📣 Essential reading 🧠

‼️ LMWH doesn’t reduce thrombo-embolism post ICH + ⬆️ bleeding. Stockings don’t work. Only IPCs work (unless contraindicated eg skin break). Careful - many ICH are put on LMWH routinely in ICU Imperial Stroke Soma Banerjee luciodanna Kevin Tsang

➡️ DECT with many potential advantages over conventional CT for acute stroke diagnosis and guide hyperacute management - more studies needed for posterior infarcts Imperial Stroke Soma Banerjee Neil Rane luciodanna Dheeraj Kalladka 🇬🇧

🧵 #STROKE : Systematic review and meta-analysis suggests that IVT may not improve functional outcomes in patients with acute minor ischemic stroke, and explores sources of heterogeneity across studies. #ahajournals Thanh Nguyen 🇺🇦 Yi Sui
ahajournals.org/doi/10.1161/ST…

#MondayTip
High #Risk features in Nonstenotic #Carotid Plaque
🌒Beyond degree of #stenosis !
☝️You can use MRI, CTA, ultrasound, PET to evaluate
Intraplaque #hemorrhage , Thickness, Volume, Neovascularisation, Lipid core, #Ulceration , Thrombus, Calcifications, #Inflammation and +

#STROKE : Large core defined by #CTP (≥70 ml) is more predictive of poor outcome than #ASPECTS ≤5 in #LVO patients undergoing #EVT , particularly within 6 hours after stroke onset: an observational study. #AHAJournals ahajournals.org/doi/10.1161/ST…

‼️ For ICH <24 hrs, #ENRICH RCT showed especially for lobar ICH, minimally invasive hematoma evacuation resulted in better functional outcomes and lower mortality @ 180 days vs. guideline-based medical treatment Imperial Stroke Soma Banerjee Kevin Tsang

Upcoming stroke Topic. All welcome to join - such an important topic to discuss with stroke survivors and their families post stroke.
To join please email [email protected]

To decompress or not to decompress? Decompressive craniectomy infographic

ahajournals.org/doi/10.1161/ST…

Casey Albin, MD AshuJadhav
Emory & Grady Neurocritical Care Fellowship
Eric C Lawson, MD Emory Neurosurgery
#Neurotwitter #Neurosurgery

‼️🫀 and 🧠 vascular disorders are intimately connected 🔗 especially amongst older & hypertensive patients 💯 prevention of 🫀disease ➡️ prevention of strokes & 🧠 small vessel disease (and dementia) Imperial Stroke Cleveland Clinic London

🦓🩸🧠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:

Less than 10% of #stroke patients reach hospital within 60 mins of 1st symptoms.
We call on European Parliament MEP candidates to support our call to improve access to #StrokeCare & treatment. Stroke Europe
👉🏼 ow.ly/o95l50R89OO
#EUelections
#EUhealth
#StrokeActionPlan

⛑️ Surgeons in #Gaza Update - 28/3/24
Our team describes how they’re treating people with severe blast injuries while managing ongoing urgent cases, with experts back in the UK lending their support by offering guidance over the phone.
islamichelp.org.uk/surgeons

TNK trials review infographic
Casey Albin, MD Emory & Grady Neurocritical Care Fellowship #stroke #neurotwitter

Millions of ordinary people are suffering everyday 😢

Your brain is amazing! 🧠 ♻️

After a stroke, parts of the brain die. But rather than give up, your brain can rewire itself to avoid the areas affected by the blood clot or bleed.

Neuroplasticity is the reason recovery can continue well into the future: bit.ly/3LXV8ct

This #WorldAutismDay we’re delighted that our Autistic SPACE Project framework is a year old with >22K downloads & being used in multiple settings 👏

Free graphic use when crediting the authors
Mary Doherty Sue McCowan Seb Shaw (he/him) 🏳️‍🌈

Full publication 👇
magonlinelibrary.com/doi/full/10.12…