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Come and work 
•Ultrasound/imaging 
•Education 
•Trauma 
EmergencyMedicineIreland.com
neuroanatomy for the critically ill 
Image Credit: brain_blogger on Flickr
EmergencyMedicineIreland.com Image Credit: Adam Ventress 
http://www.adamventress.com/ 
words/illustration 
Brain Herniation
EmergencyMedicineIreland.com 
SubFalcine 
TransTentorial 
Tonsillar 
1 
2 
3 
Image Credit: Wikipedia
EmergencyMedicineIreland.com 
1. SubFalcine Herniation
EmergencyMedicineIreland.com 
Anterior Cerebral Artery 
Middle Cerebral Artery 
Posterior Cerebral Artery
EmergencyMedicineIreland.com 
2. TransTentorial Herniation
Oculomotor Nv 
EmergencyMedicineIreland.com 
2. TransTentorial Herniation 
Descending Motor 
Tracts
Medulla 
Pons 
EmergencyMedicineIreland.com 
3. Tonsillar Herniation 
Tonsillar Herniation Coning 
Chiari Malformatio
EmergencyMedicineIreland.com 
Hydrocephalus
EmergencyMedicineIreland.com
EmergencyMedicineIreland.com
Lat Aperture 
The only way in and out 
of the ventricular system 
is through thMe e4dtiahn 
Aperture 
EmergencyMedicineIreland.com
EmergencyMedicineIreland.com Image Credit: Psuedo1Intellectual on YouTube 
http://www.youtube.com/watch? 
v=JCf273U0ktc&feature=related
Sup Sag Sinus 
Arachnoid Granulation 
BLOOD 
EmergencyMedicineIreland.com 
Why the 
hydrocephalus?
EmergencyMedicineIreland.com Image Credit: Radiology Signs 
http://radiologysigns.tumblr.com/ 
post/78606935342/is-this-subdural- 
or-extradural-blood-it-isnt 
Suture 
EDH v SDH
EmergencyMedicineIreland.com
EmergencyMedicineIreland.com 
spine
Three Columns in Spinal Injury 
EmergencyMedicineIreland.com 
Anterior 
Middle 
Posterior
EmergencyMedicineIreland.com 
Image Credit: Roberto Schubert on Radiopaedia 
http://radiopaedia.org/cases/three-column-concept-of-the-spine 
Anterior Middle Posterior
EmergencyMedicineIreland.com 
Anterior Longitudinal Ligament 
Posterior Longitudinal Ligament 
Ligamentum Flava
EmergencyMedicineIreland.com 
Flexion TearDrop 
Fracture 
2 
Column 
Injury
vascular supply 
EmergencyMedicineIreland.com
Image: Radswiki.net 
EmergencyMedicineIreland.com 
47 year old male 
•low speed RTA 2 days 
ago 
•no injuries of note 
apart from mild neck 
pain 
•now dramatic neck 
pain and bilateral neuro 
signs 
Vertebral Artery 
Dissection
EmergencyMedicineIreland.com 
radiopaedia.org 
CC License
EmergencyMedicineIreland.com
Vertebral Artery 
EmergencyMedicineIreland.com Atlas (C1 Vertebra)
EmergencyMedicineIreland.com 
Intra-Cranial 
Extra-Cranial
EmergencyMedicineIreland.com 
Elastica Externa 
Sub Arachnoid 
Space
EmergencyMedicineIreland.com
things you read on CT 
reports but don’t know 
what they mean... 
EmergencyMedicineIreland.com
EmergencyMedicineIreland.com 
Radiology Report: J Bloggs 
There is a large acute SDH and 
the basal cisterns are effaced. 
Clinical correlation advised... 
Happy to discuss... when not browsing BMW magazines...
EmergencyMedicineIreland.com
EmergencyMedicineIreland.com
EmergencyMedicineIreland.com
EmergencyMedicineIreland.com 
Radiology Report: J Bloggs 
There is an area of hyperattenuation 
in the region of the basal ganglia. It 
extends into the internal capsule. The 
basal cisterns are patent. 
Image Credit: Frank Gaillard on Radiopaedia 
http://radiopaedia.org/cases/basal-ganglia-haemorrhage- 
ct
Anterior Limb 
EmergencyMedicineIreland.com 
Motor Cortex 
Nerve Root 
Posterior Limb 
The Internal Capsule
EmergencyMedicineIreland.com 
Striate Arteries
EmergencyMedicineIreland.com 
Resources

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SMACC 2014 presentation