i started med school watching your videos, and here i am 2 weeks away from taking Step 3 and still watching your videos... thank you so much! i know you've been so busy, but the day you come back to TH-cam will be a blessing to all medical students around the world. You're the best!
really good :) explained everything really well. Thanks! just missed Kernohan's notch...which is a false localizing sign of Uncal herniation. compression of contralateral cerebral crus causes ipsilateral hemiparesis. It affects the descending corticospinal fibres, which haven't decussated yet. so a patient will come in with "down and out" eyes, then next will have contralateral hemipareisis ....contralateral to the eyes, ipsilateral to the tumour or cause of compression.
I think Daniel Tabari is right! You seem to have made a mistake. Uncal Herniation: 1) Ipsilateral hemiplegia: compression of contralateral corticospinal fibers that have not yet decussated. 2) Ipsilateral "down and out gaze" due to compression of ipsilateral CN III, which never decussate. 3) contralateral hemianopsia with macular sparing due to compression of left posterior cerebral artery. please correct
1.The arrangement of orbital muscles is not correct. 2. falx cerebr is not a fissure, the fissure's name is medial longitudinal fissure (or cerebral fissure, or longitudinal fissure, or interhemispheric fissure). 3. There are more than 3 types of Cerebral Herniation. We'll appreciate if you'll update the video and re upload it again. Thank you
+Rami Dar it's not her duty. go find yourself. at least be appreciative when people take the time to educate you. No one's perfect including your professors and board review materials
" I KNOW FIRST HAND, ABOUT THIS!" HERNIATION OF THE BRAIN , IS TOO LATE!"" " MY GRANDSON, (13 YRS OLD) NOW HAS BRAIN DAMAGE BEYOND HELP!" "(DUE TO HIGH BRAIN PRESSURE OF 60!) " WAISTED TIME FOR AN MRI, NEXT MORNING!" " SEEMS LIKE THE DOCTOR'S USE THE MRI AS LAST RESOURCE!" WHY? " MRI'S SHOULD BE THE FIRST THING TO DO, NOT THE LAST!" " EVEN WHEN HE WAS COVERED ON GOOD MEDICAL INSURANCE!"
MRI isn't the last thing to do but it's not the first either because MRI cannot detect hemorrhage. CT is more sensitive for hemorrhages. If there's no hemorrhage found on CT then next step is MRI. Also, MRI is very "lesion-specific", so if there's no lesion in the brain at all then it's not just a waste of money (medical insurance doesn't matter) it's also a waste of resources and the patient is exposed to extra radiation. Edit: Also, patients with neurological symptoms are more likely to be suffering from CI than cancer or anything else so that's another important reason why CT is preferred over MRI since if the most likely cause is the actual cause of the symptoms than wasting time on MRI could cost a life.
Does Sup Oblique Lie Inferiorly ???? I watched couple of videos that you uploaded and its unfortunate you land up with wrong explanations. Do you think it is wise to share wrong information??? Are you doing any good???
i started med school watching your videos, and here i am 2 weeks away from taking Step 3 and still watching your videos... thank you so much! i know you've been so busy, but the day you come back to TH-cam will be a blessing to all medical students around the world. You're the best!
I wish youtube had recommended me this video while preparing for usmle step-1. Such short and perfect explanation. Loved it.
How was your step 1?
really good :) explained everything really well. Thanks!
just missed Kernohan's notch...which is a false localizing sign of Uncal herniation. compression of contralateral cerebral crus causes ipsilateral hemiparesis. It affects the descending corticospinal fibres, which haven't decussated yet.
so a patient will come in with "down and out" eyes, then next will have contralateral hemipareisis ....contralateral to the eyes, ipsilateral to the tumour or cause of compression.
that is really helpful ... thanks appreciated
thank u so much very good explanation
this was amazing! thank you so much, super helpful, informative and straight to the point!
Perfect explanation...thanks Dr
I think Daniel Tabari is right!
You seem to have made a mistake. Uncal Herniation:
1) Ipsilateral hemiplegia: compression of contralateral corticospinal fibers that have not yet decussated.
2) Ipsilateral "down and out gaze" due to compression of ipsilateral CN III, which never decussate.
3) contralateral hemianopsia with macular sparing due to compression of left posterior cerebral artery.
please correct
Girl you are the best! You have helped me so much in medical school :)
You’re an excellent teacher, thanks for making this wonderful video!
Glad it was helpful!
Thank you so much, I am watching this video in 2020 and i am able to understand so nicely and you made my concept very clear.
Am watching it in 2021 , still it's helpful...nice explanation
Thanks
Am watching it in 2021 and the video is extremely good and well explained
this is the best video for this topic !
Explanation is short, simple and very clear. Thanks. 🙏I found this channel only recently.
Happy to help.
Excellent explanation. thank you for you very good work!
Your voice is just so...nice
Very well explained!
Awesome thank you! Very well explained!
Nice explanation, your voice is sweet and calming!!! Thank u fr the video!!!
Awesome in short explanation
Thank you very much, very well explained.
loved this
Superb 🙌🏻
Thankx for making concepts clear...helpful
This is great, thank you!
May God bless you❤
Thank you so much!
Thank you!! great explanation
please provide notes for the same too
Had chiari malformation surgery in December and now going for herniated cerebral tonsillar soon...I just cannot catch a break.
It must be really hard to go through what your are going through. Wishing for your speedy recovery.
simple and nice
Excellent!
thank you!
I have Tonsillar/brainstem herniation [Arnold-Chiari Malformation II.
🔝class............ 👍
Very helpful, thanks!
Very Nice !!
thank you, God bless
I wish she would have discussed tonsillar herniation more... this is what I found out I have
thanks very much.
TH-cam is lacking TBI vids... Video killed the librarian people hahaha!
1.The arrangement of orbital muscles is not correct.
2. falx cerebr is not a fissure, the fissure's name is medial longitudinal fissure (or cerebral fissure, or longitudinal fissure, or interhemispheric fissure).
3. There are more than 3 types of Cerebral Herniation.
We'll appreciate if you'll update the video and re upload it again.
Thank you
+Rami Dar it's not her duty. go find yourself. at least be appreciative when people take the time to educate you. No one's perfect including your professors and board review materials
Great Review :)
isnt so supposed to be on upper side of eye
hahahah I hope you will make more.and more videos pls
Tq
🙏🙏🙏🙏❤
very helpful
thank you
do you have facebook acount?
" I KNOW FIRST HAND, ABOUT THIS!"
HERNIATION OF THE BRAIN , IS TOO LATE!""
" MY GRANDSON, (13 YRS OLD) NOW HAS BRAIN DAMAGE BEYOND HELP!"
"(DUE TO HIGH BRAIN PRESSURE OF 60!)
" WAISTED TIME FOR AN MRI, NEXT MORNING!"
" SEEMS LIKE THE DOCTOR'S USE THE MRI AS LAST RESOURCE!"
WHY?
" MRI'S SHOULD BE THE FIRST THING TO DO, NOT THE LAST!"
" EVEN WHEN HE WAS COVERED ON GOOD MEDICAL INSURANCE!"
MRI isn't the last thing to do but it's not the first either because MRI cannot detect hemorrhage. CT is more sensitive for hemorrhages. If there's no hemorrhage found on CT then next step is MRI. Also, MRI is very "lesion-specific", so if there's no lesion in the brain at all then it's not just a waste of money (medical insurance doesn't matter) it's also a waste of resources and the patient is exposed to extra radiation.
Edit: Also, patients with neurological symptoms are more likely to be suffering from CI than cancer or anything else so that's another important reason why CT is preferred over MRI since if the most likely cause is the actual cause of the symptoms than wasting time on MRI could cost a life.
my mother died bcoz of that
Does Sup Oblique Lie Inferiorly ???? I watched couple of videos that you uploaded and its unfortunate you land up with wrong explanations. Do you think it is wise to share wrong information??? Are you doing any good???
Shes not giving anatomical positions, shes pointing general direction of movement. Am i missing something?
the actions are depicted as far as i can see.. the direction of action of sup oblique
this was terrible.
Youre terrible