Diagnosis and Management of Cerebral Venous Thrombosis

[@JameelHijazeen]

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

[@theneurophile]

Thank you. I’m trying to redefine professional education one video at a time.

[@JameelHijazeen]

@@theneurophile 😅👍🏼👍🏼👍🏼

[@Rad12315]

😅

[@jsr44444]

I was diagnosed with CVST nearly 3 weeks ago and your video has helped me understand my condition. The headaches are still bad but other than that i am fortunate because it was caught early. I found out I have inherited Prothrombin 20210 Gene Mutation from my mother as she suffered thrombosis in the 1980s. It seems i will be on warfarin for life 😢. Thank you

[@theneurophile]

I’m sorry to hear that. I hope you feel better.

[@durelltrago62]

Super! Far better than paid CME courses.

[@7iipx441]

Unbelievable!!! Thank you for providing such a great job for students and residents. Definitely going to recommend that to all.

[@suyashsingh7469]

Teaching can never get better than this... Love you loads

[@markmuriithi1726]

Daktari you are GOD's gift to radiology residents. Really appreciate the effort and time you put in you presentations

[@mayank9822]

Your presentations are a boon for neurology residents like us.

[@nilsoncorrea8474]

I have no words. You really have de gift to transmite the knowledge. Please sir, continue. Iam your fan.

[@coldmagnet]

You have a gift, Sir!

[@zedowabe]

What an excellent lecture is this!!!! Another important lecture let released here!! Thank uu!!

[@joannc147]

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). ❤

[@theneurophile]

I'm sorry to hear of your troubles. I hope your family member gets better soon.

[@aicatandkitten]

How are she now ? plz tell

[@joannc147]

@@aicatandkitten thanks for inquiring! She was quite remarkable in improving….then plateaued. She is living in an independent care facility. She has eyesight issues and cognitive weaknesses. Her reality has shifted with obsessive thoughts, inability to operate appliances and depression. She’s safe living in a facility.

[@caiyu538]

Always worth to revisit several times for these excellent tutorials.

[@tulikanahar7441]

OKAY WOW! Hands down the best way to teach! Thank you so much.

[@theneurophile]

Thank you so much.

[@amirjanah9873]

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!

[@theneurophile]

Thank you! That was the point of this presentation.

[@zeljkacuk4498]

This is the best lecture i've ever had. Thank you so so much, it was very helpful for us neuroresidents. Greetings from Croatia!

[@dayanaemanuilova4589]

As a radiology resident I find your presentations really helpful, thank you!

[@ashwanijoshi5199]

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.

[@theneurophile]

Thank you! I am glad you found this useful. Good luck on the boards.

[@centralperks6458]

this video is amazing, it is already one of my favorites. Thank you for your videos

[@Sally-gu8mq]

Brilliant.. Just brilliant ..

[@lize-marivanveyeren4324]

This is amazing! Thank you for your work!

[@digambarpanchal1859]

This is one of the best presentation I've ever seen! Thank you!

[@iftinaxmad781]

Thus is amazing lacture I feel like I watch my series episode waiting next events ❤❤❤❤❤❤ thanks dr

[@eemanhilal]

Wonderful presentation

[@ltcbio1]

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!!

[@theneurophile]

Thank you for the nice comments. I am sorry to hear about your troubles. I hope you fell better soon.

[@shuyetchoo480]

It is really helpful... great lecture !!! Thumbs up

[@lizzydevon5634]

This was truly amazing ❤️❤️❤️ I hope you never stop uploading videos. It was extremely helpful. Thankyou sir.

[@diking8171]

This ppt is really excellent! Thanks very much

[@nathgoody5905]

Thanks a lot Sir, great lecture, Love from India 🇮🇳

[@mayfouad2954]

Just Perfekt!!!! Thanks alot☺️

[@MrZeid86]

One like isn't enough,thank you for your effort

[@luizanicastro1840]

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

[@gentleman7951]

Great lecture Thank you dr rybinnik 🌷

[@damasceno9434]

Such a great presentation! Thank you very much.!

[@maheswaranganesan4150]

TOP CLASS PRESENTATION. YOUR FAN FROM INDIA...

[@hongnhinguyen1840]

This is an excellent lecture!

[@ethankenney8878]

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?

[@brainman709]

Exactly!

[@dr.mohammedmohammed7633]

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.

[@theneurophile]

Education will always be free.

[@Sri_ram17]

Excellent presentation sir

[@kamalghimire4148]

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..

[@theneurophile]

I'm sorry to hear that. I hope you get better soon.

[@kamalghimire4148]

@@theneurophile thank you..

[@ivanbaracaldo1386]

Great work!! Keep it up

[@shivarajhunge-patil7701]

Thank you sir🙏 nice presentation

[@mohamedtarek3832]

I want to know the way u made such a professional presentations like this ..great thanks to u for your efforts 👏👏

[@theneurophile]

Thank you. I will make a video about it at some point.

[@rafaelbarianineto]

Thanks so much!! Excellent!

[@kons9172]

Such a great job!!

[@nadeemibrahim8778]

excellent

[@bahiachibi895]

Amazing 🎉🎉🎉🎉

[@pixie89]

Thank you 🙏🏼

[@hazemali2047]

Thank you for the video. The pdf that is linked to the video is not working very well after p.66

[@darky5159122]

more than beutiful !!!! thanks from heart

[@baveshsiva7393]

awesome video ever !!!! btw, what is the color that you have used on your slide doc??

[@ankushdhiman2962]

Sir, it shall be very useful if u start sharing pdf of your lectures too.... thank you

[@theneurophile]

Sure. Slides are hyperlinked in the video description.

[@raminvakili1038]

thank you for sharing this video, one question: how long should we continue warfarin?

[@theneurophile]

Usually 3-6 months, but ultimate duration depends on the results of follow-up imaging and thrombophia workup

[@woudwyk]

Fascinating. My case is almost identical to this. Experienced CVT at 28 attributed to birth control.

[@theneurophile]

I'm sorry to hear that. I hope you have recovered well.

[@aicatandkitten]

How r u now ?

[@radiologydarkroom7709]

fantastic

[@salocohen13]

Great video! The picture in 8:40 (cavernous sinus) is incorrect. V2 is not inside the cavernous sinus.

[@theneurophile]

I beg to differ. Maxillary division is inside the cavernous sinus according to Netter's Anatomy atlas.

[@andresbluebird]

What program do you use to create your presentations? They are so high quality.

[@theneurophile]

I use PowerPoint and the Adobe Creative Cloud.

[@saeeda7783]

Thanks for this amazing informative lecture.. May i know the app used in this presentation 😅

[@theneurophile]

Sure. This was made in PowerPoint.

[@saeeda7783]

@@theneurophile thank you, I’m an intensivist I gained a lot from knowledge from this amazing channel

[@nedjlabou4730]

Think you very much. Could you please indicate the relevant references?

[@theneurophile]

The references are in small font on the relevant slides, but I can add them to the description.

[@turaycesur3099]

Brilliant!! thanks a lot !! Which slide software do you use for the presentation sir?

[@theneurophile]

The latest version of PowerPoint

[@Mr_3raqi]

33:17 "a decade ago" i was thinking more like 1990s 😂😂 not 2012...

[@أبنالعراق-ش6د4ض]

I hope you can answer me. Does narrowing or blockage of a vein in the head cause nerve spasms?

[@theneurophile]

I’m not sure what you mean by “nerve spasms”

[@أبنالعراق-ش6د4ض]

@@theneurophile nervous breakdown

[@theneurophile]

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.

[@tomo8597]

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.

[@theneurophile]

I am very sorry to hear that. Kids are usually resilient, so I am hopefully that she has recovered well.

[@vwaran7580]

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

[@theneurophile]

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.

[@vwaran7580]

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.

[@aicatandkitten]

How are you now? ? plz tell me. My brother also had cvst. We are so upset 😢

[@reloadedvader]

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.??

[@theneurophile]

The time to start warfarin depends on patient stability (both clinical and radiographical on follow-up imaging).

[@ifnotmewho148]

What about vaccine induced as in the J & J side effects listed by them? Are you seeing more of this now?

[@theneurophile]

Not really. CVT is reasonably rare, so even if the risk goes up a few percent, the absolute case numbers are still low.

[@COMEDY00034]

Hi sir I got same problem. What must I do

[@theneurophile]

I am sorry to hear that. The first step is to reach out to a neurologist to be evaluated.

[@angelrani5981]

U haven't discussed about blurred vision of patients?

[@theneurophile]

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.

[@balrajstrawberry]

How your making ppt sir

[@theneurophile]

I just use the usual PowerPoint that comes with Office 365. Nothing special.

[@Entertainingstuff313]

What Happened with the Secret Study?

[@theneurophile]

It hasn’t been completed yet.

[@Entertainingstuff313]

@@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!

[@BeenaKaKitchen]

How can I contact u sir.. I want to discuss my MRV report plz

[@theneurophile]

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.

[@BeenaKaKitchen]

How can I talk to you? Where to contact u... I want to discuss my all symptoms with you plz..

[@theneurophile]

@@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.

[@BeenaKaKitchen]

I live in Pakistan.. can I talk to you on call?

[@niyazaali2362]

I'm also recently diagnosed with CVST

[@theneurophile]

I am sorry to hear that. I hope that you recover quickly.

[@vallepudivya4770]

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

[@theneurophile]

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.

[@amalsaleh1196]

So ct is not penifishial vib earl

[@theneurophile]

Can you please clarify your question?

[@اممحمدالقاسم-ذ5ت]

👍🌸💗

[@hackerpro1415]

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

[@theneurophile]

Unfortunately, I cannot make any prescriptions for patients I have not personally seen.

[@ZeeVisionsLLC]

Hey can we speak?

[@FarooqKhan-j2j]

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

[@theneurophile]

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.

[@FarooqKhan-j2j]

Sir kindly send your watsap so. That I could send you my cvst reports

[@aicatandkitten]

Plz apna contact nmbr dain mjy ap say bat krni h.