Neuroimaging Flashcards
Stroke Trauma Min subarachnoid hemorrhage Hemorrhage CTA
CT Scan
Hyperacute stroke Perfusion study Neoplasm vs abscess White matter disease Hemorrhage Infection MRA
MRI
CT scan anatomical landmarks
Falx cerebri
Superiir sagittal sinus
Gyrus
Sulcus
During infarcts sulci are checked for
symmetry
Earliest sign of infarct
sulci effacement
At the level of ventricles early sign of hyperacute infarct
Loss of gray-white matter delineation
Between left and right ventricle
Septum pellucidum
Causes brain edema
Cytotoxic
Vasogenic
Interstitial
Combined
Cellular swelling
Intact BB
Failure of ATP-dependent Na/K ATPase pump ion transport
Loss of gray-white matter differentiation
Cytotoxic edema
Destruction of BBB
Extracellular
Only white matter becomes hypodense
More defined or heightened gray white matter differentiation
Vasogenic edema
brain tumor
metastasis
Mainstay of imaging in acute ischemic stroke
CT scan
Hyperacute infarct
1 h post infarct - earliest
Hyperdense MCA sign
Clinically, time stamp on injury
Clot within lumen or artery
Hyperacute infarct signs on CT
Loss of gray white matter
Sulci effacement
Loss of insular ribbon
Hyperdense MCA
Hyperacute infarct sign in CTA
Filling defect