I'm a 6th-year medical student from Brazil and am currently doing a 2-month observership at the Neurocritical Care Department at the University of Florida Shands Hospital. I am grateful to have found this channel a few years ago because your lectures have been invaluable during my observership. Thank you for this incredible resource!
@@hldmyhndPX agora formado, vim assistir a essa aula novamente, e vi teu comentário. Irmão, se você já tiver feito o Step 1 (pelo menos), tuas chances de conseguir qualquer tipo de estágio (observer, clerk ou sub-i) aumentarão muito, mas caso não tenha feito ainda, minha dica é tentar todas as alternativas possíveis e imagináveis. Eu tive muita sorte. Enviei, literalmente, centenas de e-mails para muitos lugares,e não consegui nada, até que, por uma serendipidade do destino, vi um anúncio de uma vaga para research fellow em um grupo do Facebook e me candidatei para ela. Não fui selecionado para a vaga naquele momento, mas ter participado do processo seletivo me abriu as portas para pedir o estágio. Foram os meus últimos 2 meses de faculdade e, sem sombra de dúvidas, foram os melhores de toda a graduação.
It’s very inspiring to see that you always can improve, even if you’re already very good. Because these lectures are getting better and better. I’m so happy I found this channel 🎉
Both EEg and MRI are fake, please have some respect for your education. The reason you have many reasons/causes for the same symptoms, it means that none are valid.@@theneurophile
Bless up to everyone I have been having body seizures for 8 plus years and been diagnosed as having epilepsy for 3 years now by my neurologist.I first got seizures at the age of 42 and I'm 50 now and have been hospitalized to many times to count.I was working on a garbage truck when I first had seizures and it happened on my way to work and I woke up in hospital 3 days later feeling like I never felt before and couldn't stand up much less walk.I haven't worked from then,I tried to work with a cousin and he asked me to lift a ladder to the back and I remember nothing else only when I opened my eyes was home in my bedroom with no idea of how I got there.I have no idea what started me to have seizures;I know as a teenager I was hit in my head with a baseball bat and stabbed with a blunt edge kitchen knife near the left side of my temple and my mom carried me to the doctor but no damage was discovered after examinations and tests or working in that environment of waste and disposal ?
I'm an internal medicine resident who's trying to brush up on my neurology. This was absolutely amazing and now I won't have to give poop consults to my neurology colleagues!
Hello, Dr. Rybinnik. I am a great admirer of your work and conveyed the same through Dr. Priyank Khandelwal. Hope you have received it. From India. Keep it coming please.
I want to thank all the contributors to this great channel you really help me alot during studying but I wanted to ask if there is any data source that you would recommend studying from or if you yourself have a textbook or a pdf
Excellent video! I'm surprised these continue to raise the ceiling with every video put out! I'd just like to make a minor addition, in the 'Neuromodulation' section you mentioned the patient had failed multiple medications. Patients don't fail medications, medications fail patients. It might seem pedantic but I think it's important how language is used to describe others since it might unconsciously effect how they're perceived.
@@theneurophile I'm glad! I totally get why the slide was written as it is since I believe the wording is extremely common in medicine. My comment was just meant as some food for thought!
Thanks for the video! I'm a student nurse so I really don't have to know all these details but it's just so fascinating. Maybe I've chosen the wrong side of health care...
Hello, Is there is a link where we can dowload these slides for studying Purposes? Much Thanks for all the work your doing! Nuerology looks much easier after watching your videos!
Great video! I'm new to learning about seizures and wanted to ask why the localization of the seizure of the pt @18:33 most likely started from the frontal lobe, rather than the temporal lobe. If he started with behavioral arrest, wouldn't the seizure have come from the temporal lobe? Is there something I'm missing? Thanks!
Behavioral arrest is possible with both temporal and frontal seizures. In this case, the turning of the gaze and the head and fencer posturing that occurred right after behavioral arrest points to the frontal lobe. Temporal lobe patients typically have an aura of funny smells/deja vu, then automatisms, then behavioral arrest and motor phenomena.
Now what I don't understand is why i began having repeated seizures. Mine started when i was age 23 going 24, first it was aura weird smells then full blackout clonic tonic, screaming, tongue n cheek bites plus the left side of body was limp and numb...did a mri but they didn't tell me anything was wrong, also blood test fine. Wasnt taking medication nor real physical injuries before seizure .. (Now i dropped head first on concrete floor falling out chair. Durning blackout seizure, Massive concussion) ...took 4 weeks to fully regain control of both sides of body....then the real fun began, i still kept having seizures while on medication, though i never got another clonic tonic sezuire again. Though i did noticed the ones i have happened when i listened to certain music. On my computer too long or apon waking up. ...And these seizures came with auras, head turning, smacking and eye flutters, and impaired movement. Felt like i was trapped in a statue sometimes...or really hard to speak but now the vision in my left eye was altered, (and still kinda is) i would go "blind" i mean the objects are still seen but my eye couldn't tell the difference between a human and a broom stick, it is like the two are the same thing and i just knew not to bump into them. Cant tell facial expression can truly "hear" the person or really differentiate color... just a object. Also time or objects began to slow down. The eeg i did showed nothing ..(but the test was done 4 days after first seizure) and my seizures continued a week later Note the massive concussion was on my LEFT side but last i checked the right side controls the left and most of my seizures feel like they come from the right half, there is sometimes a tension headache on the RIGHT half before a seizure comes...not always but once one happens the right side headache becomes intense... But Before my first clonic tonic i did have staring spells, stopped in place while doing task and a few urine incontinence one month Pryor but NO HEAD INJURIES. Theres more to it but the only good side is the seizures are "weaker" but STILL HAPPEN even when taking meds... i just dont get WHY it happened now, im 26 and only one person in my family developed epilepsy from car accident 😕 mine started after a car accident but I didn't get truly injured it just kick started afterwards, i only bring it up cause my doctor and hospital has no real answers for me 😔
I’m very sorry to hear that you are having difficulties. Sometimes it is very difficult to answer the question why seizures start at a particular point in a person’s life. Please keep communicating with your doctor and hopefully you will find an appropriate treatment plan.
Yes, two neurologists have told us ECT is a life saving measure for major depressive episodes with suicidal ideations which don’t respond to meds but that it is a trauma to the brain and are suggesting it is why my husbands cognitive condition is so impaired, that his brain will take time to heal. We suspect possible temporal lobe epileptic seizures - it runs in his family and he has these episodes that sound like what others report. They’re gonna do a EEG test to try and diagnose this. It’s so frustrating
Thank you for your comment. Point well taken. Actually based on Vossler DG, et al. J Neurol Neurosurg Psychiatry 2020;0:1-9 our Epileptologists are starting to use it more and more as first line for gen epilepsy, especially considering favorable side effect profile. Also, while Lacosamide is a sodium channel blocker, it does act differently than other narrow-spectrum sodium channel blockers (that is less well understood).
Creating you dr rybbnik Thank you very much But I am wondering who add this terrifying theme about the sclolex of cystecercosis that suddenly appeared 😂🤔 we could have heart attack 😂😂
I am sorry that you are suffering with seizures. I highly recommend that you follow the advice of your seizure doctor on how to properly treat your seizures. I am not aware of any studies that used trumpet leaf as treatment.
There is no one cure or one treatment for epilepsy. Each treatment depends on each individual case. Please have a discussion with your doctor about the appropriate treatment for you.
This is simply brilliant, I’m in awe 🤩 best lecture I stumbled upon so far, glad I found your channel! Thank you so much for your work and dedication! 🤍🤍🤍
Very good info ! Unfortanetly, it cannot help with this disease , nothing can help , once u hit your first aura - your life will never be the same. And im being optimistic about it , however - drugs , diets - Ive litterally did starve myself to get in ketosis and dropped from 90 kg to 65 … Guess what ? Nothing helps and nobody cares and it’s okey , I just find these videos kind of stupid and it’s a waste of time. Enjoy your life while your health can afford it , cuz guess what ? Im 26 and my life began crashing down since 18- I used to be a great athelete , but i will never become a champion , I will never become a father and nobody cares for real, if god is waiting for me on the otherside , well have some shit to discuss. Dont watch this video , go out and enjoy your life while you can actually fookin walk , peace 🫡
@luciggg5807 •I get how you feel i was not seizure free when i had my son -But my son got so used to it i lost my job ?He learned very young my address ,phone number mine are finally after flipping decades controlled and now my brother has it he is still working Mine is left Tempral spreading -My first one i had on a motorway -Clearly not ideal 🤦♀️My son when small he once said to my Dad (Apparently )Not another Bloody one ..Plus jesus dont eat not for hours days afterwards i was chucking my guts up i made that mistake /Twice .TBI was medication Induced First Seizure -ECT sesion return not ideal at all nobody tells your family the risk -Someone said get gentic testing well G/Grandpa /Great Aunt /Two of my Mums Cousins /This is not rocket science and what help will it be we all have sons i know the risks being told they are at further risk is of no use !Plus whom would it help ?I would live my life waiting for one of our kids to develope it -Dont loose hope of having children a relationship etc your really young ..
I'm a 6th-year medical student from Brazil and am currently doing a 2-month observership at the Neurocritical Care Department at the University of Florida Shands Hospital. I am grateful to have found this channel a few years ago because your lectures have been invaluable during my observership. Thank you for this incredible resource!
I'm glad you found it useful. Best of luck to you.
Aí chefe, me passa as dicas pra conseguir um clerkship no exterior, massa dms
Que beleza
@@hldmyhndPX agora formado, vim assistir a essa aula novamente, e vi teu comentário.
Irmão, se você já tiver feito o Step 1 (pelo menos), tuas chances de conseguir qualquer tipo de estágio (observer, clerk ou sub-i) aumentarão muito, mas caso não tenha feito ainda, minha dica é tentar todas as alternativas possíveis e imagináveis.
Eu tive muita sorte. Enviei, literalmente, centenas de e-mails para muitos lugares,e não consegui nada, até que, por uma serendipidade do destino, vi um anúncio de uma vaga para research fellow em um grupo do Facebook e me candidatei para ela. Não fui selecionado para a vaga naquele momento, mas ter participado do processo seletivo me abriu as portas para pedir o estágio. Foram os meus últimos 2 meses de faculdade e, sem sombra de dúvidas, foram os melhores de toda a graduação.
It’s very inspiring to see that you always can improve, even if you’re already very good. Because these lectures are getting better and better. I’m so happy I found this channel 🎉
Absolutely! I’m learning new things daily.
Ohhhh....Amazing...
Thanks a million dear Doctor
Both EEg and MRI are fake, please have some respect for your education. The reason you have many reasons/causes for the same symptoms, it means that none are valid.@@theneurophile
An eye opening lecture. Thanks very much.
One of the best lectures, if not the best one on that topic! Amazing work! Thank you
Wow, thank you! I’m glad it is helpful.
Bless up to everyone I have been having body seizures for 8 plus years and been diagnosed as having epilepsy for 3 years now by my neurologist.I first got seizures at the age of 42 and I'm 50 now and have been hospitalized to many times to count.I was working on a garbage truck when I first had seizures and it happened on my way to work and I woke up in hospital 3 days later feeling like I never felt before and couldn't stand up much less walk.I haven't worked from then,I tried to work with a cousin and he asked me to lift a ladder to the back and I remember nothing else only when I opened my eyes was home in my bedroom with no idea of how I got there.I have no idea what started me to have seizures;I know as a teenager I was hit in my head with a baseball bat and stabbed with a blunt edge kitchen knife near the left side of my temple and my mom carried me to the doctor but no damage was discovered after examinations and tests or working in that environment of waste and disposal ?
undoubtedly, this is your best lecture so far.
This is the best presentation about medicine ever for me!!!
Wow. Thanks.
nurse who is going to start in an EMU. very helpful background. not much of this is covered even in a high-quality nursing school.
This videos are gold. Thank you for sharing this incredible review for free for us to learn!
Amazing work! Thank you so much for this lecture.
I'm not a native english speaker but this class is made in an universal language, thank you
I love these video series so much. As an aspiring medical student interested in neurology, your videos are so good.
nice presentation and well presented. thank you. keep up the good work. God bless you.
Thank you so much for sharing this informative video !!!
Always love your videos. Couldn't be any more grateful that I found this channel.
Thank you for your high quality work!
Many thanks for this fabulous presentation, so educational and enriching !
love you incredible effort and work appreciated every time that i watch the lectures
Glad you like them!
These videos are 🔥 Thanks so much for making them!
Thank you so much for these videos! Could you do one about approach to localization please?
Yep. I'm working on a 3-hour series on clinical neuroanatomy, localization, and neurological examination.
@@theneurophile yay!! I’m so excited for that!
Great lecture
a mini holiday every time you guys post
Awesome!
this is a beautiful presentation. Thanks.
I LOVE YOU, THANK YOU FOR UR FANTASTIC WORK
I'm an internal medicine resident who's trying to brush up on my neurology. This was absolutely amazing and now I won't have to give poop consults to my neurology colleagues!
Wow, thank you!
best lectures ever!
Great video doc!
Wow! I love this channel so much!
Amazing talk. Really appreciate it!
Absolutely incredible lecture
Thanks for the amazing explanation and videos
Thank you for the great content
Perfekt as usual 😊...
Thanks alot
Hello, Dr. Rybinnik. I am a great admirer of your work and conveyed the same through Dr. Priyank Khandelwal. Hope you have received it. From India. Keep it coming please.
Thank you for your kind words!
Thanks very much
Thank you for the great lectures. You have a lot of publicity in germany and switzerland :)
Glad you like them!
Thanks for making such good content!
I want to thank all the contributors to this great channel you really help me alot during studying but I wanted to ask if there is any data source that you would recommend studying from or if you yourself have a textbook or a pdf
Excellent video! I'm surprised these continue to raise the ceiling with every video put out!
I'd just like to make a minor addition, in the 'Neuromodulation' section you mentioned the patient had failed multiple medications. Patients don't fail medications, medications fail patients. It might seem pedantic but I think it's important how language is used to describe others since it might unconsciously effect how they're perceived.
I think you are absolutely correct! Thank you for that comment.
@@theneurophile I'm glad! I totally get why the slide was written as it is since I believe the wording is extremely common in medicine. My comment was just meant as some food for thought!
Thanks for the video! I'm a student nurse so I really don't have to know all these details but it's just so fascinating. Maybe I've chosen the wrong side of health care...
Come join us in med school or NP school. You will love it.
This year,we eagerly waitfor more topics
Love your videos! Hopefully becoming a neurologist one day
Best of luck. It's an awesome specialty.
Wow, love you man.
great, very useful video for all doctors. I wish you all goods, may Allah save you.
Wonderful video, thank you for making. Would it be possible to post the slides you used to study from?
Will do, when I have a moment.
Love it , keep going
That was amaziiiiiing ❤
Hello,
Is there is a link where we can dowload these slides for studying Purposes?
Much Thanks for all the work your doing!
Nuerology looks much easier after watching your videos!
amzing
thank you so much sir❤
please is there pdf for the videos just like the stroke?❤
Great video! I'm new to learning about seizures and wanted to ask why the localization of the seizure of the pt @18:33 most likely started from the frontal lobe, rather than the temporal lobe. If he started with behavioral arrest, wouldn't the seizure have come from the temporal lobe? Is there something I'm missing? Thanks!
Behavioral arrest is possible with both temporal and frontal seizures. In this case, the turning of the gaze and the head and fencer posturing that occurred right after behavioral arrest points to the frontal lobe. Temporal lobe patients typically have an aura of funny smells/deja vu, then automatisms, then behavioral arrest and motor phenomena.
Gosh... that screamer at 28:28 :D
That was meant to keep you awake.
love it
Great
plz upload one video on nerve conduction study for beginner level.
Did not expect that tapeworm jumpscare lol
please a video of electroencephalogram
you are the GOAT🥰
Thank you!
Is it lamotrigine also called Lamictal
great, but no more scenes from movies, why
I guess they were a bit distracting. I’ll consider adding them in future videos
for me they made it more interesting, maybe it takes a lot of effort for you@@theneurophile
Now what I don't understand is why i began having repeated seizures. Mine started when i was age 23 going 24, first it was aura weird smells then full blackout clonic tonic, screaming, tongue n cheek bites plus the left side of body was limp and numb...did a mri but they didn't tell me anything was wrong, also blood test fine. Wasnt taking medication nor real physical injuries before seizure ..
(Now i dropped head first on concrete floor falling out chair. Durning blackout seizure, Massive concussion) ...took 4 weeks to fully regain control of both sides of body....then the real fun began, i still kept having seizures while on medication, though i never got another clonic tonic sezuire again. Though i did noticed the ones i have happened when i listened to certain music. On my computer too long or apon waking up. ...And these seizures came with auras, head turning, smacking and eye flutters, and impaired movement. Felt like i was trapped in a statue sometimes...or really hard to speak
but now the vision in my left eye was altered, (and still kinda is) i would go "blind" i mean the objects are still seen but my eye couldn't tell the difference between a human and a broom stick, it is like the two are the same thing and i just knew not to bump into them.
Cant tell facial expression can truly "hear" the person or really differentiate color... just a object. Also time or objects began to slow down. The eeg i did showed nothing ..(but the test was done 4 days after first seizure) and my seizures continued a week later
Note the massive concussion was on my LEFT side but last i checked the right side controls the left and most of my seizures feel like they come from the right half, there is sometimes a tension headache on the RIGHT half before a seizure comes...not always but once one happens the right side headache becomes intense...
But Before my first clonic tonic i did have staring spells, stopped in place while doing task and a few urine incontinence one month Pryor but NO HEAD INJURIES.
Theres more to it but the only good side is the seizures are "weaker" but STILL HAPPEN even when taking meds... i just dont get WHY it happened now, im 26 and only one person in my family developed epilepsy from car accident 😕 mine started after a car accident but I didn't get truly injured it just kick started afterwards, i only bring it up cause my doctor and hospital has no real answers for me 😔
I’m very sorry to hear that you are having difficulties. Sometimes it is very difficult to answer the question why seizures start at a particular point in a person’s life. Please keep communicating with your doctor and hopefully you will find an appropriate treatment plan.
I’m on lover team right now for my seizures. I take it twice a day three pills in morning three pills at night. I forgot how many milligrams
Would ECT sessions qualify as a traumatic brain injury?
By ECT, do you mean electroconvulsive therapy? If so, ECT should not damage the brain.
Yes, two neurologists have told us ECT is a life saving measure for major depressive episodes with suicidal ideations which don’t respond to meds but that it is a trauma to the brain and are suggesting it is why my husbands cognitive condition is so impaired, that his brain will take time to heal. We suspect possible temporal lobe epileptic seizures - it runs in his family and he has these episodes that sound like what others report. They’re gonna do a EEG test to try and diagnose this. It’s so frustrating
Is there such thing as aware focal seizures ?
Yes, certainly. Focal motor, visual and sensory seizures do not have to affect awareness.
Thank you.
A note: Lacosamide is not a broad-spectrum agent and is not a first line treatment for generalized epilepsy:/
Thank you for your comment. Point well taken. Actually based on Vossler DG, et al. J Neurol Neurosurg Psychiatry 2020;0:1-9 our Epileptologists are starting to use it more and more as first line for gen epilepsy, especially considering favorable side effect profile. Also, while Lacosamide is a sodium channel blocker, it does act differently than other narrow-spectrum sodium channel blockers (that is less well understood).
I am in Jamaica
Creating you dr rybbnik
Thank you very much
But I am wondering who add this terrifying theme about the sclolex of cystecercosis that suddenly appeared 😂🤔
we could have heart attack 😂😂
* greating
The scolex was just to keep you awake and attentive throughout the video.
The mission completed 😂
You are the best 🙏🌺🍀
I lobe you too.
Haha. Awesome attention to detail.
Within the first 3 min..as soon as you said burning rubber. I knew.
It is a scary ass disease.
That’s temporal lobe epilepsy.
I haven’t had any side effects of this medicine yet
If I have seizure can I drink trumpet leaf for it
I am sorry that you are suffering with seizures. I highly recommend that you follow the advice of your seizure doctor on how to properly treat your seizures. I am not aware of any studies that used trumpet leaf as treatment.
how to cure completely epilepsy without operation
There is no one cure or one treatment for epilepsy. Each treatment depends on each individual case. Please have a discussion with your doctor about the appropriate treatment for you.
I was born with it
I don’t drive because I choose not to
I don’t wanna do anything in the medical world
This is simply brilliant, I’m in awe 🤩 best lecture I stumbled upon so far, glad I found your channel! Thank you so much for your work and dedication! 🤍🤍🤍
Thank you so much!
Very good info ! Unfortanetly, it cannot help with this disease , nothing can help , once u hit your first aura - your life will never be the same. And im being optimistic about it , however - drugs , diets - Ive litterally did starve myself to get in ketosis and dropped from 90 kg to 65 …
Guess what ? Nothing helps and nobody cares and it’s okey , I just find these videos kind of stupid and it’s a waste of time.
Enjoy your life while your health can afford it , cuz guess what ? Im 26 and my life began crashing down since 18- I used to be a great athelete , but i will never become a champion , I will never become a father and nobody cares for real, if god is waiting for me on the otherside , well have some shit to discuss.
Dont watch this video , go out and enjoy your life while you can actually fookin walk , peace 🫡
I’m very sorry to hear that you are having trouble. We have very effective treatments for epilepsy now-a-days and I hope you can get help.
@luciggg5807 •I get how you feel i was not seizure free when i had my son -But my son got so used to it i lost my job ?He learned very young my address ,phone number mine are finally after flipping decades controlled and now my brother has it he is still working Mine is left Tempral spreading -My first one i had on a motorway -Clearly not ideal 🤦♀️My son when small he once said to my Dad (Apparently )Not another Bloody one ..Plus jesus dont eat not for hours days afterwards i was chucking my guts up i made that mistake /Twice .TBI was medication Induced First Seizure -ECT sesion return not ideal at all nobody tells your family the risk -Someone said get gentic testing well G/Grandpa /Great Aunt /Two of my Mums Cousins /This is not rocket science and what help will it be we all have sons i know the risks being told they are at further risk is of no use !Plus whom would it help ?I would live my life waiting for one of our kids to develope it -Dont loose hope of having children a relationship etc your really young ..
Is it lamotrigine also called Lamictal
I’m on lover team right now for my seizures. I take it twice a day three pills in morning three pills at night. I forgot how many milligrams
I haven’t had any side effects of this medicine yet
I don’t wanna do anything in the medical world