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

I often see notes imply that the rationale for an echo as part of the #stroke work up is to assess for LV thrombus and PFO.

What an echo tells me:
- valvular disease/calcification (ncbi.nlm.nih.gov/pmc/articles/P…)
- ejection fraction; leading to potential DOAC initiation
- regional wall…

Earlier Time to Achieve Target Systolic Blood Pressure to <140 is associated with reduced risk of hematoma expansion and better functional outcomes. The effect is most prominent when baseline ICH volume is >10 ml.

THE TIME IS NOW for
#CodeICH

ahajournals.org/doi/abs/10.116…

#MondayTip
#Acute neurologic #worsening after AIS

🩸Spontaneous or rTPA/TNK-related bleed?
🛌BP dependent exam? flatten HoB, bolus IV, +/- pressors
🛑Reperfusion injury or reocclusion after EVT?
🪜Stuttering lacunar?
⚡️Non convulsive/post ictal state?

Casey Albin, MD Survival Guide

Neuroimaging checklist for the patient with Temporal Lobe Epilepsy (TLE) 🧠 ✅

Credit to the excellent talk on the The American Society of Neuroradiology fellowship curriculum given by Erik Middlebrooks, MD for inspiration on this topic

#MedEd #medicine #radres #Neurology #Neurosurgery #futureradres

1/ Time is Brain With Tenecteplase, Too ahajournals.org/do/10.1161/blo…

In this #BloggingStroke post, Natalie Ullman discusses #Stroke article 'Effect of Time to Thrombolysis on Clinical Outcomes in Patients With Acute Ischemic Stroke Treated With Tenecteplase Compared to Alteplase.'

When would you start anticoagulation after acute stroke in patients with A fib? Brief summary about the topic. Thanks Casey Albin, MD for your amazing and ultra-fast feedback!
Emory & Grady Neurocritical Care Fellowship The ELAN Trial #Neurotwitter #Neurology #Neurocriticalcare #stroke