The Clinical Problem Solvers Episode 174: Neurology VMR: Right sided hemiparesis
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Apr 27, 2021 Dive into the world of neurology as speakers tackle the stigma of 'neurophobia' and emphasize the importance of integrating clinical and basic sciences. They explore the complexities of right-sided hemiparesis and the vital role of patient history in diagnosis. The discussion unfurls around a 29-year-old patient, connecting diverse symptoms to intriguing neurological conditions. Gain insights into the significance of MRI interpretations, the unique anatomy of the cavernous sinus, and the challenges in managing ischemic strokes and meningitis. It's a thrilling journey through intricate medical concepts!
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Understanding Neurophobia
- Neurophobia results from the lack of integration between clinical and basic neuroscience education.
- Using neuroanatomy helps localize neurological problems precisely at bedside, facilitating diagnosis.
Localizing Right Hemiparesis
- Right-sided hemiparesis suggests a lesion either in the left brain or right spinal cord due to corticospinal tract crossing.
- Time course and past medical history are critical to decipher etiology.
Clinical Puzzle of Fever and Hemiparesis
- Fifteen days of fever and headache with recent sudden hemiparesis suggests infection or vascular complications.
- Dental procedure raises suspicion for infectious causes like endocarditis or septic emboli.
