Download Neurological illness in pregnancy: principles and practice by M. Angela O'Neal, Christina Scifres, Janet Waters, Jonathan PDF

By M. Angela O'Neal, Christina Scifres, Janet Waters, Jonathan H. Waters, Autumn Klein

This publication is a pragmatic and simply readable consultant for neurologists, obstetricians, and first care medical professionals treating girl sufferers with neurological affliction of their reproductive years.

  • Offers vast ranging insurance, together with family members making plans and lactation
  • Presents info in approachable tables and summaries, targeting excessive yield info priceless for medical consultation
  • Is written by means of a workforce of specialists and edited by means of famous leaders within the box

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Example text

For example, fetal imaging for antenatal diagnoses using MRI is endorsed with guidelines established jointly by the ACR and the Society of Pediatric Radiology. Contrast administration Contrast-enhanced imaging is often desired for improved diagnostic utility; however, safety concerns must be considered. Intravenous contrast may include iodinated-based agents utilized in CT and gadolinium chelates in MRI. There has been no proven teratogenic effect associated with the intravenous administration of iodinated CT contrast during pregnancy.

In the setting of severe thiamine deficiency, brain metabolism is impaired, lactic acidic accumulation ensues, osmotic gradients develop, and integrity of the blood–brain barrier may be impaired. This abnormality is prone to occur in regions where thiamine-dependent glucose metabolism is highest, accounting for the fairly distinct appearance on MRI. Wernicke’s encephalopathy is characterized by abnormal elevated T2 signal at the medial thalami, mammillary bodies, periaqueductal gray matter, floor of the fourth ventricle, and superior cerebellar vermis.

Since there is no theoretical exposure level below which stochastic effects would not occur, the protection paradigm summarized in the acronym “ALARA” (As Low As Reasonably Achievable) was developed [26]. It is important to consider, however, the balance of exposure reduction with diagnostic quality in order to maintain examination efficacy and certainty. Computed tomography Medical imaging has surpassed natural background radiation as the largest contributor to an individual’s yearly radiation exposure, with computed tomography (CT) representing the largest fraction.

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