Sunday, 24 October 2010

Headache Image - Woman Holding Her Head



Headache Image -
Woman Holding Her Head

Structures Passing Through Foramen Magnum (Mnemonic)


Structures Passing Through Foramen Magnum:
  • Accessory nerves (spinal roots)
  • Meningeal lymphatics
  • Spinal cord
  • Spinal meninges
  • Sympathetic plexus of vertebral ateries
  • Vertebral arteries
  • Vertebral artery spinal branches
Mnemonic - 'Spinal Meninges Make A Special Vertical Sheath':
  • Spinal - Spinal Cord
  • Meninges - Spinal Meninges
  • Make - Meningeal lymphatics
  • A - Accessory nerves (spinal roots)
  • Special - Sympathetic plexus on vertebral arteries
  • Vertical - Vertebral arteries
  • Sheath - Spinal branches of vertebral arteries
Image: from Shannan Muskopf (cc)

Sunday, 17 October 2010

Cushing's Triad (RICP Finding)

Cushing's Triad Background:
  • Named after the American neurosurgeon Harvey Williams Cushing (1869-1939).
Components of Cushing's Triad:
  • Bradycardia
  • Respiratory pattern change (irregular respirations)
  • Widening pulse pressure (rising systolic + declining diastolic)
Pathophysiology:
  • Produced by the Cushing reflex.
  • Sign of raised intracranial pressure (RICP).
  • May lead to brain herniation, which can be rapidly fatal.
Clinical Details:
  • Suggests severe pressure within the cranial vault.
Causative Factors:
  • Intracerebral hemorrhage
  • Head trauma
  • Enlarging space-occupying lesion (i.e. brain tumor)

Tags: Bradycardia - Brain herniation - Brain Tumour - Cushing's Reflex - Cushing's Triad - Head Trauma - Intracerebral haemorrhage - RICP
Posted by Medicalchemy
Medicalchemy Group: Images - Mnemonics - Cardiology - Dermatology - Drugs - Endocrinology - Gastroenterology - Genetics - Haematology - Immunology - Infection - Metabolic Medicine - Neuroscience - Nutrition - Oncology - Ophthalmology - Pathology - Pharmacology - Respiratory - Toxicology - Vascular.

Saturday, 16 October 2010

Cerebral Cortex Brodmann Areas Listed


Brodmann Areas Listed:
  • Areas 3, 1 & 2 - Primary Somatosensory Cortex (typically referred to as Areas 3, 1, 2 by convention)
  • Area 4 - Primary Motor Cortex
  • Area 5 - Somatosensory Association Cortex
  • Area 6 - Premotor cortex and Supplementary Motor Cortex (Secondary Motor Cortex)(Supplementary motor area)
  • Area 7 - Somatosensory Association Cortex
  • Area 8 - Includes Frontal eye fields
  • Area 9 - Dorsolateral prefrontal cortex
  • Area 10 - Anterior prefrontal cortex (most rostral part of superior and middle frontal gyri)
  • Area 11 - Orbitofrontal area (orbital and rectus gyri, plus part of the rostral part of the superior frontal gyrus)
  • Area 12 - Orbitofrontal area (used to be part of BA11, refers to the area between the superior frontal gyrus and the inferior rostral sulcus)
  • Area 13 and Area 14 - Insular cortex
  • Area 15* - Anterior Temporal Lobe
  • Area 17 - Primary visual cortex (V1)
  • Area 18 - Secondary visual cortex (V2)
  • Area 19 - Associative visual cortex (V3)
  • Area 20 - Inferior temporal gyrus
  • Area 21 - Middle temporal gyrus
  • Area 22 - Superior temporal gyrus, of which the caudal part is usually considered to contain the Wernicke's area
  • Area 23 - Ventral Posterior cingulate cortex
  • Area 24 - Ventral Anterior cingulate cortex
  • Area 25 - Subgenual cortex
  • Area 26 - Ectosplenial area
  • Area 27 - Piriform cortex
  • Area 28 - Posterior Entorhinal Cortex
  • Area 29 - Retrosplenial cingulate cortex
  • Area 30 - Part of cingulate cortex
  • Area 31 - Dorsal Posterior cingulate cortex
  • Area 32 - Dorsal anterior cingulate cortex
  • Area 33 - Part of anterior cingulate cortex
  • Area 34 - Anterior Entorhinal Cortex (on the Parahippocampal gyrus)
  • Area 35 - Perirhinal cortex (on the Parahippocampal gyrus)
  • Area 36 - Parahippocampal cortex (on the Parahippocampal gyrus)
  • Area 37 - Fusiform gyrus
  • Area 38 - Temporopolar area (most rostral part of the superior and middle temporal gyri)
  • Area 39 - Angular gyrus, also considered by some to be part of Wernicke's area
  • Area 40 - Supramarginal gyrus considered by some to be part of Wernicke's area
  • Areas 41 & 42 - Primary & Auditory Association Cortex
  • Area 43 - Subcentral area (between insula and post/precentral gyrus)
  • Area 44 - Pars opercularis, part of Broca's area
  • Area 45 - Pars triangularis Broca's area
  • Area 46 - Dorsolateral prefrontal cortex
  • Area 47 - Inferior prefrontal gyrus
  • Area 48 - Retrosubicular area (a small part of the medial surface of the temporal lobe)
  • Area 49 - Parasubicular area in a rodent
  • Area 52 - Parainsular area (at the junction of the temporal lobe & the insula)

Image: from Gray's Anatomy
Tags:
Brodmann Area - Cerebral Cortex
Posted by Medicalchemy
Medicalchemy Group: Images - Mnemonics - Cardiology - Dermatology - Drugs - Endocrinology - Gastroenterology - Genetics - Haematology - Immunology - Infection - Metabolic Medicine - Neuroscience - Nutrition - Oncology - Ophthalmology - Pathology - Pharmacology - Respiratory - Toxicology - Vascular.

Vagus Nerve Stimulation (VNS) Treatment Uses

VNS Clinical Uses:
  • Intractable epilepsy
  • Treatment resistant depression
Other Uses For VNS Under Investigation:
  • Alzheimer's disease
  • Anxiety disorders
  • Fibromyalgia
  • Migraines
  • Tinnitus

Reference:
  • Groves, Duncan A., Brown, Verity J. (2005). Vagus Nerve Stimulation: A Review of its Applications and Potential Mechanisms That Mediate its Clinical Effects. Neuroscience and Biobehavioral Reviews, 29: 493-500.
Tags: Depression - Epilepsy - Vagus Nerve Stimulation
Posted by Medicalchemy
Medicalchemy Group: Images - Mnemonics - Cardiology - Dermatology - Drugs - Endocrinology - Gastroenterology - Genetics - Haematology - Immunology - Infection - Metabolic Medicine - Neuroscience - Nutrition - Oncology - Ophthalmology - Pathology - Pharmacology - Respiratory - Toxicology - Vascular.

Sunday, 19 September 2010

CSF Glucose - Low Levels


General Details:
  • Also known as hypoglycorrhachia.
Causes of Low CSF Glucose:
Infection:
  • Lyme disease
  • Pyogenic meningitis
  • TB meningitis
  • Fungal Meningitis
Viral Infection (occasionally):
  • Herpes simplex encephalitis
  • Mumps meningoencephalitis
  • Zoster encephalitis
Other:
  • Meningeal carcinomatosis
  • Sarcoidosis
  • Subarachnoid haemorrhage

Image: D-glucose structural formula
Image Source:
from Wikipedia by Richard Wheeler (Zephyris) (Public Domain)
Tags:
Herpes Simplex - Herpes Zoster - Lyme Disease - Meningitis - Sarcoidosis - Subarachnoid Haemorrhage
Posted by Medicalchemy
Medicalchemy Group: Images - Mnemonics - Cardiology - Endocrinology - Haematology - Infection - Neuroscience
- Pharmacology

CSF Protein Level - Marked Elevation

Causes of Markedly Raised CSF Protein:
  • Acoustic neuroma
  • Alcoholism
  • Amyloidosis
  • Diabetes mellitus
  • Froin's syndrome
  • Guillain-Barre syndrome
  • Meningitis - Acute Bacterial
  • Meningitis - Carcinomatous
Tags: Acoustic neuroma - Alcoholism - Amyloidosis - Diabetes mellitus - Froin's syndrome - Guillain-Barre syndrome - Meningitis
Posted by Medicalchemy
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