Introduction To Stroke
ฝัง
- เผยแพร่เมื่อ 29 ก.ย. 2024
- Please note that this video was made in 2018, so the acute management of stroke has changed somewhat. While the principles still hold, we do not discuss the indications for thrombectomy. Please refer to my most recent videos for that ( • Clinical Consult: Remo... and • Clinical Consult: Prev... ).
00:56 Objectives
00:52 Vascular anatomy and syndromes
ACUTE ISCHEMIC STROKE
07:59 Case of a confused man
11:35 National Institutes of Health Stroke Scale
14:21 Reading a head CT
17:13 Primary goal of acute ischemic stroke management
17:46 Intravenous tissue plasminogen activator
19:40 Mechanical thrombectomy
21:05 Time is brain!
23:30 Preventing secondary injury and preventing stroke recurrence
25:28 Ischemic stroke workup
26:43 Classification and pathologies
33:24 Ischemic stroke risk by mechanism
38:49 Prevention regimen
40:06 Transient ischemic attack
41:47 Interlude
ACUTE CEREBRAL HEMORRHAGE
43:03 Case of a man with a headache
44:15 Acute management
46:36 Classification and mechanisms
48:02 Diagnostic workup
51:14 Hemorrhagic stroke risk by mechanism
51:41 Subarachnoid hemorrhage
54:10 Management of acute subarachnoid hemorrhage
56:05 SUMMARY
Slides:
drive.google.c...
Developed, Produced and Narrated by:
Igor Rybinnik MD
Assistant Professor of Neurology
Neurology Clerkship Director
Rutgers Robert Wood Johnson Medical School
Appropriate for:
MS2-4 learner level
Disclaimer: Please note that this material was simplified for educational purposes. For patient management, please review your clinical society's guidelines and engage expert consultation when appropriate. Also, the opinions expressed in this talk do not necessarily reflect those of Rutgers Robert Wood Johnson Medical school or Rutgers University as a whole.
As an educator ,I can understand the amount of hardwork that goes behind making these videos, good job doctor and super easy flow of information n understanding
I am binge watching your channel.... and not simultaneously with netflix
Just awesome.
A neuro resident in my 1st year here. Can’t tell you how grateful I am for these vids! PLEASE PLEASE PLEASE make more! Thanks :D
Thank you. I just need to find some free time to make more of these.
@@theneurophile I think a good NIHSS tutorial would be essential. Especially how to take the NIHSS when it comes aphasic or comatose/somnolent patients. And how to score it accordingly.
I am neurology resident from Mumbai, India. I must say you created amazing content. Just loved your presentations! Can't thank you enough!
Very well done and pleasant voice! Thank you very much for this great lecture! First time I directly subscribed to a channel after less than 5 minutes
Thank you for your kind comments.
for no reason the prof is definately read my mind....
Thank you for the lecture, just started neurology rotation and having material presented like this has been amazing!
If all lectures in med school were like this I'd have actually gone to lecture.
That's a high praise, indeed. I was in your place as well, so I'm trying to fix it (at least in Neurology).
you gave a lecture at my school last year and it was so good i am revisiting this for my clinical rotations! Please never stop teaching preclinical students
Thank you!
This is some ridiculously good content. I'm hoping to start my neurology residency next year, and these videos will be great to start preparing for it.
Dear dr. Rybinnik! These videos are extremely useful for radiologists too! Thank you,thank you so much!
I am a neurosurgeon and your lectures make the concepts crystal clear.
Your sense of humor is gold... we're lucky to have someone like you helping us in our personal medical endeavors.
Much gratitude :)
Other causes of thunderclap headache ? 🤔
an actual thunderclap ..🙋😂.
no need to clap thank you .
Love from Depths of My Heart Brain and Soul
Can't thank you enough. You are a great teacher.
From Kerala, India.
Thank you for this presentation! It's very well structured and understandable, makes the topic seem less scary
So glad your videos are literally part of my curriculum in my neuro rotation. You have taught me more than any other doctor
At 44.08 it is right Thalamic haemorrhage and not right thalamic. I am loving this lecture series.
Outstanding lectures 👌 👏 🙌.
Do you have lectures on subarachnoid hemorrhage..if not please do one...please let me know 🙏
Yes we will
16:05 the left ct brain is not normal, it demonstrates a blurring of insular G-W junction as loss of ribbon sign? As hyperacute ischemic insult
It's actually normal, just doesn't project well through TH-cam
I saw you have recently update a stroke lecture almost 1 year ago but I can not find it any more recently.
2nd year of neurology resident here...your explanation is so detail...Good Job doc! pls make more videos. :)
You’re a blessing to me and many. Thank you. And keep up the good work
Thank you for this. On October 2020 I've experienced medulla stroke (Wallenberg's Syndrome) and it wasn't even half as interesting as this video!
I'm sorry to hear that. I hope you have recovered.
@@theneurophile Thank you, it seems I'm back to 100% me. As long as I don't get another vertebral dissection - I should be fine :) Also, thanks for covering both topics - I'm not a medical student, but really got interested in both stroke and dissections and you explained both so well! Cheers!
Thank you for the video.
awesome lecture…
Well done and great intro to stroke neurology.
Very conclusive. Thanks ❤
thank you so much for this great content. May I ask that I use some of the slides/ illustrations that you have used in the presentation? and If yes how would you like me to cite it?
Sure. You certainly may. Just cite my name (Igor Rybinnik) and the name of the TH-cam channel (“The Neurophile”)
By the way, this video is a bit out of date and I will be releasing an updated Stroke video in the next several weeks.
@@theneurophile thank you so much
@@theneurophile I will definitely be waiting for that.
Thank you!!
You have made my looooong study hours easier!!
Thank you Dr. Rybinnik I love your talks and recommend them to all my colleagues and students. You have a big fan base in Southern California!
Thanks! Now I need to somehow find more hours in the day to make more of these.
Thank you sir...really well explained and made concepts easy.
What are other causes of thunderclap headache?
Excellent question. For the answer to that question, please watch our thunderclap headache video that was just posted.
Perfect, thank you for your content on this channel. You really make a difference in this world!
Time is tissue!
This is very helpful lecture! Thank you so much 😊
The SOOOO important to know
I love your videos! Thx for uploading!
Nice and clear lecture, thank you!
thank you so much for this video!
Absolutely love your sense of humor
Good job, I’m speechless
The purpose of this video is not to educate you rather to give you the Impression that the video maker has lot of knowledge, dam it.
thank you so much!
ER nurse here, thanks!
Fantastic presentation
sir i have no words in appreciation for you extremly thankful
Thank you so much dr❤
Could we the slides please?
Of course. The link is in the video description.
I had a stroke once , i never removed from. That game of golf😂.
I’m sorry to hear that.
Your delivery of difficult info is incredible (especially for a non medical individual such as myself). Hopefully I can get some help here…How does bacterial meningitis from GBS cause ischemic stroke in a 6 day old baby? Asking in reference to my now 18 month old daughter, thanks
Unfortunately I do not have as much experience with pediatric patients. But, meningitis is known to cause strokes in adults. Thankfully it is a rare event.
Thank you! 👍
There is actually a randomized controlled trial that proves parachutes do not lower mortality after jumping: www.bmj.com/content/363/bmj.k5094
Awesome joke!
Thanks a lot
Perfection!
Great series.
Love it
Got it
Awesome!!!!!
Dear Dr, I'm a cardiovascular Invasive Specialist, this lecture was extremely useful for me,I wish to get a reference book for stroke management and aneurysm. Kindly guide me..
For the most recent management, I would refer you to the American Stroke/American Heart Association Guidelines -- professional.heart.org/en/guidelines-and-statements. Uptodate.com is also a good resource, and easier to read. With respect to management, books are generally outdated by the time they are printed.
Hello Dr Rybinnik
Thank you so much for your excellent videos. As an educator myself, I really appreciate the effort and time required to make such high quality work.
Two questions, if you do not mind. Are you planning to cover, anytime soon, brainstem anatomy/localisation/the rule of 4s? It will be very interesting to see your take on this.
Secondly, what software do you use to make these presentations? Is it Powerpoint/Keynote only or a combination of that and others?
Once again, much obliged.
Thank you for your kind words. I am planning a giant clinical neuroanatomy video. I am just collecting enough patient videos to cover all my points. I am using PowerPoint for animations but graphics are edited in Adobe Creative Suite.
I really hope that, if need arises, I'm not taken care of by any neurologist who watched netflix while cramming.
I highly doubt it. By far the majority of doctor training is not done through lectures. That is the reason doctors complete years of residency to become proficient in their craft.
This is what i call a high quality presentation! Well done!
Thank you!
Thanks for the wonderful piece.it will be great if there is an update review of the lecture on yearly basis at least. Please, is there any lecture on the CT/MRI brain and spine neuroanatomy?
Check the more recent videos on the channel. The stroke cases have more updated information. There is a separate spine disorders talk and Brain Imaging crash course
I was told TIAs don't always show up on imaging do we go by clinical findings along with NIHSS and history?
Also doctor is there a way to get copy's of the PowerPoint slides I want to print and study them before neurology rotations
It is true that there is such a thing as MRI-negative stroke (patients with persisting stroke symptoms that have negative imaging). However, most transient neurological symptoms are NOT caused by blood flow problems (basically not TIAs). The term "TIA" is so frequently misapplied that as a stroke Neurologist, I now generally forbid the use of the term "TIA" to anyone but senior neurology residents and above. Negative stroke work-up (including MRI) in a patient with transient deficits effectively makes cerebrovascular etiology (stroke or TIA) much less likely.
@@dominicdigginnursingstuden7833 I linked the slides in the description.
Muchas gracias, lo difícil lo haces fácil!!!! gracias Doctor.
De nada
thank you so much!
Could you provide time stamps?
Time stamps were added as requested.