Your presentation is a perfect combination of knowledge & high teaching skills !! Thank you so much ! ❤❤❤

You are a master at simplifying complex topics. Great job!

lucky to find such an amazing presentation. Thank you

That presentation is so useful in everyday practice. Thank you so much!!👏

Superb presentation as always

Very rich information,excellent presentation & it is clear that much work has been spent to make it

Superb presentation as always 🎉😊

Thank's, excellent presentation

👍👍👍

thanks

Very insightful. Thank you. If lets say imaging was done but not necessarily for assessment of dementia. If i were to assess for global cortical atrophy and found it was appropriate for age. Is there a need to assess for focal atrophy?

@theneuroradiologist

2 ай бұрын

Nah, I dont scrutinize my "chronische headache" MRIs for subtle asymmetrical atrophy. If it jumps to the eye and is clear, I will report it off Course

💥💥💥💥💥

how to ddx perivascular robbin space with lacunar infarct?

@theneuroradiologist

6 ай бұрын

A combination of location, size and presence of gliosis. Virchow-Robin spaces are generally located basally in the basal ganglia (where the lenticulostriate arteries perforate the substantia perforata anterior), tend to be smaller and are not surrounded by gliosis. Lacunar inarcts are typically located higher-up in the basal ganglia, tend to be larger and are oftne surrounded by gliosis. None of these is 100% fail-safe, but if you combine you, you can mostly say which is which.

Just clarification in using the GCA scale. What if its predominantly frontal or asymmetric for example. Do i say grade them individually or base the scale on the worst one and then say its focal/asymmetric?

@theneuroradiologist

Ай бұрын

personally I report asymmetrical areas separately and give them a separte score, for instance: "moderate global cerebral atrophy (GCA 2) but with asymmetrical more pronounced atrophy in the right temporal lobe (GCA 3). DDx frontotemporal lobar degeneration". In the end it's about identifying extremes, I don't lose my head over subtle differences (unless there's an explicit clinical question).

@gabrielluiscinco1935

Ай бұрын

Thank you so much. Always a pleasure to hear from you🎉

Is ventricular system size has a role in judgment of brain atrophic changes?

@theneuroradiologist

Ай бұрын

As far as I know not, I don't use it when evaluating brain atrophy at least, off course looking at ventricular size is important to look for NPH for instance.

@user-yy4pi3bw3u

Ай бұрын

@@theneuroradiologist Thanks for answering

👋👋👋👋

"Oh, my mouse!" -- Sven Dekeyzer, circa 2024 A.D.

@theneuroradiologist

6 ай бұрын

I'm gonna start a crowdfunding operation to get me a new one :D

@alinstoi

6 ай бұрын

@@theneuroradiologist 😂

what I see at 43:15 is ants

@theneuroradiologist

4 ай бұрын

Don't know what's the problem, I just checked and normal video?