    7 years on this website wow

  • @gneah12
    @gneah122 жыл бұрын

    My wife has brain lesions in her brain stem and cerebellum, 12 nuero docs and 2 yrs later noone has given her a concrete answer, any studies I can look at to help her understand them?

  • @AnthonyJoshua-tz8hh
    @AnthonyJoshua-tz8hh Жыл бұрын

    Great video, it helped me a lot but there is one thing that is not explained. What happens to the DCML for weber's syndrome because for medial medullary syndrome you mention loss of fine touch proprioception and vibration contralaterally but in Weber's syndrome you don't mention anything about DCML. Doesn't DCML run through there so it is affected or am I missing something. Other than that great video and you earned a new subscriber 👍.

  • @anikaa7064
    @anikaa70642 ай бұрын

    Excellent

  • @mr.medtech731
    @mr.medtech73118 күн бұрын

    this is gold

  • @adeelsajid995
    @adeelsajid9953 жыл бұрын

    Hi, at 18:09 I think there's a small mistake. In lower motor neuron lesion, entire facial nucleus gone, so it should be entire ipsilateral face deficit, right? Please look into and confirm. Otherwise, this is amazing video, thank you!

  • @cam3blue

    @cam3blue

    3 жыл бұрын

    I had the same concern, I think he mixed that up. if the facial NUCLEUS is knocked out it should only be the ipsilateral lower face that is not innervated, and the forehead will have innervation from the contralateral side. if the facial NERVE is knocked out it will be the entirety of the ipsilateral face that will not be innervated.

  • @user-fc9ok9ol1f
    @user-fc9ok9ol1f Жыл бұрын

    Dr.paul in previous lectures in ASA stroke you said that ASA supply STT and CST , so the dcml will not be affected in ASA stroke here you say that in ASA stroke the DCMl and CST will be affected

  • @user-fc9ok9ol1f

    @user-fc9ok9ol1f

    Жыл бұрын

    You said that DCML supplied by PSA

  • @thembelaniphungula7661
    @thembelaniphungula7661 Жыл бұрын

    Ai winkunzi kakhulu mbhemu yazi wavele wayenza yasobala okwezinqe zesele💥🤝💪

  • @mirandacruzsantiago6305
    @mirandacruzsantiago63052 жыл бұрын

    No estará en español 😣?

  • @noorjahanjaganath2582
    @noorjahanjaganath2582 Жыл бұрын

    Thank you very much sir. I am a 2nd semester student. I would like to pay once i reach the 5th semester. Thank you very very much

  • @user-mk9oe8sz6m
    @user-mk9oe8sz6mАй бұрын

    amazing

  • @satyambhumihar9485
    @satyambhumihar94853 жыл бұрын

    Conceptual one ☝

  • @WestSideDonger
    @WestSideDonger Жыл бұрын

    6:55 I think you mean factors of 12. Yes, I'm knit-picking 😁

  • @HubbMed
    @HubbMed3 ай бұрын

    better than boards and beyond's rule of 4s video

  • @user-fs4hw9sl4q
    @user-fs4hw9sl4q3 жыл бұрын

    misss u

  • @tazeen.noman33
    @tazeen.noman333 жыл бұрын

    To be specific, tuberous sclerosis

  • @swastiksh
    @swastiksh Жыл бұрын

    Good nice

  • @mmuhammadabbas2604
    @mmuhammadabbas26042 жыл бұрын

    amazing ,

  • @medmankatowice
    @medmankatowice3 жыл бұрын

    Missed you.

  • @user-gg1vm2cj1y
    @user-gg1vm2cj1y3 жыл бұрын

    👏

  • @alimohammed3977
    @alimohammed39773 жыл бұрын

    can we get the slides ?

  • @Iyad46gamer
    @Iyad46gamer3 жыл бұрын

    yaaay !!

  • @saras1185
    @saras11852 жыл бұрын

    😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍This is so good

  • @neurosurgeryguy5283
    @neurosurgeryguy52833 жыл бұрын

    I love you I wanna marry you wallah wallahahahahah

  • @nanaz8473

    @nanaz8473

    2 жыл бұрын

    NOOO HARAM