Diagnosis and Management of Cerebral Venous Thrombosis
Vložit
- čas přidán 12. 06. 2024
- 00:00 - Intro
00:56 - Objectives
01:22 - Case
03:43 - Clinical Presentation
05:13 - Venous Vascular Territories
09:39 - Diagnostic Studies
13:07 - CT Venography
15:40 - MRI and MR Venography
20:48 - Summary of Imaging Signs
24:50 - D-Dimer
26:20 - Treatments
27:35 - Anticoagulation
32:12 - Endovascular Therapy
35:02 - Post Acute Care and Outcomes
40:40 - Summary: Treatment Algorithm
This video is intended for residents and fellows to understand the clinical presentation, diagnosis, treatment and prognosis of cerebral venous thrombosis.
Slides: drive.google.com/file/d/13vOR...
Created by:
Igor Rybinnik MD
Produced and narrated by:
Igor Rybinnik MD
Neurology Clerkship Director
Rutgers Robert Wood Johnson Medical School
Images adapted from, and redrawn whenever possible:
Kandel ER, et al. Principles of Neural Science 5th Edition. McGraw Hill, 2012.
Hacking C, Radiopaedia.org, rID: 80107
Stam J. NEJM 2005;352:1791-8
Smith D, Radiopaedia.org, rID: 74568
Ghoneim A, et al. Clinical Rad 2020;75:254-64
Lee SK, et al on behalf of SNIS. J NeuroIntervent Surg 2018;10:803-810.
Disclaimer: Please note that this material was simplified for educational purposes. For patient management, please review your clinical society's guidelines and engage expert consultation where appropriate. Also, the opinions of the presenters do not necessarily reflect those of Rutgers Robert Wood Johnson Medical School, Robert Wood Johnson University Hospital, or Rutgers University as a whole.
Your videos are better than the best netflex series. I am astonished how presentations could be. You are creating a new era for medical presentations. Thank you! - Your Jordanian fan from Germany
Thank you. I’m trying to redefine professional education one video at a time.
@@theneurophile 😅👍🏼👍🏼👍🏼
😅
Daktari you are GOD's gift to radiology residents. Really appreciate the effort and time you put in you presentations
Super! Far better than paid CME courses.
Unbelievable!!!
Thank you for providing such a great job for students and residents.
Definitely going to recommend that to all.
Teaching can never get better than this... Love you loads
You have a gift, Sir!
I have no words. You really have de gift to transmite the knowledge. Please sir, continue. Iam your fan.
Your presentations are a boon for neurology residents like us.
Always worth to revisit several times for these excellent tutorials.
What an excellent lecture is this!!!!
Another important lecture let released here!!
Thank uu!!
this video is amazing, it is already one of my favorites. Thank you for your videos
As a radiology resident I find your presentations really helpful, thank you!
This is the best lecture i've ever had. Thank you so so much, it was very helpful for us neuroresidents. Greetings from Croatia!
Such a great presentation! Thank you very much.!
Just an outsider here - family member has just been diagnosed and is being treated. Your video has given me a lot of hope - thank you! (She presented with a 4 day headache behind right eye followed by an apparent stroke losing cognitive ability and speech). ❤
I'm sorry to hear of your troubles. I hope your family member gets better soon.
This was truly amazing ❤️❤️❤️ I hope you never stop uploading videos. It was extremely helpful. Thankyou sir.
OKAY WOW! Hands down the best way to teach! Thank you so much.
Thank you so much.
Great lecture
Thank you dr rybinnik 🌷
This is an excellent lecture!
You are a genius!! We can read about CSVT from multiple different sources, but we will never ever find a practical presentation like this. Thank you very much!
Thank you! That was the point of this presentation.
This ppt is really excellent! Thanks very much
Wonderful presentation
Such a great job!!
It is really helpful... great lecture !!! Thumbs up
CCM/Neuro CC attending here preparing for boards. What an excellent talk and review!!. Now looking for the next talk. Thank You for all that you do for patient care and education.
Thank you! I am glad you found this useful. Good luck on the boards.
Just Perfekt!!!!
Thanks alot☺️
Thank you sir🙏 nice presentation
Thanks so much!! Excellent!
This is one of the best presentation I've ever seen! Thank you!
Excellent presentation sir
Thus is amazing lacture I feel like I watch my series episode waiting next events ❤❤❤❤❤❤ thanks dr
Great work!! Keep it up
Thank you 🙏🏼
more than beutiful !!!! thanks from heart
One like isn't enough,thank you for your effort
I enjoyed and learned a lot from you video, thanks. As a 62 male with no history of headaches and contracted covid thanksgiving 2021, I have been suffering not post covid, but (maybe coincidental) post booster and flu shot, I have been suffering ever since. I have had a head CT scan that did not show any smoking guns and scheduled for an MRI on 14 March. I recently started a two week course of amoxicillin. I have also started again on baby aspirin and ginger consumption as to help in the event of thrombosis (figure it can't hurt and only help). P.S. As a magician who uses comedy, I much appreciated your method of presentation despite my predicament. Thanks!!
Thank you for the nice comments. I am sorry to hear about your troubles. I hope you fell better soon.
This was really brilliant!! You really helped me understand a very hard topic for my class tomorrow!! thank you so much, love from Brazil S2
Thanks a lot Sir, great lecture, Love from India 🇮🇳
fantastic
excellent
TOP CLASS PRESENTATION.
YOUR FAN FROM INDIA...
I want to know the way u made such a professional presentations like this ..great thanks to u for your efforts 👏👏
Thank you. I will make a video about it at some point.
I’m a new PA in NSGY and your videos have helped so much. I get so excited when the next one comes out. Thanks a million. What’s the next topic presentation?
Exactly!
Here we go ,, Medical netflix ,, You really open new era of competition for Medical education wise ,, if this Paid version then I will be the first one subscriber ,, thanks for your hard work and keep going.
Education will always be free.
awesome video ever !!!! btw,
what is the color that you have used on your slide doc??
Fascinating. My case is almost identical to this. Experienced CVT at 28 attributed to birth control.
I'm sorry to hear that. I hope you have recovered well.
Thank you for information...
Currently admitted in hospital with transverse sinus thrombosis with venous infarction and under LMWH and Mannitol for raised icp..improving symptomatically..lets hope it will recanalize with no recurrence..
I'm sorry to hear that. I hope you get better soon.
@@theneurophile thank you..
What program do you use to create your presentations? They are so high quality.
I use PowerPoint and the Adobe Creative Cloud.
Sir, it shall be very useful if u start sharing pdf of your lectures too.... thank you
Sure. Slides are hyperlinked in the video description.
Brilliant!! thanks a lot !!
Which slide software do you use for the presentation sir?
The latest version of PowerPoint
thank you for sharing this video, one question: how long should we continue warfarin?
Usually 3-6 months, but ultimate duration depends on the results of follow-up imaging and thrombophia workup
Great video! The picture in 8:40 (cavernous sinus) is incorrect. V2 is not inside the cavernous sinus.
I beg to differ. Maxillary division is inside the cavernous sinus according to Netter's Anatomy atlas.
I'm also recently diagnosed with CVST
I am sorry to hear that. I hope that you recover quickly.
Think you very much. Could you please indicate the relevant references?
The references are in small font on the relevant slides, but I can add them to the description.
Hiii, greetings from India. Very useful presentation!! I am a resident physician of Int Medicine. We start Inj Lmwh and on the second day, we start warfarin. What is the ideal time to add Warf.??
The time to start warfarin depends on patient stability (both clinical and radiographical on follow-up imaging).
Thanks for this amazing informative lecture..
May i know the app used in this presentation 😅
Sure. This was made in PowerPoint.
@@theneurophile thank you, I’m an intensivist I gained a lot from knowledge from this amazing channel
What about vaccine induced as in the J & J side effects listed by them? Are you seeing more of this now?
Not really. CVT is reasonably rare, so even if the risk goes up a few percent, the absolute case numbers are still low.
My 17 yr old suffererd a stroke 2 years ago from this CVST. They weren’t able to treat it after being in the ICU for 16 hours before she suffered the stroke.
I am very sorry to hear that. Kids are usually resilient, so I am hopefully that she has recovered well.
Hi sir I got same problem. What must I do
I am sorry to hear that. The first step is to reach out to a neurologist to be evaluated.
U haven't discussed about blurred vision of patients?
There is a long list of non-specific symptoms that CVT patients get. Blurred vision is one of those symptoms, but unfortunately it does not help in the diagnosis.
33:17 "a decade ago" i was thinking more like 1990s 😂😂 not 2012...
iam a patient of CVT..am having this problem since from 2years..it was attacked at the time of delivery with hypertension..as I want know this problem.. will not cure..am taking medicines till now
I'm sorry to hear that you have cerebral venous thrombosis. There is a chance that medications can curing this condition but those chances are best discussed with your doctor.
👍🌸💗
How your making ppt sir
I just use the usual PowerPoint that comes with Office 365. Nothing special.
What Happened with the Secret Study?
It hasn’t been completed yet.
@@theneurophile i was on call and we had this sagittal sinus thrombosis patient. (Proved on MRV)
And this video helped me pick up the findings after watching it.
SO INCREDIBLY HELPFUL. Thank you!
How can I contact u sir.. I want to discuss my MRV report plz
For us doctors, it is very challenging to interpret a report or make any recommendations without interviewing and examining the patient. Scans must be interpreted in the context of the clinical story. So, I recommend that you either discuss the MRV with the doctor that ordered it (who presumably examined you) or make an appointment to see us for a full evaluation.
How can I talk to you? Where to contact u... I want to discuss my all symptoms with you plz..
@@BeenaKaKitchen I am sorry but I cannot comment on your symptoms or MRI report without evaluating you in our clinic. If you are in New Jersey, I encourage you to make an appointment by calling 732-235-7733.
I live in Pakistan.. can I talk to you on call?
So ct is not penifishial vib earl
Can you please clarify your question?
I am with uncertain mood could speak not well sometime wonderful orator but suddenly not affording to speak satisfactorily .no rel as tin of connectivity in see ntence.lstene they also fail to to pick me afte one or two talks.toic also tuning off my grasp.feling s if my mind utter ly chained.and sleeping and if confront with new situation get taken by fear could not write also
Vision is alsobluring.hadache barly bearable
Fickle minds
What I should eat prescribe me
Unfortunately, I cannot make any prescriptions for patients I have not personally seen.
Hey can we speak?