جنادي مدخلي

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[جنادي مدخلي @xil82]

A new interesting study has been published, it discusses the seizures after brain tumors resection, factors that predict postoperative seizures recurrence and that would predict ASM withdrawal, thanks for the team ♥️

[جنادي مدخلي @xil82]

@IhabFathiSulima This is lentiform fork sign. It is seen in uremic encephalopathy.

[جنادي مدخلي @xil82]

@IhabFathiSulima ADEM

[جنادي مدخلي @xil82]

Exactly. The most important mimic to keep in mind is acute labrynthitis. Detecting a subtle dysmetria or central nystagmus has always been a tricky in such cases. Many patients are disabled even in peripheral etiologies. Therefore, in most cases we usually prefer to admit for IV medications and steroid as well as an urgent MRI to exclude small infarction.

[جنادي مدخلي @xil82]

Low risk TIA (ABCD2 score of 1-3): single antiplatelet.

Moderate and high risk TIA (ABCD2 score more than 3): dual antiplatelets.

Duration of dual antiplatelets in moderate to high risk TIA is either 3 weeks (if no evidence of intracranial significant atherosclerosis), or 3 months (if there is significant intracranial atherosclerosis).

For minor stroke (defined by NIHSS of 3 or less): again dual antiplatelets, the duration is also same as above (depending if there is significant intracranial atherosclerosis).

For major stroke (defined by NIHSS of 4 or more): single antiplatelet.

Lastly: recent guidelines has suggested minor stroke definition by NIHSS of 5 or less, while in old guidelines it is NIHSS of 3 or less.

[جنادي مدخلي @xil82]

@DrAyubaD Right cerebellar cystic lesion with mural nodule. DDs includes cerebellar hemangioblastoma, commonly associated with VHL syndrome.

[جنادي مدخلي @xil82]

@DrMalakbadrani Delta brush

[جنادي مدخلي @xil82]

@Sultan__Shehri Well deserved, the best is yet to come soon ♥️

[جنادي مدخلي @xil82]

@Abdulaziz118_ Well deserved, I am sure you will be a great neurologist very very soon ♥️

[جنادي مدخلي @xil82]

End of 2025 year ceremony for adult neurology department at KAMC-MNGHA ♥️

[جنادي مدخلي @xil82]

بفضل الله سبحانه تم إجتيازي للإختبار النهائي العملي والذي يمثل المحطة الأخيرة للبورد السعودي لطب المخ والأعصاب للكبار، الفضل لله سبحانه ثم لأهلي وعائلتي ولكل من عملت معه وتعلمت منه في مدينة الملك عبدالعزيز الطبية بالحرس الوطني بالرياض، والقادم أجمل بإذن الله ♥️♥️

[جنادي مدخلي @xil82]

اللهم لك الحمد والشكر بفضل الله سبحانه تم إجتياز الإختبار النهائي الكتابي لتخصص طب المخ والأعصاب للكبار ♥️🙏🏼

[جنادي مدخلي @xil82]

@Kaddamry والله ونعم الرجل الله يحفظه ويوفقه وين ماراح

[جنادي مدخلي @xil82]

In cortical dementia (Common example is Alzheimer dementia), the main problem is in the medial temporal lobe and hippocampal structures and the patient has impairment in episodic short term memory as well as impaired memory recognition (they will not be able remember the recents information even when you give them clues because they didn’t store it from the beginning).

The opposite in subcortical dementia (Parkinson disease or vascular dementia) where the main problem is in the subcortical predominately frontal white matter connections (they will have executive dysfunctions including difficulty planning and organisation and multitasking and speed processing). They can have memory impairment as well but their memory recognition is always normal after cuing, and they will not have any cortical signs as aphasia, apraxia, visual agnosias or cortical sensory loss.

[جنادي مدخلي @xil82]

New achievement ♥️

[جنادي مدخلي @xil82]

@DrAkhilX Medication side effects such as sedative agents (propofol)?