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분야
pptx2.Present Illness
3.HISTORY
4.Neurologic exam
5.Problem List
6.Laboratory Finding
7.Brain CT /c CE [perfusion] 7/5
8.CT angiography /c CE [Neck]
9.Laboratory Finding
10.Diagnostic impression
11.Therapeutic plan
12.경피적혈관내금속스텐트삽입술 7/5
Motor & Sensory disturbance (contralateral)
Upper > Lower
Agnosia, Aphasia
Gaze preference toward the affected hemisphere
Post. Circulation occlusion
Loss of consciousness, nausea, vomiting
Impaired vision & thought process
Vertebrobasialr a. insufficiency
Extra-axial collections of blood secondary to trauma
Brain tumor and abscess
Metabolic abnormalities
Hypoglycemia, Wernicke’s encephalopathy etc.
Migraine
Giant cell temporitis
Venous sinus thrombosis
History, Clinical features, CT, Angiography, MRA, MRV, Biopsy etc.
Emergent noncontrast cranial CT
Standard initial imaging technique
DDx from ICH or mass lesion
Identify parenchymal bleeding >1cm in diameter
Hyperdense artery sign (acute thrombus in a vessel)
Sulcal effacement
Loss of the insular ribbon
Loss of gray-white interface, mass effect
Acute hypodensity
