Clinical Consult: Remove The Obstruction

[@lohikarhu734]

hey, I'm just a simple guy with a couple of undiagnosed cerebral "issues", idiopathic SIH, maybe VBI, just trying to learn about neurovascular subjects, trying to understand "possibilities". Nice presentation, not so directly-connected to my subject areas, but good study topics... thanks!

[@neslihangroll9232]

you scared me at the very end with your "did you say carotid dissection?" whew!!! Thanks for the great video.

[@doctormsigwa8578]

Thank you so much Dr. Rybinnik. Very helpful lecture!!

[@Ch3mG33k]

Never woulda guessed a primary, noncancerous tumor at the beginning of the case; super fascinating.

[@RashaAl-Khafaji-xi4qk]

Thank you so much. I loved the presentation and being walked through the case.

[@gentleman7951]

You are genius dr rybinnik The best lectures ever Thank you very much 💖

[@tam_m5477]

Thank you so much Dr. Igor 👏 Really great job! Please, keep on doing 👏♥️

[@ashrafshafei7220]

Your lecture is magnificent...Thanks alot your great effort......

[@gabbiet9138]

Always check your channel for new uploads! 😊

[@lrm2694]

Phenomenal job as always. I would add an acute demyelinating lesion to the differential diagnosis. Keep up the good work!

[@theneurophile]

Thank you! Agree that hypoglycemia and demyelinating lesions are on the differential diagnosis of acute ischemic stroke. However, they were left out here due to the clinical presentation suggestive of a very large lesion conforming to a vascular territory.

[@lohikarhu734]

what kind of radiological imaging tools do you "like"? do you use 3d reconstruction, or do you tend to stay more with 2d, or MIP?

[@theneurophile]

It’s not really a matter of “like.” We use anything and everything that will help us make the diagnosis. When it comes to imaging of vessels, we usually use MIPs. They are quick to generate and make detailed images. We use 2D slices to confirm things we see on MIPs. However, when there is a very small abnormality (like an aneurysm), 3D reconstructions become valuable.