Cerebral Vascular Anatomy And Imaging

[@lindalee8793]

You've managed to present neuroanatomy clinical cases in such an interesting way. Thank you

[@theneurophile]

Thank you. I'm trying my best to cure neurophobia in medical students.

[@nazrinahashmi3036]

Gud

[@oladeinde]

As a Cerebrovascular Physician Assistant, I have to say, this is one of the best videos converging this topic that I have come across.

[@theneurophile]

Thank you! I'm glad you found this useful.

[@The_hustletown_PA-C]

I'm a freshly minted PA and decided to jump into endovascular, skull based, and spine. What a learning curve there is. Definitely saved this too my YT work list

[@ayumik161]

@@The_hustletown_PA-C same im 6 month fresh in neurosurgery and these vids have been GOLDEN. Wishing you the best of luck in your PA journey

[@getitdone0010]

stopped in the middle of the video to say thank you

[@abdullahsamime5172]

Brilliant! I really appreciate that a vascular neurologist cares about students and tries to help them in a very amazing way.

[@fbz6794]

This is the best lecture of stroke. Very well structured and simplified. My conception is now clear. Thanks a lot.

[@santanawilian]

This vascular anatomy lesson is by far the most detailed and enjoyable one that I've watched so far! I'm doing my neurology rotation now, and your lessons are helping a lot! I appreciate what you are doing to us medical students, Dr. Rybinnik! Greetings from Brazil.

[@antoniojames3798]

I highly recommend Dr. Osaka on KZbin channel, who helped me in getting rid of my Stroke (cerebrovascular diseases): 160,264. It was Amazing seeing my self free from the deadly diseases with the help of Dr. Osaka natural herbal remedy, I'm forever grateful Sir.

[@GabrielSantAnaCarrijo]

Hahaha só os santanas aqui

[@drabigail_kl_kids_doc]

The best neuro anatomy lectures I’ve come across

[@frogprincessss]

This is by far, the best and most helpful (not to mention practical) lecture I have seen that combines the principles of localization and vascular territory imaging.

[@arekhandiabruno]

No dislikes! Says a lot about this excellent presentation! Thanks.

[@YaThatOneChick]

Just want to say thank you, so far the best video for learning I've come by

[@sanjeevkook]

Thanks for such a clinically oriented stroke presentation.

[@Malferon]

Your videos are truly extraordinary. I am a 3rd year Child Neurology resident and have saved all of them and really appreciate your methodical, comprehensive, and thorough approach to breaking down key neuroradiological and neuroanatomical concepts. Great for study and review. I plan to share these with many of my colleagues. Please keep up the good work.

[@antoniojames3798]

I highly recommend Dr. Osaka on KZbin channel, who helped me in getting rid of my Stroke (cerebrovascular diseases): 160,264. It was Amazing seeing my self free from the deadly diseases with the help of Dr. Osaka natural herbal remedy, I'm forever grateful Sir.

[@mohamedgamal-sq9ce]

Best ever neuro radiology vedio

[@RashaAl-Khafaji-xi4qk]

It was great, and thank you for combining the clinical and radiology findings. Fortunately, you made a video that can be repeated. Because there are so many details to be considered, especially when I am the one who is going to be the radiologist on the nightshift!

[@haleybeckman1121]

Wow do I love this video! I work as a surgical neurophysiologist and this is an extremely helpful video.

[@cl7934]

Thank you so much, I got sucked in and found the topic super interesting! As if I was solving a case from a detective themed movie :) This type of content reminds me of why I chose to study medicine and how worth it is to put in the time to study.

[@samuraisoul2]

Thank you for the great talk with excellent imaging. I am not in the medical field. I am a stroke survivor (L MCA stroke) and have found such talks and imaging useful for me in my recovery and as motivation to keep up my re-stroke prevention therapy.

[@theneurophile]

That is wonderful to hear. I wish you the highest level of recovery. Keep going!

[@hemalathachinthakindi3336]

​@@theneurophile Hello sir.. my son 6 years old. He got brain stroke. The doctor said vascular problem. May I know which treatment is good.? What is the best treatment this situation?

[@hemalathachinthakindi3336]

Please help me anyone

[@5lelik5]

ваши лекции просто находка. Подписался, лайк, спасибо за труды.

[@ashrafshafei7220]

This is incredible indeed, Dont know how to thank you for this amazing lecture.

[@CritCareGus]

My hat is off to you Sir. Excellent teaching.

[@mariavillegas7556]

Thank you!!! Very helpful.

[@doctorjaybe]

Amazing video for circle of willis.

[@danielalandaverde]

Thank you for teaching and uploading great presentations. I learned a lot and hopes this will help me in the future as I have a disorder that affects my vascular system.

[@sanjeevkukreti2260]

Informative clinically relevant video Great effort

[@bigbird0780]

Such a well-done and clear video! Studying for my Vascular Ultrasound board! Thank you!! :-)

[@ashe6608]

this video is super interesting , and as an MRI tech, gives me appreciation that I don't have to diagnose these things just image them because wow 😆

[@aliyoussef9168]

Very well illustrated and simplified, Thanks.

[@ilirtanku9722]

Best video for cranial and neck vascular anatomy

[@rebecakinomotomartinez5446]

13:47 yes! I said "oh...no... he said brainsteam" but after that wow!! you've described a brainsteam damage by PCA in a extraordinary easy way! THANK YOU!!

[@mohamadalili1476]

Great video, thank you so much! the last part speaking about the occlusion was a bit confusing because the interested contrast was right not left.

[@zeel1748]

At 23:24, why is it left vertebral stenosis and not right? In the neck CTA isn’t it highlighted on the patients right side?

[@theneurophile]

You are absolutely correct, it’s RIGHT vertebral stenosis that is pictured on the imaging study. I apologize for the typo. By the way, either left or right vertebral plaque can embolize to the PCA.

[@zeel1748]

@@theneurophile I see, thanks for answering! :)

[@halaabdulqader5197]

I watched this for fun.... thank you! excellent presentation

[@caiyu538]

Great lectures. Great teacher

[@Faisaltara]

It’s says medical students but this helped a lot during first year of neurology residency

[@ranonepal6851]

Very very great lecture . You are the blessings of god

[@davidseoanefernandez3811]

this video is gold, thanks from Spain!

[@asimshrestha4692]

Great dynamic pictorial explanation

[@brainryutube]

fantabulous video!!!! with awesome pictures!!! thanks a lot :)

[@J.muslim.doctor]

Perfect, thank you sir!

[@ntinalondon]

ABSOLUTELY PERFECT!!! REALLY THANK YOU SOOO MUCH

[@VincyMathew-b4l]

excellent video and illustrations!

[@CushingsSx]

Loving the DSA ❤ on the vascular supply 22:01

[@drrafeek5390]

incredible, awesome presentation

[@allenculbertson8170]

Thank U and that was really amazing I got the last two questions right thank U && God bless you

[@miraadi97]

Super helpful and interactive 👍 . Would love more case discussion sir ❤️

[@olgamati9]

Brilliant! Thank you so very much!

[@ricardorosas4032]

Excellent Thanks for you teachings I appreciate to much

[@drimranshaikh]

Thank you Watch again and agian😢😅😊😮 All emotions at one time

[@iftinaxmad781]

Teacher we are wiating subarachnoid hemorrhage lacture I taked this lacture i need pathophysiology you are my favourite teacher I love you explanation. ❤❤❤❤

[@theneurophile]

It’s coming soon. Next video.

[@rajendrakumarsinghmehra2368]

Very knowledge full information

[@ziaach]

You are the best ❤ i mean it 😊thank u so much

[@IbrahimAlShehaby]

Very nice presentation 👏 👌

[@jatinderkumar5864]

Very informative presentation. Thanks a lot

[@jla8726]

are crossed-signs always seen in brainstem lesions? at 14:56, medial pontine infarct results in hemiparesis and facial paresis, but both on the contralateral side

[@theneurophile]

Crossed signs are a rare possibility (usually with basilar artery occlusion). You are correct that most of the time, ventral pontine damage only affects the crossed corticospinal tract, so facial weakness and hemiparesis will be contralateral.

[@oliviamckay3335]

This video is incredible!

[@rebecakinomotomartinez5446]

Thank's a lot!! You have a new Suscriber!!!

[@ricardomartinez2363]

This video is excellent!! Thank you so much.

[@rajeshkumar-id4vg]

Good presentation

[@chanteeeee]

thank you! this is amazing

[@LM-yn7hg]

The best 💜💜💜💜 Thanks alot

[@dr.ilyaadamchic8800]

Great presentation 👏

[@anastasiostsogkas]

Very nice video!

[@lkhanna76]

Awesome as alway!!

[@CushingsSx]

9:48 omg THIS IS MIC DROP 🌟 exactly how I’d wish to study neuroanatomy in my wildest dreams😊

[@KenNakanote]

awesome talk!

[@saleemahmed8302]

Thanks a lot

[@kingarthur1469]

Excellent ..thank you sir

[@martinmartin-t6b]

Super video

[@mismatchi]

question: at 23:17, you mention left vertebral artery emboli to left PCA, correct me if I'm wrong, the video depicts the right vertebral artery...

[@theneurophile]

You are right. Thank you for catching that. Either vertebral artery origin plaque can embolize to either PCA, but you are correct that the image depicts the right VA

[@mb5101]

So basilar artey teritory incarct may have both contralateral “because of corticobulbar supply to the lower part of facial nucleus in medialanterior of pons” AND ipsilateral facial paresis “because of facial nucleus involvement in latral pons”? Is that correct? I spent 2 hours to make this conclusion. Lol

[@theneurophile]

That is absolutely correct. Think of it this way, if a patient is exhibiting crossed signs (left facial droop and right hemibody weakness), then you are likely dealing with a brainstem lesion.

[@rohityadav-rm4xb]

Thank you for lecture.

[@fayedk73]

Incredible lecture!

[@JorgeIbarra-ne4bd]

Hi! Which software do you use for figures and images?

[@theneurophile]

Just simple PowerPoint.

[@Ecaecaterina1]

this was great!!!!

[@Ruqaya_pearl]

Piece of art

[@cocoyaourt560]

You are amazing ❤️

[@fayedk73]

Incredible 😍

[@orlinzlatarski5229]

Around 6:40, MRA neck with gadolinium shows bovine arch, not normal arch anatomy....

[@theneurophile]

True. It’s best described as “normal variant.”

[@orlinzlatarski5229]

@@theneurophile I'd have a go at calling it a "normal variant". What does normal mean exactly? Inherently, it is not clinically significant, yet in the setting of endovascular procedures, for example, it needs to be known or precious time/resources could be lost. In that train of thought, I think most variants should be called "anatomic variants" rather than "normal variants".

[@drraza]

Very nice Sir 👌

[@deborahtayeloluodimayo128]

Thank you!! 💗💕

[@djeovs]

Do you also have a review of the cerebrous sinuses? Including jugular veins?

[@theneurophile]

Take a look at the venous sinus thrombosis video. There is some of that there.

[@PzmShafi]

It was awsome

[@nevertheless2024]

Thank you!!!!!

[@hendmamdouh6219]

Thank you

[@leniyamirawdeli9397]

So good!! :)

[@pmsltd5720]

Hi Doc... do you run an online course for medics?

[@theneurophile]

We do have an annual live course in the fall if you are in New Jersey (usually the beginning of October).

[@edthoreum7625]

9:15 vascular territories

[@hulkjarvis4685]

As good as it gets

[@varundurge]

This is Gold right here dayumm

[@lohikarhu734]

Is anyone "monitoring" comments? I have a somewhat tricky issue regarding vertebral artery intracranially: I have seen evidence on CT that appears to show an "adhesion" of the RVA to the edge of the Foramen Magnum, a sort of "wrap around" tissue that appears to connect the RVA to the cranium for 1+ cm... it's visible on 3d reconstruction with 3D Slicer, and also on a few slices in 2D. Anyone have any comments or thoughts? There is a position-triggered vertigo and other symptoms, similar to VBI.

[@theneurophile]

Position-triggered vertigo is typically due to peripheral inner ear dysfunction. Compromised blood flow in the vertebral artery would not cause just vertigo, but other symptoms including nystagmus, hemiparesis, etc. Also, it is very easy to check if blood flow is compromised positionally by performing monitoring of PCA flow with Transcranial Doppler while the patient rotates their head.

[@salbiyanti8772]

Absen sini yang disuruh ngerangkum video sama bu Anisa Istiqomah Adik”☝️😎

[@serban277]

Hello and thank you for your videos! What software do you use to make the slides?

[@theneurophile]

Thank you. The software is quite simple - PowerPoint. I use Adobe Creative Cloud to clean up the graphics, but all animations are done in PowerPoint.

[@frankrobert9199]

great

[@aram3310]

Amazing lecture but isn't there an easier way to learn this besides brute force memorization? What about the rule of 4s by Dr. Peter Gates?

[@theneurophile]

Thanks. I'm not aware of that rule.

[@accountrescue3439]

❤️❤️❤️

[@eduardowong479]

Hi! how is gaze paresis in MCA infarction explained? I had unterstand from CN anatomy that ocular movements are controlled by the oculomotor nuclei which are located in the midbrain. Can someone please explain? min 10:44. Special thanks to this channel for making neurology/neuroanatomy easy for a lot of us! please keep doing these videos!!! Greetings from Panama

[@theneurophile]

Of course. Gaze paresis results from two possibilities - damage to the horizontal gaze system (comprised of frontal eye fields, pontine paramedian reticular formation, and CN3 nucleus in the midbrain) and/or damage to visual fields/spatial awareness pathways. If frontal lobe is extensively damaged (as with an MCA stroke), frontal eye fields would be dysfunctional and cause contralateral gaze paresis. Also, MCA stroke can cause field cut (from damaging optic radiations in the parietal and temporal lobes), which results in a gaze preference (patient would not want to look in the direction of the field cut because there is nothing to see there). In the second case, gaze preference may be overcome and patient will cross midline when tracking horizontally (since motor pathways for gaze are unaffected). Stay tuned for eye movement video soon.

[@medicalliz440]

WOWOW~

[@juliahart8593]

i'm eighteen and i managed to get the type of stroke right. why do i feel so proud

[@antoniojames3798]

I highly recommend Dr. Osaka on KZbin channel, who helped me in getting rid of my Stroke (cerebrovascular diseases): 160,264. It was Amazing seeing my self free from the deadly diseases with the help of Dr. Osaka natural herbal remedy, I'm forever grateful Sir.

[@CELIATHANOS]

Hoaaa 🌹🌹🌹👍🏻

[@vsharm14]

Where can I download these slides?

[@theneurophile]

Unfortunately, the slides are specifically designed for animation rather than presentation. I will work on making the appropriate slides available.

[@fcpsradiologist342]

Excellent content

[@theneurophile]

Link to slides and transcript is posted in the video description.