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Diagnostic Criteria of Infarction in MRI of the Brain in Acute Stroke

Acute: Subtle low signal (hypointense) on T1, often difficult to see at this stage, and high signal (hyperintense) on spin density and/or T2-weighted and proton density-weighted images starting 8 h after onset; should follow vascular distribution. Mass effect maximal at 24 h, sometimes starting 2 h after onset, even in the absence of parenchymal signal changes. No parenchymal enhancement with paramagnetic contrast agent. Territorial intravascular paramagnetic contrast enhancement of “slow-flow” arteries in hyperacute infarcts; at 48 h, parenchymal and meningeal enhancement can be expected.

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Diagnostic Criteria of Infarction in CT Imaging of the Brain in Acute Stroke

Computed tomography (CT) is widely used for early evaluation of acute strokes. Most importantly, CT excludes acute hemorrhage or other diseases mimicking ischemia. Continue reading “Diagnostic Criteria of Infarction in CT Imaging of the Brain in Acute Stroke”

Diagnostic Criteria for Tuberous Sclerosis Complex (TSC)

The diagnostic criteria for tuberous sclerosis complex (TSC) were revised at the Tuberous Sclerosis Complex Consensus Conference, July 1998.

Definite TSC: Two major features or one major feature plus two minor features

Probable TSC: One major feature plus one minor feature

Possible TSC: One major feature or two or more minor features

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Diagnostic Criteria of Paraneoplastic Neurological Disorder (PND) of the CNS

Definite PND

  1. Classic syndrome with cancer diagnosed within 5 years of neurological symptom development
  2. Nonclassic syndrome that resolves or significantly improves after cancer treatment
  3. Nonclassic syndrome with cancer diagnosed within 5 years of neurological symptom development and positive antineuronal antibodies
  4. Neurological syndrome (classic or not) without cancer and with well-characterized antineuronal antibodies

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ICHD-II Diagnostic Criteria for Classical Trigeminal Neuralgia

Classical trigeminal neuralgia

A. Paroxysmal attacks of pain lasting from a fraction of a second to 2 minutes, affecting one or more divisions of the trigeminal nerve and fulfilling criteria B-C

B. Pain has at least 1 of the following characteristics:

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