An unusual presentation of Aortic dissection, followed by a review of the current state of play with this disease in the Emergency Department
A Spider called Willis
May 15, 2009 By 2 Comments
A ferocious spider lives in the brain. His name is Willis!
More brainstem lesions
May 14, 2009 By 1 Comment
Neurological Mind-boggler 004 Even more scenarios designed to test drive Gates’ Brainstem Rules of 4 (helpful figures here): Scenario 5 You are examining a patient with sudden onset right-sided weakness. These are your clinical examination findings: weakness of the right face, upper and lower limbs. failure of abduction of the left eye. loss of vibration [...]
Helpful Brainstem Figures
May 13, 2009 By Leave a Comment
References Gates, P. The rule of 4 of the brainstem: a simplified method for understanding brainstem anatomy and brainstem vascular syndromes for the non-neurologist. Internal Medicine Journal 2005; 35: 263-266 [pubmed] Goldberg, S. Clinical Neuroanatomy Made Ridiculously Simple. MedMaster Series, 2000 Edition. [betterworldbooks] ‘Life in the Fast Lane’ links The ultimate Brainstem Rule diagram Brainstem [...]
Brainstem lesions
May 13, 2009 By 8 Comments
aka Neurological Mind-boggler 003 As promised here are some scenarios to try out Gates’ Brainstem Rules of 4 (helpful figures here): Scenario 1 You are examining a patient with sudden onset left-sided weakness. These are your clinical examination findings: weakness of the left upper and lower limbs, with sparing of the face. tongue deviation to [...]
Brainstem Rules of 4
May 11, 2009 By 5 Comments
Hands up who enjoyed learning the anatomy of the brainstem in medical school?
Hmm, thought so.
