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Many would call this intraventricular AVM inoperable. The secrets to its safe removal from temporal horn & atrium are: throttling ant. choroidal artery early, finding other MCA feeders supplying it medially, preserving memory structures in the hippocampus/medial temporal lobe…

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Michael T. Lawton, MD

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19,795 Aufrufe • vor 1 Monat •via X (Twitter)

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Bypass & flow reversal is a powerful strategy for treating giant aneurysms: it deals w/their unclippability; uses natural thrombosis to close the aneurysm completely; indicates some fancy & fun bypasses, like this side-to-side bypass w/ant. temporal artery (ATA-M2 MCA) + STA-MCA…
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Bypass & flow reversal is a powerful strategy for treating giant aneurysms: it deals w/their unclippability; uses natural thrombosis to close the aneurysm completely; indicates some fancy & fun bypasses, like this side-to-side bypass w/ant. temporal artery (ATA-M2 MCA) + STA-MCA…

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With historical revisionism being increasingly popular again, I'd just like to ask its proponents where it is they'd like to arbitrarily draw the temporal line and how many lives it would be worth sacrificing in the process?
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With historical revisionism being increasingly popular again, I'd just like to ask its proponents where it is they'd like to arbitrarily draw the temporal line and how many lives it would be worth sacrificing in the process?

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Methylene blue — the 19th-century textile dye — ended up being what stopped a neuroscientist’s relentless seizures after nothing else could. Chase Hughes on JRE opens up about the quiet dread of temporal lobe epilepsy: up to 9 seizures a day, each one silently eroding his hippocampus and wiping recent memory, all while he knew exactly how bad it could get. The shift when this compound worked carries real weight. 🧵👇

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Have some mild cognitive impairment trying to remember dementia patterns on imaging? Is looking at dementia PET scans one of your PET peeves? Have short-term memory loss when you read about dementia imaging? Here's a way to remember dementia patterns so you will never forget! Major dementia imaging patterns: Alzheimer's disease (AD) · AD has a Nike swoosh pattern-with decreased metabolism in parietal & temporal regions · Remember when you see the Nike swoosh patter, just call it! Dementia w/Lewy Bodies (DLB) · Temporoparietal hypometabolism like AD but also involves occipital cortex, specific for DLB. · DLB also extends farther to the ant. temporal cortex. · Remember, regions of hypometabolism look more like an L. And Lewy starts w/an L Frontotemporal Dementia (FTD) · Frontal & temporal hypometabolism as expected, but extends along the anterior cingulate gyrus · Anterior cingulate involvement makes the hypometabolism looks like a lowercase letter f-and frontotemporal starts with f Posterior cortical atrophy · Can be from AD or DLB & has hypometabolism in the occipital & post. temporal lobe, sparing the anterior temporal lobe · Sparing the anterior temporal lobe makes the involvement look like a C instead of an L like DLB. · So remember pCa Vascular dementia · Vascular dementia has a variable distribution, depending on the regions infarcted (V is both for Vascular & Variable) · Wedged shaped regions of hypometabolism corresponding to cortical infarcts-looks like an inverted V This list isn't all inclusive & there can be variations or even mixed dementias But hopefully this gives you a starting point you won't soon forget!

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Does epilepsy imaging cause you to seize up in fear? Everyone knows mesial temporal sclerosis (MTS)! But did you know there are different KINDS of MTS?? This month's AJNR SCANtastic shows YOU what you need to know in the latest in epilepsy imaging! Here's what to remember: Hippocampus has 4 subfields w/CA abbreviation standing for “Cornu Ammonis”: CA1: Horizontal & ascends slightly. Number 1 on its side is horizontal w/a slight acsent! CA2: Superior hippocampal dome. Number 2 has a curve at the top that looks like a dome! CA3: Hippocampal curve ends & turns toward the dentate. Number 3 makes a curve heading down! CA4: Indistinguishable from the dentate. Number 4 on its side looks like CA4 being supported by the dentate underneath! Hippocampal sclerosis or MTS has 3 subtypes: Type 1 Classic form w/neuronal loss in all subfields Remember this rhyme: In type 1, hippocampus is all done! Type 2 CA1 predominant volume loss Remember this rhyme: Type 2 loses the glue! (CA1 glues the hippocampus to the rest of the temporal lobe) Type 3 is CA4 & dentate predominant volume loss Remember this rhyme: Type 3 loses the belly! CA4 & dentate are the hippocampus belly! Next time you have an epilepsy study, hopefully you'll seize the opportunity to use this! But this only scratches the surface! Follow AJNR & read the full article:
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