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A Nelson catheter alternative for hematoma drainage

68yo male presenting with right hemiparesis, a CT was performed and a subdural hematoma was diagnosed, a craniotomy for hematoma ...


RPSGT Sleep study on EEG

RPSGT Sleep study EEG on 88M, mild dementia, tremors, CAD. Seemed quite alert and appropriate but the EEG was not ...


Meningitis on CT

A child presents with classic symptoms headache, neck pain and fevers. What's the finding on this brain CT?


Perisylvian migration disorder on brain MRI

Young female with seizures from childhood.


Notalgia paresthetica with secondary macular amyloidosis

38 year old female comes in because her husband noticed interscapular hyperchromic spot. She reports pruritus in the region for ...


Normal calcified falx on CT head

47 F presents to the ED with second episode of seizure while sleeping, not on anti-epileptics.


The Pillbox Test and Tinkertoy Test

73 yr old, retired attorney, community residing and independently driving, male, with "memory problems" given the Pillbox Test as a ...


Ruptured dermoid with chemical meningitis on CT

answer to previous case


Strategies for lip biting in patients with a brain injury

3 solutions to the lip-biting problem in this young patient with bad brain injury. Image #1 is a scissor clamp, ...


Brain angiogram for 3D printing

Brain angio ready for 3D Printing.


Diaphragmatic tear pre and post repair on chest x-ray

65yr female admitted into ICU post multitrauma mainly chest . She had weaning failures and failed extubations. She was found ...


Infarct in left recurrent artery of Heubner

Middle aged woman with history of hypertension. She presents with acute onset trouble speaking and abnormal arm movements. Name the ...


Congenital hydrocephalus

12 year old female came in for tonic clonic seizure diagnosed with congenital hydocephalus at 7mos AOG. Head circumference measured ...


Hypertensive hemorrhage on CT

64 years old woman, primary hypertensive hemorrhage. Any considarations about surgical approach?



# Low grade #Glioma # cortical stimulation


Posterior cerebral artery stroke on CT

49YOM presents to the er complaining of dizziness and "not being able to track things in his head." Also reports ...


Left temporal epidural hematoma on CT

Head trauma & sequela: 52yoM bike accident presented in coma with dilated left pupil, intubated. CT shows left temporal epidural ...



Fluconazole is an Azole antifungal drug, which decreases ergosterol synthesis & interferes w/ fungal cell membrane formation. Beware QTc prolongation, ...


Meningioma 5cm posterior fossa compressing brain stem

52 yo F presented after PCP tested and MRI. Patient has had HA for years but that last 3 mo ...


Intracerebral mass with significant midline shift on MRI

35 yo white male presented to ED with headache, facial numbness. Pt reported 6 mos or greater hx intermittent HA. ...


Clot removed from the left M1 segment of the Middle cerebral artery

80yo F presents to the ED aphasic and right sided paralysis. CT confirms left M1 clot. Pt sent to Cath ...


Noncommunicating hydrocephalus

2 VP shunt cases- 2 different outcomes. 1st case: 45yoM with noncommunicating hydrocephalus s/p post fossa tumor removal with change ...


Subdural hematoma with median line shift on MRI head

The diencephalon comprising: thalamus, epithalamus, Subthalamus, hypothalamus, pineal gland and pituitary. In short, the right subdural hematoma diencephalon shifted to ...


Subdural Hematoma on CT head

62 yo m w/ dizziness, R side muscle weakness, difficulty standing from seated, & unsteady gait. Gradual onset over 2-3 ...


Massive subarachnoid hemorrhage due to aneurysm on CT head

53 yo woman with massive subarachnoid hemorrhage. GCS 14. Angiography showed a blister-like aneurysm of the right carotid. Acute treatmen ...


Subjective memory questionnaire given to Alzheimer's patient

Individuals with Alzheimer's disease tend to be less aware of their own cognitive deficits as the disease progresses - here ...


Langerhans Cell Histiocytosis

18 year old female no relevent hx refers fall 3 weeks ago in kitchen after which she notices mass in ...


Thickened Pituitary infundibulum

Sagittal T1 image in a 3 year old girl with central diabetes insipidus shows a thickened pituitary infundibulum (red arrow) ...


Cranial fracture with Subarachnoid Hemmorhage

57 yr old male presented to me laying on floor of casino w/ AMS, GCS 10. Security reported fall, ? ...


Hand Foot Mouth Disease

difficult case for me, 32 y.o. Make librarian presents with rash for 1 day. No significant past medical history, no ...

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