Stereotypical limb shaking TIAs result from focal cerebral hypoperfusion in the setting of postural changes or after taking blood pressure medications. A careful history & cerborovascular imaging are needed to diagnose. Treatment is reperfusion if feasible. #stroke #neurotwitter

I had some thoughts… on death.

We are overdue for a reconsideration of mortality vs disability in our new large core stroke world.

ahajournals.org/doi/10.1161/SV…

What is a good treatment option for carotid/vert dissection-related headache +/- neck pain?

Gabapentin doesn’t seem to work.

#medtwitter #neurotwitter #MedEd

Please let’s be honest.

All over the world — in any ED — for any patient presenting with an acute focal or global neurological deficit , the standard of care needs to be CTA-for-All.

This — combined with endovascular services — will save the most lives.

Fastest and…

Vaccination reduced the risk of #LongCovid by ~40% in the entire population (5.4 million) of Norway
thelancet.com/journals/lanre… and reduced cardiovascular and thrombotic events Nhung Trinh
The Lancet Respiratory Medicine

🧠⭕️Ischemic stroke ~ for accurate diagnosis, and hence management, key features need to be defined:

1. Location
⭕️Vascular (& brain) anatomy (e.g. R MCA)

2. Pathophysiology
📌Mechanism (e.g. cardioembolism)
📌Underlying disease processes (e.g. AFib, cancer)

3. Vascular,…

Look forward to it! Did you know that it is estimated that the incidence of strokes per flight is 1/35,000. So it’s very safe to travel 😊😎
A teaser poll 👇 in case you are the doctor on board of an airplane asked to manage someone w stroke sxs? (Reference in ALT below) ✈️ ✈️

How can we personalize paroxysmal AF treatment? Burden of #Afib is becoming more important… 👇🏾

Special thanks to Shadi Yaghi & Luciano Sposato 🇦🇷🇨🇦 for their help writing this viewpoint in JAMA Neurology

jamanetwork.com/journals/jaman…

Tremendous progress in #stroke has been made since I was a trainee over a decade ago with many available treatment options & outcomes are better. An area that still needs a lot of work is intracranial atherosclerosis, a high risk disease with limited treatment options #medtwitter

When I see a ED tweet saying we aren’t sure if thrombolysis works for stroke.

thennt.com/nnt/thrombolyt…

The last 5 years have seen many changes in #GCA . Check out our new review The Lancet Rheumatology #CranialGCA EULAR BSR Polymyalgia+GCA
thelancet.com/journals/lanrh…

🦓🩸🧠Rare causes of Intracerebral Hemorrhage (ICH) and how to find them

~Clinical context, age, parenchymal & vascular imaging
🛑 Pointers/clues for rare causes👇👇

🤯Thunderclap headache: RCVS, CVT, aSAH
🌡️Fever: CNS infection, endocarditis, systemic angiitis
🦀Active cancer:…

Not uncomment to see patients in stroke clinic with non-specific spells that end up having a DWI hit (supported by DOUBT study). Importance of getting timely MRIs.

#stroke #neurology #MedEd

We need neurologists, not sub-sub-sub specializations.
onlinelibrary.wiley.com/doi/full/10.11…

As Mario Andretti declared, 'If everything seems under control, you're not going fast enough.' Do the truths of F1 racing also apply to #stroke ? In this Neurology Journal editorial, Michael D Hill and I argue for the need for speed in acute ischemic stroke.
neurology.org/doi/10.1212/WN…

Our first Continuum issue on headache since 2021 publishes… next week!

Very excited for this issue. The amazing Dr. Amy Gelfand has put together an awesome list of topics and authors ⬇️

Much has changed in the world of headache, you won’t want to miss this one

This comprehensive review explores the intricate neuro-ophthalmic manifestations of #HerpesZoster and provides a practical approach to these manifestations. #NeuroOphthalmology #MedicalResearch #MedicalEducation #Ophthalmology

nature.com/articles/s4143…
Brendan Tao Jonathan Micieli

#STROKE : The 10 most important features of cerebral small vessel disease for the practicing neurologist. #InterSECT article by MerryJean Losso, MD et al. #AHAJournals ahajrnls.org/4cBHjw3