No I do not. I find the ERica score a bit more difficult to interpret (but can be due to lack of experience) and the neurologists at my center don't use it. I am aware that it is supposedly more sensitive and specific than the MTA score for AD however.
Very insightful. Thank you. If lets say imaging was done but not necessarily for assessment of dementia. If i were to assess for global cortical atrophy and found it was appropriate for age. Is there a need to assess for focal atrophy?
Just clarification in using the GCA scale. What if its predominantly frontal or asymmetric for example. Do i say grade them individually or base the scale on the worst one and then say its focal/asymmetric?
personally I report asymmetrical areas separately and give them a separte score, for instance: "moderate global cerebral atrophy (GCA 2) but with asymmetrical more pronounced atrophy in the right temporal lobe (GCA 3). DDx frontotemporal lobar degeneration". In the end it's about identifying extremes, I don't lose my head over subtle differences (unless there's an explicit clinical question).
As far as I know not, I don't use it when evaluating brain atrophy at least, off course looking at ventricular size is important to look for NPH for instance.
A combination of location, size and presence of gliosis. Virchow-Robin spaces are generally located basally in the basal ganglia (where the lenticulostriate arteries perforate the substantia perforata anterior), tend to be smaller and are not surrounded by gliosis. Lacunar inarcts are typically located higher-up in the basal ganglia, tend to be larger and are oftne surrounded by gliosis. None of these is 100% fail-safe, but if you combine you, you can mostly say which is which.
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Thank you for sharing! Excelent presentation Dr
lucky to find such an amazing presentation. Thank you
You are a master at simplifying complex topics. Great job!
excellent, informative presentation sir!! thank you for teaching us the neuroradiology in the simplistic way possible.
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excellent class, was very helpful for me. Thank you!
Superb presentation as always
Excellent lecture. Thank you so much.
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Great lecture, as usual.
Superb presentation as always 🎉😊
Thank's, excellent presentation
Di you use the ERICA score to evaluate the entorrhinal cortex?
No I do not. I find the ERica score a bit more difficult to interpret (but can be due to lack of experience) and the neurologists at my center don't use it. I am aware that it is supposedly more sensitive and specific than the MTA score for AD however.
Very insightful. Thank you. If lets say imaging was done but not necessarily for assessment of dementia. If i were to assess for global cortical atrophy and found it was appropriate for age. Is there a need to assess for focal atrophy?
Nah, I dont scrutinize my "chronische headache" MRIs for subtle asymmetrical atrophy. If it jumps to the eye and is clear, I will report it off Course
Just clarification in using the GCA scale. What if its predominantly frontal or asymmetric for example. Do i say grade them individually or base the scale on the worst one and then say its focal/asymmetric?
personally I report asymmetrical areas separately and give them a separte score, for instance: "moderate global cerebral atrophy (GCA 2) but with asymmetrical more pronounced atrophy in the right temporal lobe (GCA 3). DDx frontotemporal lobar degeneration". In the end it's about identifying extremes, I don't lose my head over subtle differences (unless there's an explicit clinical question).
Thank you so much. Always a pleasure to hear from you🎉
Is ventricular system size has a role in judgment of brain atrophic changes?
As far as I know not, I don't use it when evaluating brain atrophy at least, off course looking at ventricular size is important to look for NPH for instance.
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Thanks for answering
thanks
how to ddx perivascular robbin space with lacunar infarct?
A combination of location, size and presence of gliosis. Virchow-Robin spaces are generally located basally in the basal ganglia (where the lenticulostriate arteries perforate the substantia perforata anterior), tend to be smaller and are not surrounded by gliosis. Lacunar inarcts are typically located higher-up in the basal ganglia, tend to be larger and are oftne surrounded by gliosis. None of these is 100% fail-safe, but if you combine you, you can mostly say which is which.
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I'm gonna start a crowdfunding operation to get me a new one :D
@@theneuroradiologist 😂