Neurophilia
@bobvarkey
Neuro-intensivist & Interventionalist, Autodidact, Philomath, Iconoclast, Isolophile, Bibliophile, Technophile & Investor@ Kochi, Kerala.
Hemodynamics in Flow diverters & aneurysms 🧠 Parent Vessel Geometry & Flow Reduction The geometry of the parent vessel — Esp its curvature and orientation — influences how blood enters an aneurysm and how effectively a flow diverter can reduce that flow. 🔹 Sidewall Aneurysms…
Post thyroidectomy inadvertent discontinuation of Ca and Vit D 🔍 Clinical signs: ✋ Trousseau’s sign ➡️ Inflating BP cuff for 3 min → causes carpopedal spasm 🧪 Sensitive, early sign of hypocalcemia 👃 Chvostek’s sign ➡️ Tapping the facial nerve anterior to ear → causes…
Cone beam CT surpasses DSA in resolution. Posterior circulation collaterals arising from small perforators in severe basilar artery stenosis. Look at these fantastic CBCT pics by Eytan Raz et al where they even show hypertrophic perforators that communicate across a severely…
Benedikt syndrome -due to mesencephalic damage to the ipsilateral red nucleus, substantia nigra, third cranial nerve, and cerebral peduncle. Presents with Ipsilateral oculomotor nerve palsy Contralateral hemiparesis & Contralateral cerebellar ataxia and/or Holmes tremor and/or…
It’s unusual to catch an acute cortical subarachnoid hemorrhage in cerebral amyloid angopathy. Here’s one we caught in a 🧔new onset tingling in the right hand. In addition to the new cortical SAH , one can see the previous cortical siderosis also.
A beautiful demonstration of the Artery of Percheron (AoP) supplying both the thalami with MRI/A
Distal radial artery access at the ‘snuff box’ is a very convenient point for the patient. Even carotid stenting can be done through this route. Check out our article on this route Sheathless Distal Radial Access for Carotid Stenting : Neurology India journals.lww.com/neur/fulltext/…
Atherosclerosis and blocks youtube.com/shorts/H0ESc8c… via @YouTube
What could possibly get more exciting than Neurointervention in neuropthalmology?
Isolated right gaze paresis due to an Abducens nuclear palsy. He also had slow saccades to the right. The infarct involved the Rt Abducens nucleus in the pons 🎯 A sixth nerve nuclear lesion affects horizontal gaze, not just abduction. 📌 Why? The abducens nucleus controls:…
🌟Dengue myopathy is real and sometimes very troublesome. *⃣Dengue-associated neurological (DAN) complications include myalgias, myopathy, hypokalemic paralysis, rhabdomyolysis, Guillain-Barre syndrome, anterior horn cell involvement, peripheral neuropathies, plexopathies,…
