CHEST SEEK® Supplemental Commentary-Cerebral Angiogram - Commentary From J. Javier Provencio, MD

Cerebral Angiogram - Commentary From J. Javier Provencio, MD

Video Transcription

Video Summary

In this video, Dr. Javier Preventia, a professor of neurology and director of neurocritical care at the University of Virginia, discusses a challenging case of a 44-year-old man with symptoms of a subarachnoid hemorrhage. The patient has already undergone a CT angiogram and a digital subtraction angiogram, but the next step for diagnosis is in question. Dr. Preventia explains that the most crucial information needed is whether there is an aneurysm present, as it increases the risk of rebleeding. The lumbar puncture response is not appropriate in this case, and options such as an MRI of the brain, MRI of the spine, and a digital subtraction angiogram in six weeks are considered. Dr. Preventia explains that an MRI of the spine is the most appropriate test to diagnose a potential spinal arteriovenous malformation (AVM), which is a rare cause of subarachnoid hemorrhage that requires prompt intervention. The video emphasizes the importance of early identification of spinal AVMs to prevent further complications.

Asset Caption

This question is found in the Neurologic Disorders module in the Critical Care Medicine Collection.

Keywords

subarachnoid hemorrhage

aneurysm

diagnosis

MRI of the spine

spinal arteriovenous malformation (AVM)