I really have to emphasize that it is ridiculous that we get this kind of content for free on KZitem as it is so good. Thank you again and again.
@theneurophile
2 жыл бұрын
Thank you! My mission in life is to change neurological education and not to make trainees pay for knowledge.
@nowtelDarmendra
11 ай бұрын
Amazing...you're a wonderful person
@vatoloco2116
9 ай бұрын
@@theneurophileThat's a real doctor right there. Thanks a ton.
@yazinuwa0123
4 ай бұрын
We need more hero like him who provides us with ultimate knowledge to enlightening us at least to serve people life .... Not like the others who are craving for money !!!!! Thank u doctor for changing my learning journey and also i m so astonished by your educational content specially PowerPoint presentations ; soooooo magnificent ❤
@user-sw5wn8go3k
2 жыл бұрын
Finally! I've been waiting for a new neurology lecture for so long! Meanwhile, I watched all your other lectures several times!
@lucyoriginales
Жыл бұрын
Me waiting for professor Alex Flournoy's lectures 🤭🤭🤭🤭
@Mr_3raqi
2 жыл бұрын
2:43 i think you labelled penumbra and core wrong here (on the graphic green🟢 and purple 🟣) , but the way you explained it is correct
@theneurophile
2 жыл бұрын
Yes, you are right. I apologize for that one.
@cz2343
Жыл бұрын
Thank you so much! As a neurology resident, this was very useful! I am looking forward to how ANGEL ASPECTS and SELECT 2 trial that came out of ISC 2023 may/will affect what we do clinically!
@theneurophile
Жыл бұрын
Unfortunately nothing is static in medicine, so the indications for thrombecomy have now changed. The mismatch ratios are still the same, but the allowable core has now increased to 150cc.
@le_tanmay
15 күн бұрын
I echo the thoughts of so many in the comments. Almost feels like a crime getting this content and teaching for free on KZitem! Thanks a lot!
@jorgebravo1919
9 ай бұрын
Radiology resident here. Congrats! What an amazing presentation. You, sir, are a true scholar.
@theneurophile
9 ай бұрын
Wow, thank you!
@mariosgavriil5286
6 ай бұрын
New neurology resident doing my masters degree in strokes here in Greece, i d like to express my gratitude for all that, this kind of work produces a change in our approach, in a way you help people (both doctors and patients) all around the world with your videos. Thank you.
@theneurophile
6 ай бұрын
I’m glad that you found this helpful. Thank you good your kind words of support.
@AkashMishra23
2 жыл бұрын
Absolutely Love your lectures, seen all of them several times
@lex7235
Жыл бұрын
Thank you for the presentation :) Could you share your thoughts about the new CT perfusion criteria for LVO within 24 hours, based on the SELECT2 and ANGELASPECT trials? It seems that with ASPECT >3, the core is no longer a significant concern...thanks!
@theneurophile
Жыл бұрын
This is a rapidly evolving area. The core infarction no longer matters, but at least for now I would stick to >1.8x mismatch of DEFUSE 3. Take a look at our “Mastering Stroke Codes” video.
@durelltrago62
21 күн бұрын
Just plain excellent. Thank you ❤
@hoangminhngo8158
Жыл бұрын
This is amazing. Thank you so much for putting out such informative and high quality lectures ❤❤❤
@theneurophile
Жыл бұрын
Glad you like them!
@Nagaash
6 ай бұрын
This is amazing! Any thoughts to adding some management caveats now with the various larger core trials coming out? I suppose it's probably hard to edit a video, but maybe overlays can provide context.
@theneurophile
6 ай бұрын
Unfortunately, KZitem doesn’t allow editing. Watch the “Mastering Stroke Codes” video for a newer algorithm that accounts for large core.
@mayfouad2954
2 жыл бұрын
Perfect work as usual 👌 Best of the Best.looking forward for more Topics. Greetings from Germany.
@kartikeyashukla5894
3 ай бұрын
At around 4 minutes into the video, i suggest to correct the color code name to reverse for ischemic core to penumbra
@theneurophile
3 ай бұрын
Yes, that is a typo.
@taehonglim3953
2 жыл бұрын
Great stuff as always. 3:17 I believe you were trying to indicate ischemic core as purple and penumbra as green. Please correct me if I'm wrong. Appreciated. From a neuro resident in OH.
@theneurophile
2 жыл бұрын
Yes, you are right. It’s a typo.
@LaitoChen
11 ай бұрын
After 3 hours we finally found the best Video on the internet for understanding CTP scans. The idea of giving practical cases to practice on and tying them into the trials seems to be lost on other "educators". Well done. I feel dirty for getting this content for free.
@theneurophile
11 ай бұрын
Please enjoy. I am happy that you found this helpful.
@P8Dealer
Жыл бұрын
Do you think you could also teach us something about small vessel disease? White matter hypointensities, cerebral microbleeds, ICH... there is a lot to see there.
@theneurophile
Жыл бұрын
Yep. I am waiting TIMELESS trial to get published (hopefully shortly) to post a revised stroke code where this will be discussed.
@P8Dealer
Жыл бұрын
@@theneurophile Oh wow, sounds fantastic. I look forward to it!
@igorbesel4910
2 жыл бұрын
Hey Igor from America, didn't you want to make a short tutorial on how to make awesome slide design ;-). However I am a resident in vascular surgery, with a very high interest in neurovascular stuff. How about a video about Plaque morphology and Stroke Risk. Or one could start with NASCET and hemdynamic evaluation of carotid artery disease or something. Lets say if I would butcher some slides, (hypothetically of course :-D) would you have time to review them and give some tips on Design? Best regards Igor from Germany.
@nilsoncorrea8474
Жыл бұрын
Incredible!!!! This take the diagnosis and treatment to another level. But I think I will not be alive to see this in real world practice. Maybe in 15 or 20 years. The EM coleagues will have much work to reach this level.
@PuspitaWidyasari
Жыл бұрын
Thank you so much, its really amazing explanation. Very simple, communicative, and systematic. Hope you always healthy and succes 🎉
@Sally-gu8mq
Жыл бұрын
you are fantastic.. I feel like I must pay you for your efforts.. Great job, huge Thanks
@mohammaddawod8356
Жыл бұрын
Imma about to start my residency in radiology, and I just couldn't be more grateful for such high quality, top tier and surprisingly soothing (haha) video. Can't wait to binge watch all of your videos guys. NEVER STOP your brilliant work guys!
@pierredeuj3593
6 ай бұрын
excellent stuff
@mattiasansone164
2 жыл бұрын
Accurate and effective! Thank you.
@hishamkanazi4762
Жыл бұрын
Thank you so much fo this great lecture... The way of presentation is so good and easy to understand... Love it a lot and share it with my colleagues.
@hairballjones8451
2 жыл бұрын
Enjoyed this and learned something today. Shared with my neurosurgeon I dreaded Hemorragic Stroke because it was this my Maternal Grandmother died of. He reassured me this probably wouldn't take Me, that and Clot blockage, doubtful but he would guess ischemic if ever I had one, but my arteries are younger than my calendar years. So maybe my postive interventions are working.
@lindalee8793
2 жыл бұрын
Yeayyy, new video. I will inform my students to watch this one also. Your channel is a must see at our centre. Thank you for your elaborate work.
@theneurophile
2 жыл бұрын
Thank you for your kind comments.
@caiyu538
2 жыл бұрын
Always great worth to revisit. Great series great teacher.
@user-sw5wn8go3k
2 жыл бұрын
Since we're in the topic of ischemic stroke, what's the topographic diagnosis (i.e. Localization) of acute onset tetraplegia with intitial loss of consciousness and subsequent aphasia (not dysarthria) and monoplegia? I'd love to hear more about anterior circulation strokes in this case!
@theneurophile
2 жыл бұрын
There are several locations where this may happen, but top-of-the-basilar is my best bet. Aphasia will be caused by thalamic ischemia, while tetraplegia and depressed consciousness is a result of the cerebral peduncle and reticular activating system involvement in the midbrain.
@user-sw5wn8go3k
2 жыл бұрын
@@theneurophile thank you for your reply! It's a fascinating discussion. The MRA of the patient showed stenosis of the intracranial vessels (bilateral C3, bilateral ACA and bilateral PCA with a complete occlusion of the right MCA), does it change anything to your topographic hypothesis? (I must add that there was facial involvement and a history of amaurosis fugax)
@theneurophile
2 жыл бұрын
Multifocal intracranial stenosis can certainly cause multifocal lesions (you would have to invoke multiple locations). The only way to prove which of the stenosed vessels is symptomatic is to document ischemic changes on MRI.
@user-sw5wn8go3k
2 жыл бұрын
@@theneurophile alright! From what I can see, the MRI shows white matter ischemic lesions in the centrum semiovale and subcortical ischemic lesions in the frontal and parietal regions and in the elft occipital region. So I deduce that it's pretty much indicative of a vasculitis. However, I hope to be able to correlate the MRI features to the clinical presentation, in particular, the stroke that manifested as a tetraplegia. Thank you for your help, it's really appreciated, I'm an avid fan of the channel!
@boole_cat
Жыл бұрын
great! tanks
@drkaranpoddar
Жыл бұрын
Phenomenal content, the best resource for Neurology on KZitem, please keep them coming!
@biplopbohara8200
Жыл бұрын
thank you
@sinemyazici8773
Жыл бұрын
You are a excellent lecturer, as a Neurologist, I've learned too much from your series. Thank you again for this wonderful presentation and free sharing via KZitem!
@lkhanna76
8 ай бұрын
6 you can, do a presentation on arterial and venous strokes and whatever else is your favorite topic. Thanks
@potatonail7463
2 жыл бұрын
Always here waiting for your amazing lectures video
@olgamati9
Жыл бұрын
Thank you for this awesome review!!!
@sinbin1987
8 ай бұрын
Extremely thankful for your videos ..they are so on point and emphasize the patient outcomes with these steps that needs to be taken... Neurology resident here..
@theneurophile
8 ай бұрын
Thank you! I’m glad that you found this useful.
@thejolly94
2 жыл бұрын
You are amazing! Thank you, that's very clear
@xxamulyaxx
2 жыл бұрын
Aahh... Love you man keep uploading 👍🏻
@vxp999
Жыл бұрын
Thank you Thank you and a Million Trillion Thank you!!! we are a group of neuorology Residents who are watching your videos to help us have better understanding of brain imaging! Please never Stop make these videos! thank you again and again!
@theneurophile
Жыл бұрын
Anytime!
@aswinpaps
10 ай бұрын
Unbelievably great content
@theneurophile
10 ай бұрын
Thank you. Things have changed a little with respect to indications for intervention. Please take a look at the newer “Managing stroke codes” video
@pablovargas90
Жыл бұрын
Thank you very much! As a radiology resident CT perfusion was very challenging in interpreting and correlating with clinical context. Much appreciated to know what really neurologists want us to tell and help them in stroke codes.
@theneurophile
Жыл бұрын
My pleasure.
@baveshsiva7393
Жыл бұрын
I miss your videos sir☹️ when will you be uploading again?
@theneurophile
Жыл бұрын
Very soon. Next video is 90% done.
@baveshsiva7393
Жыл бұрын
@@theneurophile 🤎 eagerly waiting to see it ☺️
@theneurophile
Жыл бұрын
Our Movement Disorders video is up.
@markzureik6771
Жыл бұрын
Amazing lecture - Thank you so much
@z3143998
2 жыл бұрын
Thank you! Much appreciated as always.
@allaianina178
2 жыл бұрын
Could you please make a Video about dementia?
@thiagoferreira9335
Жыл бұрын
I'm a neurology resident from Brazil and would like to thank you for this amazing job! It's just amazing your skills to wrap up everything that is important on each topic. This lecture by the way is fenomenal! Looking forward to see tou making more videos like this.
@theneurophile
Жыл бұрын
Thank you!
@caiyu538
2 жыл бұрын
Great series, follow up your excellent tutorials.
@TheRajathr
Жыл бұрын
Awesome content. The presentation is excellent.
@paulafigueroadiaz5647
Жыл бұрын
gracias! excelente contenido
@aaAxion
Жыл бұрын
Contents starting 23:40 are pure gold.
@thales5999
Жыл бұрын
You are great. Thanks.
@jamesdong1058
Жыл бұрын
At around 3:38 in your video, the description of the ischemic core (infarct area) and penumbra seems to be reversed. The green area should be the penumbra and the pink one ischemic core.
@theneurophile
Жыл бұрын
Yes, sorry about that. The colors are correct on the image but not in the legend.
@rahimahmed8879
Жыл бұрын
i think your colors are off in the WHY CT PERFUSION SLIDE. I feel like ischemic core was the purple and penumbra was the green
@theneurophile
Жыл бұрын
Yep. Sorry about that. The narration and colors on the slide are correct. The legend is wrong. Purple is core, and green is penumbra.
@rahimahmed8879
Жыл бұрын
@@theneurophile the video was great other than that, thank you!
@Gragon
2 жыл бұрын
great talk. thanks
@iamedicallectures1597
4 ай бұрын
awesome lectures thank you
@lkhanna76
8 ай бұрын
I wish I could be such a wonderful teacher as you are. This presentation is priceless. Thanks!
@DrAgaKhan
2 жыл бұрын
Love and Respect ❤️... Thanks from depths of my heart sir ...
@bread-mc6tv
2 жыл бұрын
At last!
@damiensegers3555
2 жыл бұрын
Hello, According to my interpretation of the 2021 European Stroke Organization Thrombolysis Guidelines, for wake-up strokes there is no time limit on the use of intravenous thrombolysis as long as there is a DWI-FLAIR mismatch on MRI. Is this true?
@theneurophile
2 жыл бұрын
Yep, true. We tend to use CTP first because it's faster. However, CTP won't help with lacunar strokes. In those cases, we perform a stat MRI.
@mohamedtarek3832
2 жыл бұрын
Great lecture and presentation as usual Dr.igor....but I think with new trials showing the benefit of mechanical thrombectomy even in patients with low aspects (3-5) (Rescue-japan trial) ..I think the guidelines are gonna be change and you will be in need to update this lecture :D
@theneurophile
2 жыл бұрын
Yep. That's the problem with these talks. TIMELESS trial will come out soon as well.
@DanielArmandBernard
Жыл бұрын
As an EM resident this video is GOLD and definitely something I'm going to share with all my colleagues in my residency because generally anything beyond a non-con head CT terrifies us. Neuro imaging is something that intimidates many of us and this lecture makes CTP so much more approachable and can facilitate a much higher level conversation with many of our stroke consultants. Thank you so much for making this free on youtube.
@theneurophile
Жыл бұрын
Thank you! Enjoy.
@doctorlayman376
2 жыл бұрын
Excellent as always. Dr. Could you make a video about how you make these videos and/or animations this good? what software do you use?
@theneurophile
2 жыл бұрын
Thank you. I generally use PowerPoint as the only software. Yes, when I get the chance, I will make a course.
@yodea4
2 жыл бұрын
Great video and slides! May I ask, what software did you use for the graphs and figures? Thanks alot!
@theneurophile
2 жыл бұрын
Thank you. Most of the graphs and figures are actually built in PowerPoint. Occasionally for more complex projects, I resort to Adobe Illustrator.
@omarwahibi1109
2 жыл бұрын
@13:49
@alunno181e
2 жыл бұрын
I would pay cash to have more of these lectures!! If you design an online emergency video course and sell it, it would be greatly successful!!!
@theneurophile
2 жыл бұрын
Thank you for the kind words. Do you mean a course on neurological emergencies?
@alunno181e
2 жыл бұрын
@@theneurophile yes!!👍
@johnlin7893
2 жыл бұрын
Around 3:20 I’m wondering the whole picture why penumbra is at the middle of the ischemic core. Could anyone answer for me?
@theneurophile
2 жыл бұрын
Penumbra illustrates the entire territory that is hypoperfused. By definition, ischemic core will be within that territory. With MCA occlusion, basal ganglia structures often become ischemic early because there is limited collateral flow in those areas. So those areas tend to convert to ischemic core. The cortical MCA territory often received ACA and PCA collaterals and may survive for longer.
@Mr_3raqi
2 жыл бұрын
Penumbra is green 🟢 larger than is ischemic core which is is purple 🟣 I think they mislabelled it by mistake (it is a long video, mistakes happen 😁)
@johnlin7893
2 жыл бұрын
@@Mr_3raqi thanks!! this is also what i thought as. just to make sure. still, great video. fully appreciate.
@hundsmit9392
2 жыл бұрын
Is it possible to make the algorithm accessible per PDF or picture? :)
@theneurophile
2 жыл бұрын
I updated the video description with a link to a PDF.
@hundsmit9392
2 жыл бұрын
@@theneurophile wow, thank you very much! Appreciate it a lot!
@yunishussein9686
2 жыл бұрын
How do I get to do your slides making class? They are superb
@theneurophile
2 жыл бұрын
Thank you. I will make a class in the future.
@MichaelTeitcher
2 жыл бұрын
@@theneurophile Is there a waiting list I can sign up for? I would love this class!
@theneurophile
2 жыл бұрын
@@MichaelTeitcher Thanks for the enthusiasm! It's still in the conceptual stages. I will post a short video on the channel informing everyone when the course is ready.
@zuhairyassin505
2 жыл бұрын
what software do you use for presentaions ?
@theneurophile
2 жыл бұрын
Good old PowerPoint.
@zuhairyassin505
2 жыл бұрын
@@theneurophile it must be a special power point because i have never seen it before
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