Herpes Encephalitis

Herpes simplex virus type 1 (HSV-1) is a prevalent virus with an affinity for the nervous system. Reactivation of the virus within the brain parenchyma either directly or through retrograde spread along... Read more »

Watershed Infarct

The anterior middle and posterior cerebral arteries supply the majority of the cerebral cortex. However, thin regions of brain at the junction of these vascular territories are relatively under supplied by blood... Read more »

Middle Cerebral Artery Territory Infarct

The middle cerebral artery is the major supplier of blood to the cerebral cortex. It consists of 4 principal segments, M1-M4. M1 refers to the horizontal course of the artery from its... Read more »

Anterior Cerebral Artery Territory Infarct

The anterior cerebral artery (ACA) consists of 3 major segments, designated A1-A5 . The A1 segment extends from the middle cerebral artery to the anterior communicating artery (a small artery connecting the... Read more »

Fusiform Aneurysm

Intracranial aneurysms are dilations of the vascular wall. They can be subdivided according to morphology. Fusiform aneurysms are ovoid and elongated, while saccular ones are circumscribed, and spherical. Fusiform aneurysms are less... Read more »

Acute Infarct on CT

The recent use of intravenous tissue plasminogen activator (TPA) to treat acute stoke has resulted in the introduction of “code strokes” in many emergency rooms, which typically require the coordinated efforts of... Read more »

Acute Ischemic Stroke CT

Answer: D. Acute Infarct. This is an acute embolic non-hemorrhagic right middle cerebral artery infarct visible on CT. There is a hyperdense right middle cerebral artery with subtle loss of grey white differentiation... Read more »

Abortive Therapy for Migraine Headaches

Patients presenting with migraine headaches in the acute outpatient setting is common, and there are a variety of abortive therapies that can be tried.  Read more »

Ramsay Hunt Syndrome

Herpes zoster oticus, or Ramsay Hunt Syndrome, is a polyneuropathy secondary to reactivation of latent varicella zoster virus in and around the ear. Read more »

Management of Asymptomatic Carotid Artery Stenosis

Whether found as a result of carotid auscultation or as part of a stroke/TIA work up on the contralateral side, there are specific protocols for the treatment of asymptomatic carotid stenosis. Read more »