@fcuk_off_bitch People have a complex obstetric history of various reasons, and most don't involve any negligence from either parents. We as healthcare workers need to do better.
@StatisticUrban Yes. I also remember with Mitch McConnell refused to let Obama have his supreme court pick with nearly a year remaining in his term of office. That is fucking unforgivable. The senile fuck then let Trump appoint a justice with less than a month remaining in his term...
Dr. Asthik Biswas (@stikkman11) reminds us that malformations of cortical development are common in certain metabolic disorders such as peroxisomal disorders. Hypomyelination is another important clue to diagnosis. #pedsrad#pedineurorad#radres#FOAMrad
The AMNL score, the first comprehensive clinical rating scale for X-linked adrenoleukodystrophy, provides a common language for clinical care, improves prognostic counseling, & offers a crucial outcome measure for evaluating therapies in clinical trials: https://t.co/U45p6XGNzQ
Do you know when your cerebral vessels develop? Here's an excellent graphic from Arrighi et al. summarizing the timeline of #CircleOfWillis maturation in children. Read now @NeurosurgeryCNS.
🔗: https://t.co/el8CYNewqA
Algorithm for management of acute ischemic stroke eligible for EVT
DVO: distal vessel occlusion
EVT: endovascular thrombectomy
IDD: insufficient data to determine
LVO: large vessel occlusion
mRS: modified Rankin scale
MVO: medium vessel occlusion
Three levels of comprehension and function
Language comprehension
- arrival, knowing, recognition
Motor speech function
- emotional, automatic, symbolic (propositional)
*elementary levels are the least to be affected
4/
Apraxia assessment
Pantomime
Meaningful hand gestures
Buccofacial apraxia
Meaningless hand gesture
Luria 3-steps task
*Describe the body part and the impaired movement
*Consider mistake, if persist after correction
3/
Some final considerations
🥇 Most of apraxias affect both extemitires (exceptions exist)
🥈 Most of them are related to left parietal injury
🥉 Dressing apraxia is not an "apraxia" it's a visual-spatial deficit
10/🧵