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Patient With Severe Moyamoya Disease Who Presents With Acute Cortical Blindness Illustrative Teaching Cases
Source: Stroke - April 24, 2017 Category: Neurology Authors: Aparna Sajja, Deki Tsering, Annie C. Mooser, Tiffani A. DeFreitas, Jessica Carpenter, Suresh N. Magge Tags: Revascularization, Intracranial Hemorrhage, Moyamoya, Transient Ischemic Attack (TIA) Illustrative Teaching Case Source Type: research

Variability in Approach to Treatment of Acute Central Retinal Artery Occlusion in US Teaching Hospitals (I6.003)
CONCLUSIONS: There is currently no consensus on how patients with acute CRAO should be managed and there is resulting wide variability in treatment trends. We propose an evidence-based protocol for acute management of these patients.Disclosure: Dr. Schrag has nothing to disclose. Dr. Youn has nothing to disclose. Dr. Patrylo has nothing to disclose. Dr. Schindler has nothing to disclose. Dr. Lavin has nothing to disclose. Dr. Kirshner has nothing to disclose. Dr. Greer has received personal compensation for activities with Bard Medical. Dr. Greer has received personal compensation in an editorial capacity for Seminars in Neurology.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Schrag, M., Youn, T., Patrylo, M., Schindler, J., Lavin, P., Kirshner, H., Greer, D. Tags: Future Directions and Challenges in Stroke Team Action Therapy (STAT) Data Blitz Presentations Source Type: research

Variability in Approach to Treatment of Acute Central Retinal Artery Occlusion in US Teaching Hospitals (S47.006)
CONCLUSIONS: There is currently no consensus on how patients with acute CRAO should be managed and there is resulting wide variability in treatment trends. We propose an evidence-based protocol for acute management of these patients.Disclosure: Dr. Schrag has nothing to disclose. Dr. Youn has nothing to disclose. Dr. Patrylo has nothing to disclose. Dr. Schindler has nothing to disclose. Dr. Lavin has nothing to disclose. Dr. Kirshner has nothing to disclose. Dr. Greer has received personal compensation for activities with Bard Medical. Dr. Greer has received personal compensation in an editorial capacity for Seminars in Neurology.
Source: Neurology - February 7, 2016 Category: Neurology Authors: Schrag, M., Youn, T., Patrylo, M., Schindler, J., Lavin, P., Kirshner, H., Greer, D. Tags: IV-tPA and Endovascular Therapy Source Type: research

Disrupting Today's Healthcare System
This week in San Diego, Singularity University is holding its Exponential Medicine Conference, a look at how technologists are redesigning and rebuilding today's broken healthcare system. Healthcare today is reactive, retrospective, bureaucratic and expensive. It's sick care, not healthcare. This blog is about why the $3 trillion healthcare system is broken and how we are going to fix it. First, the Bad News: Doctors spend $210 billion per year on procedures that aren’t based on patient need, but fear of liability. Americans spend, on average, $8,915 per person on healthcare – more than any other count...
Source: Healthy Living - The Huffington Post - November 9, 2015 Category: Consumer Health News Source Type: news

Teaching NeuroImages: Unilateral agenesis of internal carotid artery with ophthalmic artery from opposite side
A 42-year-old man with a 3-day history of gradual left-sided blindness was suspected to have internal carotid artery (ICA) chronic occlusion by magnetic resonance angiography. Catheter angiography showed that the left ICA was totally absent with the ipsilateral ophthalmic artery arising from the right ICA, and the left ICA territory was supplied by the right anterior communicating artery and the left posterior communicating artery (figure, A–C). Absence of the left carotid canal on CT proved the left ICA agenesis (figure, D). The patient was diagnosed with optic neuritis, and eyesight improved after medical treatment.
Source: Neurology - March 2, 2015 Category: Neurology Authors: Zhou, W.-Z., Zhao, L.-B., Liu, S., Shi, H.-B. Tags: All Imaging, All Neuro-ophthalmology, All Cerebrovascular disease/Stroke, Developmental disorders RESIDENT AND FELLOW SECTION Source Type: research

Teaching NeuroImages: Cortical blindness following acute obstructive hydrocephalus by a colloid cyst
A 46-year-old woman was admitted for acute headache, postseizure confusion, and visual loss. Urgent head CT scan showed obstructive hydrocephalus due to a colloid cyst (figure 1). External ventricular drains inserted emergently demonstrated CSF under pressure, above 40 mm H2O. MRI confirmed the suspected diagnosis of a colloid cyst and highlighted bilateral occipital lobe infarcts (figure 2). CT angiography showed no thrombosis of the posterior cerebral arteries (PCAs). After neurosurgical excision of the colloid cyst, the patient remained blind. The presumed mechanism of infarction was acute compression of the PCAs agains...
Source: Neurology - February 9, 2015 Category: Neurology Authors: Champeaux, C., Grivas, A. Tags: Hydrocephalus, Stroke in young adults, MRI, Clinical neurology examination, Visual loss RESIDENT AND FELLOW SECTION Source Type: research