I'm a neurologist and watched this from start to finish! Will be definitely recommending to my residents and I myself am also aiming to watch your other videos to refresh and add on to my neurorad knowledge!
I suffer alot... I have alot of right sided upper teeth pain, right sided nasal cavity pain, right sided throat pain, chest pain, neck stiffness, headache. I feel liquid, horrible preassure in my neck, brain. Right side of my chest is swollen, same to my neck and bone behind me eight ear is swollen, top of my skull is bulgin i lost consiusness for a while. I have symptoms of quadriplegia, light sensitivity. I have eaten antibiotics, cortisone that is not desscriped for me, those were my mothers but those help in my pains, headaches. I went to brain CT, MRI after losing my consciousness for a while, they said everything is ok... Im feeling like im dying... I can't lay down, bend down or I can't get up, having difficulty to breath, sleep paralysis if i lay down. Light sensitivity, confusion, bulging of my eyes, redness, pain in my eyes... Im confused.... I should not take my mothers antibiotics, cortisone but i was so scared... I haven't exprienced anything like this... Im not ok... I have really hard time to focusing anything... I can only sleep in sitting position... Everything feels strange... I have sense of doom and i think i will die.... I hope my family get that justice i deserve... Im frustrated, angry, confused, memory/mind is not working and my eyes hurt alot..
Excellent as always! Just one question: we always do a coronal Flair in our department. Is it ok to do the assessment of GCA on that one or does it have to be an axial image?
Technically speaking the GCA-scale was developped based on axial images, but once you learned how to use it, I believe you could provide a reliable estimation on coronal FLAIR images as well. I would personally feel more comfortable using axial images, and if the intent is to do an evaluation becaus of suspected dementia, I would not find it sufficent. For a general examination, I believe it would suffice. In the end, the GCA-scale is just a subjective and reader-dependent tool to give a rough estimate on the severity of cerebral atrophy. It's no rocket science, but a tool that allows us as radiologist to give an idea on the severity of atrophy. It's also very subjective. The thing I always tell my residents that it's not the goal "to get it right", becaus a "severe GCA 1" for one radiologist will be a "mild GCA 2" for the other. The idea is that we can give a rough idea to our reffering physician. If reader 1 says: it's GCA 0 and reader 2 says it's GCA 3 --> then one of them must be wrong. If reader A says it's GCA 1 and reader 2 it's GCA 2 --> no point in arguing about.
No, no personal preference, or well, maybe a very slight one for FS FLAIR. FS FLAIR can be useful for somewhat better depiction of skull lesions, but in daily practice most patients don't have skull lesions.
Hey Sven, Wil je voor ons een presentatie geven betreft ‘imaging of the optic pathway?’ Van de orbita tot aan fissura calcarina, misschien Ook interessant voor ons presentatie over orbita beeldvorming? Alvast bedankt!
Please never stop doing videos. Your such a perfect educator!!
I'm a neurologist and watched this from start to finish! Will be definitely recommending to my residents and I myself am also aiming to watch your other videos to refresh and add on to my neurorad knowledge!
Perfect as always! A complete radiologist with a enormous knowledge and experience!
I wish I had a teacher like you when I started working. Thank u
Im a Radiology Resident, and your video gives a head start! Thank You!
Thank you for such an amazing and concise lecture. Much appreciated
Thank you very much Doctor
Useful for senior radiologist too! Thank you 🤗
Well explained 🥰
Thanks for sharing! Great lecture as always
Thank you so much for your videos, they are an amazing resource for learning!
Thank you for this perfect overview.👍
VERY WELL EXPLAINED! Thank you!!!
Thank you so much. I did not watch better videos on this topic!
thanks, much appreciated!
Thank you for good lecture
Please do one on ct brain
Very perfect sir ! the approch is very nice. Request more such informative videos
This is some GOLD content.please make such content frequently🙏🏻
I'll try :)
I suffer alot... I have alot of right sided upper teeth pain, right sided nasal cavity pain, right sided throat pain, chest pain, neck stiffness, headache. I feel liquid, horrible preassure in my neck, brain. Right side of my chest is swollen, same to my neck and bone behind me eight ear is swollen, top of my skull is bulgin i lost consiusness for a while. I have symptoms of quadriplegia, light sensitivity. I have eaten antibiotics, cortisone that is not desscriped for me, those were my mothers but those help in my pains, headaches. I went to brain CT, MRI after losing my consciousness for a while, they said everything is ok... Im feeling like im dying... I can't lay down, bend down or I can't get up, having difficulty to breath, sleep paralysis if i lay down. Light sensitivity, confusion, bulging of my eyes, redness, pain in my eyes... Im confused.... I should not take my mothers antibiotics, cortisone but i was so scared... I haven't exprienced anything like this... Im not ok... I have really hard time to focusing anything... I can only sleep in sitting position... Everything feels strange... I have sense of doom and i think i will die.... I hope my family get that justice i deserve... Im frustrated, angry, confused, memory/mind is not working and my eyes hurt alot..
Mil gracias, excelente clase maestra.
Awesome! Keep up the good job.
Thank you sir
Excellent!! ❤❤❤ Thank you!
you are much, much appreciated!
Very nice
Thank you so much!
Thank you!
Much appreciated.
Excellent as always! Just one question: we always do a coronal Flair in our department. Is it ok to do the assessment of GCA on that one or does it have to be an axial image?
Technically speaking the GCA-scale was developped based on axial images, but once you learned how to use it, I believe you could provide a reliable estimation on coronal FLAIR images as well. I would personally feel more comfortable using axial images, and if the intent is to do an evaluation becaus of suspected dementia, I would not find it sufficent. For a general examination, I believe it would suffice. In the end, the GCA-scale is just a subjective and reader-dependent tool to give a rough estimate on the severity of cerebral atrophy. It's no rocket science, but a tool that allows us as radiologist to give an idea on the severity of atrophy. It's also very subjective. The thing I always tell my residents that it's not the goal "to get it right", becaus a "severe GCA 1" for one radiologist will be a "mild GCA 2" for the other. The idea is that we can give a rough idea to our reffering physician. If reader 1 says: it's GCA 0 and reader 2 says it's GCA 3 --> then one of them must be wrong. If reader A says it's GCA 1 and reader 2 it's GCA 2 --> no point in arguing about.
Super!!! 👏
Thanks so much! Do you have a preference regarding fat-saturation on FLAIR images? I noticed both FS and non-FS in your examples
No, no personal preference, or well, maybe a very slight one for FS FLAIR. FS FLAIR can be useful for somewhat better depiction of skull lesions, but in daily practice most patients don't have skull lesions.
@@theneuroradiologist Thank you!
Это круто, спасибо ❤❤❤❤❤
Is there need to scan the entire spine to ? Lesions in the cord?
Hey Sven,
Wil je voor ons een presentatie geven betreft ‘imaging of the optic pathway?’ Van de orbita tot aan fissura calcarina, misschien
Ook interessant voor ons presentatie over orbita beeldvorming?
Alvast bedankt!
Sure, got one in the making :)
Hi can you point me to the neuroradiology mri sequences video please?
@@shastriramroop4815 sure, here is the link: th-cam.com/video/bAl3ht-kpVk/w-d-xo.htmlsi=jw4CFfDqunMZT0XR
@@theneuroradiologist thank you