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The Neurophile (by Rutgers RWJMS Neurology)
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Добавлен 15 июн 2018
Welcome. My name is Igor Rybinnik, and I am Vascular Neurologist and Neurology Clerkship Director at Rutgers Robert Wood Johnson Medical School. Hippocrates said, “From the brain only, arises our pleasures, joys, laughter and jests, as well as sorrows, pains, griefs and tears." Even in the 4th century BC, the father of medicine, recognized the paramount function of the brain and central nervous system in the human body. Centuries later, neurology emerged and developed into a large and diverse field firmly rooted in neuropathology, branching into theology and metaphysics, budding psychiatry and flowering neurological surgery. To me, neurology is the field that is best poised to define the most essential and elusive human concept -- the human soul -- and localize and treat its ailments. That is neurology’s irresistible allure. I am a Neurophile. Are you?
2-Minute Clinical Consult: Management of Aneurysmal Subarachnoid Hemorrhage
This video is intended to serve as a brief overview of the management of aneurysmal subarachnoid hemorrhage. The topic is for geared towards advanced medical students (sub-interns) and junior residents.
CREATED AND NARRATED BY:
Maria Victoria Castillo, MD
4th-year medical student, recent graduate
Rutgers Rutgers Robert Wood Johnson Medical School
Igor Rybinnik MD
Neurology Clerkship Director
Roger Cheng MD
Division of Stroke and Neurocritical Care
Department of Neurology
Rutgers Robert Wood Johnson Medical School
CONTENT EXPERT:
Roger Cheng MD
Assistant Professor
Division of Stroke and Neurocritical Care
Department of Neurology
Rutgers Robert Wood Johnson Medical School
Emad Nourollah-Zadeh MD
Assistant...
CREATED AND NARRATED BY:
Maria Victoria Castillo, MD
4th-year medical student, recent graduate
Rutgers Rutgers Robert Wood Johnson Medical School
Igor Rybinnik MD
Neurology Clerkship Director
Roger Cheng MD
Division of Stroke and Neurocritical Care
Department of Neurology
Rutgers Robert Wood Johnson Medical School
CONTENT EXPERT:
Roger Cheng MD
Assistant Professor
Division of Stroke and Neurocritical Care
Department of Neurology
Rutgers Robert Wood Johnson Medical School
Emad Nourollah-Zadeh MD
Assistant...
Просмотров: 2 883
Видео
External Ventricular Drainage and Intracranial Pressure Monitoring
Просмотров 6 тыс.3 месяца назад
This video is intended to serve as an introduction to external ventricular drainage, and the indications and strategies for intracranial pressure monitoring and interpretation of intracranial pressure waveforms. We will also touch on relationship between intracranial pressure and autoregulation, and discuss the complication of external ventricular drainage and an approach to weaning. The topic ...
Thunderclap Headache
Просмотров 9 тыс.7 месяцев назад
This video is intended to serve as an overview of the approach to diagnosing a patient with thunderclap headache (fastest "worst headache" of life). Learners will define the thunderclap headache, review three major categories of dangerous pathologies (five cerebrovascular pathologies, three disorders causing intracranial pressure dysregulation, and one type of cerebral infection) and review the...
Seizures and Epilepsies (2023)
Просмотров 46 тыс.Год назад
This video is intended to serve as an overview of seizures and epilepsies for medical students. Students will learn the differential diagnosis of transient neurological dysfunction, how to identify and classify a seizure, how to localize seizure focus based on presenting signs/symptoms (for focal seizures), how to estimate risk of seizure recurrence and the requirements to diagnose epilepsy. Th...
Mastering Stroke Codes
Просмотров 30 тыс.Год назад
TITLE: Mastering Stroke Codes PROTOCOL: drive.google.com/file/d/1K9_rEP43YBg1-eO7Y7galXmUzWN6hiys/view?usp=sharing 00:00 - Intro 01:43 - Activating a stroke code 02:02 - Gathering important data 02:52 - Initial stabilization 04:59 - Rapid neurological evaluation 06:48 - Addressing intracranial pressure crisis 08:01 - Basic imaging 09:31 - Review: The 7 "esses" of the stroke code 10:15 - Early m...
Movement Disorders
Просмотров 57 тыс.Год назад
This video is intended to serve as an overview of movement disorders for medical students. Students This video is intended to serve as an overview of movement disorders for medical students. Students will learn to identify and classify a movement disorder, look for parkinsonism on the neurological examination, list differential diagnoses of tremor and parkinsonism, and recall early and late tre...
CT Perfusion In Acute Ischemic Stroke
Просмотров 63 тыс.2 года назад
00:00 - Intro 01:14 - Objectives 01:38 - Why CT perfusion? 04:23 - ASPECT scoring on non-contrast head CT 08:02 - Fundamental hemodynamic properties: CBF, CBV, MTT, Tmax 13:35 - Clinical uses: DEFUSE 3, DAWN, EXTEND 18:26 - Clinical examples 22:03 - Hypoperfusion index and multi-threshold Tmax maps 23:37 - Caveats and pitfalls: Caveats in estimating core 30:15 - Caveats and pitfalls: Caveats i...
Recurrent and Chronic Headaches
Просмотров 34 тыс.2 года назад
00:00 - Intro 00:32 - Objectives 00:58 - Case 05:36 - Basic features of headache clinical history 06:36 - Fundoscopy 08:16 - Anatomy of pain: The headache network. 12:31 - Differential diagnosis of primary headache 14:15 - S.N.O.O.P. mnemonic 16:13 - IHS diagnostic criteria for migraine 17:45 - Migraine aura 18:25 - Cluster 21:19 - Treatments for primary headaches 30:14 - Differential diagnosis...
Design Matters: Slideware in Medical Education
Просмотров 10 тыс.3 года назад
00:00 - Start 00:43 - Introductory Case 02:45 - Active vs Passive Learning 03:38 - Building a Presentation 04:11 - Cognitive Load Theory 06:09 - Design, NOT Decoration 06:53 - Case 1: Teaching Seizure Classification 08:48 - Case 2: Teaching Recognition of Stroke 10:51 - Design Matters! This video is intended for medical students to understand the importance of visual design when preparing educ...
Diagnosis and Management of Cerebral Venous Thrombosis
Просмотров 76 тыс.3 года назад
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...
Hydrocephalus And the Disorders of CSF Circulation
Просмотров 96 тыс.3 года назад
00:00 - Intro 00:35 - Objectives 01:23 - Case presentation 03:01 - Clinical features 05:45 - Diagnostic studies (imaging) 11:15 - Circulation of CSF 13:52 - Differential diagnosis: Non-communicating vs Communicating hydrocephalus 16:12 - Example disorders causing non-communicating hydrocephalus 22:18 - Bulk theory vs hydrodynamic theory 25:40 - Example disorders causing communicating hydroce...
Clinical Consult: Prevent Expansion
Просмотров 10 тыс.3 года назад
00:00 - Intro 00:38 - Case 02:11 - Lesion localization 03:25 - Early differential diagnosis 05:44 - Confirming hemorrhage: The head CT 06:50 - Primary goal of hemorrhagic stroke management 07:31 - Preventing secondary injury. 08:57 - Causes of intracerebral hemorrhage 12:12 - Small vessel disease 13:11 - Vasculopathy 14:21 - Arteriovenous malformation 15:13 - Hemorrhagic neoplasm 16:31 - Hemorr...
Constructing Case Based Learning: Intracranial Dissections
Просмотров 18 тыс.4 года назад
This video is intended for residents and attendings to understand an approach to case based learning, and illustrate that approach by intentionally applying it to a complicated rare disease intracranial dissection. As a bonus, we review the diagnostic studies, treatments, and outcomes of intracranial dissections. Given the challenging topic, medical students require accompanying resident or att...
Cerebral Vascular Anatomy And Imaging
Просмотров 193 тыс.4 года назад
00:00 - Intro 00:38 - Case presentation 01:58 - Neck vasculature 02:43 - Circle of Willis 04:05 - Vascular imaging: Brain MRA and head CTA 05:24 - Vascular imaging: Neck MRA, CTA 07:01 - Vascular imaging: Conventional cerebral angiogram 07:37 - Comparison of vascular imaging modalities 09:22 - ACA vascular territory 10:08 - MCA vascular territory 12:13 - PCA vascular territory 13:32 - PCA terri...
Clinical Consult: Remove The Obstruction
Просмотров 30 тыс.4 года назад
This video is intended for medical students on clinical rotation to understand an approach to a patient presenting with stroke symptoms within the extended window, beyond 6 hours from last known at baseline. We discuss indications for reperfusion therapies and stroke work-up. Created by: Igor Rybinnik MD Produced and narrated by: Igor Rybinnik MD Neurology Clerkship Director Rutgers Robert Wood...
Perfect presentation, well made slides, and a skilled presenter. Really helpful for my exam on radiology.
Can we restore the brain to its originally size after brain injury?
Unfortunately we don’t have that technology yet.
Aoa brother i am farooq from pakistan. I am suffering cvst since july 2017. I have got latest test of MRI brain, CT scan etc. kindly send your watsap so that i could send my report to you
I am sorry that you are suffering with CVST. Unfortunately it’s challenging (and dangerous) to offer treatment advice based on reports/scans without evaluating a patient in person. I suggest you see a neurologist near you for a proper evaluation.
Sir kindly send your watsap so. That I could send you my cvst reports
Dr. Rybinnik. All your videos are amazing and refreshing!! keep this beatiful work ongoing, thank you very from a soon-to-be Neurologist!
Good luck with your career!
Y’all do a fantastic job presenting these topics in a case-based, logical way. I send all my neurosurgery students to your channel and this is a great addition! Please keep on putting great medical education out there for free for students. It’s going to make a big difference educating the next generation of docs/PA’s/NP’s.
Some months ago i diagnosed a difficult serotoninergic syndrome thanks to this video, thank you!
Awesome!
Amazing 🎉🎉🎉🎉
I suffer from autoimmune meningoencephalitis (non-infectious) caused by meningoradiculitis ( nerve root meninges inflammation). My body now has trouble regulating normal CSF pressure, especially when changing positions. I suffer from thunder clap headaches often. I am in so much pain i am unable to move or ask for help. Arachnoiditis (meningitis) can cause this by damaging CSF pressure regulation. Spinal sanitation problems. The most common cause of spine and brain inflammation aka meningoencephalitis. Waste accumulation causes body to attack itself and when inside the, brain and spine, this can form lesions on various neurological systems as well as intracranial hyper and hypo tension symptoms. Spinal fluid flow obstruction is a likely contributer to thunderclap headache as well. Mechanical meningitis is one of three known causes of meningitis. Infection and chemical are the other two. Examples of mechanical meningitis is genetics, cysts i.e. tarlov, and physical damage like slip disc. Modern misconceptions ignore mechanical meningitis like i am diagnosed with. I found most doctors incorrectly defined meningitis as an infection not inflammation. My spinal and brain inflammation aka meningoencephalitis was ignored until it was self evident. By then it was too late for me. Infection is one of three known causes of meningitis. Not meningitis itself. Someone may have an infection in spine without inflammation ( meningitis). There is nothing in science that states meningitis is an infection but can be caused by infections, chemicals, and mechanical (i e. Genetics or physical damage). Please i have suffered greatly due to this misconception and ask for scientific accuracy. OVERVIEW OF ACUTE AND CHRONIC MENINGITIS www.ncbi.nlm.nih.gov/pmc/articles/PMC7132757/
I am sorry to hear about your illness. We certainly teach our medical students that meningitis can be caused by infection, inflammation or even malignancy.
Thank you for the great videos! But meningitis and encephalitis is inflammation not infection. Infection is one of three causes of meningitis (inflammation of spine)and/or (inflammation of brain) encephalitis. www.ncbi.nlm.nih.gov/pmc/articles/PMC7132757/ I am currently diagnosed with non-infectious autoimmune meningoencephalitis. The initial cause was mechanical meningitis called meningoradiculitis aka Symptomatic tarlov cysts ICD G96.191(nerve root inflammation). I hope this helps. It is now officially a central nervous system disorder not mere radiculitis. According to a peer review article on meningitis, genetic causes are classified under mechanical causes same as cysts that are known to be causes as well according to meningitis article provided. It is also one of the most referenced papers on the topic of meningitis. My MS doctor from NYC recommends it as well. Since I developed autoimmune meningoencephalitis as a symptom I started seeing neuro immunologist. I also developed trigeminal neuralgia and hypoglossal pharagneal neuralgia as damage climbs my spine. My heart beats as low as 35-45 beats a minute now. I found my MS doctor by doing a search for autoimmune encephalitis online and the computer gave encephalitis web site and the MS doctors. Not only that arachnoiditis is a synonym for meningitis. Icd G03.9. Of which I am being treated for. This misconception of meningitis being an infection I found to be dangerous and biggest cause of misdiagnosis. I had to travel with research to quickly teach emergency room departments in NYC to treat autoimmune meningoencephalitis flare ups emergencies. Being scientifically misdiagnosed and under diagnosed made my condition severely worsen. Demyelination and nerve fiber fatigue is a huge problem and now I use a mobility device for medical assistance. This all started as a symptomatic tarlov cyst aka meningoradiculitis (nerve root inflammation).
What's the treatment 24:09 recommendations for uncomplicated vertebral artery dissections? Aspirin or Anticoagulants?
Aspirin.
It still remains unclear to me how a SAH causes increase ICP.
Unfortunately you and everyone else :). The short version: SAH causes decreased compliance of the intracranial contents impeding normal CSF circulation and absorption.
this feels like a rhythmic song and is totally useless presentation.I think the teacher loves his own voice
I’m sorry you didn’t like it.
Outstanding and fun stuff!!!!!
WOWOW~
Please dont stop making content!
Sorry, I’ve had a few busy months but a video is in progress.
Great lecture
ICB
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Awesome video for my Radiology exam in med school
What amazing way to teach 🎉 👏
wow! what an amazingly done lecture with great voiceover, picture and videos!
So glad your videos are literally part of my curriculum in my neuro rotation. You have taught me more than any other doctor
Thank you Watch again and agian😢😅😊😮 All emotions at one time
Great lectures. Great teacher
Obviously none of my doctors have watched this video.
Sorry to hear that.
Sir, I had CVST and still I am taking oral anticoagulant with Debigat , levoacitrom. Around 5 years I have been taking...I have checked no genetically disorders... But my doctor advises me to take life long.... Is it needed to take the anticoagulant for life long
I’m sorry that you are experiencing this illness. It is difficult to make appropriate treatment recommendations in an internet post without properly evaluating a person and reviewing all the data. So, I recommend following with your doctor who knows your specific situation for the discussion regarding duration of anticoagulation.
Yes sir I understand the situation. Actually it happened in 2018. After two years, my doctor instructed me to give up the anti coagulation tablet acitrom and reduced my dosage 250g levitracitrom . During Covid pandemic he passed away. His successor who is also neurologist but not that experience of the former, asked to continue the tablet dabigat with increased dosage. In my case CVST on left and it was partially canalized with slight siderosis due to hemorrhage and now doing good. After 2018 there was no issue that has raised . But its been more than 5 years I have been taking the tablets. That's why I asked sir. At least your experience may guide me for further.
43:00 'Do you have the attention span for one more thing?' The way you teach, I have the attention span for a thousand more things!
Great great great
I am from Cuba and I learn a lot from you, keep on
Thank you for the video. The pdf that is linked to the video is not working very well after p.66
Great presentation many thanks
_I am so happy for my Sister, she got cured of her Multiple Sclerosis just few weeks of using Dr Madida Sam herbal supplements🌿🌿…._
who is this guy😭😭😭😭😭 i love him omg
Great lectures.
At around 4 minutes into the video, i suggest to correct the color code name to reverse for ischemic core to penumbra
Yes, that is a typo.
GOD BLESS YOU FOR ALL THESE VIDEOS!
for myself: stopped at 21:30
Great
I saw you have recently update a stroke lecture almost 1 year ago but I can not find it any more recently.
the most comprehensive and best neurology lectures in RUclips channel.
Thank you!
great lecture
Thanks, this video is very useful.
I'm an internal medicine resident and unfortunately, neurology is placed off to the side in our training, so these videos are so so helpful for teaching on neurology topics. Thanks Neurophile!
I'm an internal medicine resident and unfortunately, neurology is placed off to the side in our training, so these videos are so so helpful for teaching on neurology topics. Thanks Neurophile!
This is a sad fact in many places - medicine residents don’t get enough neurology. I applaud your initiative. Keep learning!
Steve MissJa Buddy 😢❤
I hope you can answer me. Does narrowing or blockage of a vein in the head cause nerve spasms?
I’m not sure what you mean by “nerve spasms”
@@theneurophile nervous breakdown
It’s hard to answer that question without more information. Significant clotting in the venous system can rarely cause stroke, which may cause behavioral difficulties. But narrowing in the venous system without clotting or stroke typically does not.
thankss...quality.
great short lecture.
Easily the best medical videos on the internet