double edge 🗡️ ⬇️stroke risk with ⬆️🩸 risk with the use of apixaban in stroke prevention from subclinical A fib. 👉Need for real world data 👉Need for risk stratification studies 👉Focus on Personalized medicine #neurotwitter ://www.nejm.org/doi/full/10.1056/NEJMoa2310234

🩸🧠 Convexity Subarachnoid Hemorrhage (v2) ~Has important differential diagnosis Common causes: ⭕️ RCVS - Younger patients 🔶 CAA - Older patients (>55-60y) (broad spectrum of other rare DDx ) #NeuroTwitter #NeuroRad #Neurology #Neurosurgery #stroke #MedStudentTwitter

Fisher's rules should be hand outs for all residents starting out in neurology. One of the great masters who like Charcot saw pathological examination as the final component of diagnosis

🧠⭕️ Ischemic Stroke ~ Major Causes Huge thanks 🙏🏾🙏🏾 to Andrew Micieli Casey Albin, MD Shadi Yaghi for great suggestions & feedback!! #NeuroTwitter #NeuroRad #Neurology #Neurosurgery #stroke #MedStudentTwitter #FOAMncc #MedTwitter #FOAMncc #neuroscience #brain #CardioTwitter

⭕️🧠 CAA progression & neuropath staging (CAA=Cerebral Amyloid Angiopathy) #NeuroTwitter #NeuroRad #Neurology #Neurosurgery #stroke #MedStudentTwitter #FOAMncc #MedTwitter #amyloidangiopathy #FOAMncc #neuroscience #brain #Alzheimers #Alzheimer #illustration #neuropath #cSVD

👉Important topic about intravascular lymphoma and stroke. 👉Detailed characteristics of stroke associated with IVL #Neurology #stroke #Review cureus.com/articles/21128…

Retinal Hemorrhage Associated with Human Granulocytic Anaplasmosis jamanetwork.com/journals/jaman… #NeuroTwitter #Neurology

64♂. No T2DM/CAD/Smoking. Borderline HTN. 3 episodes of LUE transient weakness for few minutes. We though of TIA 🆚 seizures. Non-contrast MR done. No restriction. SWI👇 A 🧵 #neurotwitter #NeuroX #MedTwitter #MedX #Neurology #FOAMmed

Stroke risk is associated with enzyme inducing AEDs. The risks and benefits of AEDs should be weighed among the patients, especially with vascular risk factors to limit the ischemic stroke risk. #NeuroX #Neurotwitter #Neurology #stroke journals.sagepub.com/doi/10.1177/09…

Interpretation: one size does not fit all. Refer to the scientific statement algorithm. Prefer AC in high AIS risk groups but low🩸 risk & limit to 30 days (no more than 90 days) if doing so. AP in low risk groups or high🩸risk. Prefer DAPT > SAPT. ahajournals.org/doi/10.1161/ST…

NEW EDU📣 Dr. David Greer introduces new updates to NCS Brain Death Toolkit, which incorporate recent American Academy of Neurology guidelines on brain death. The Brain Death Toolkit is free to access: ow.ly/Wssp50R3vvg #neurocritcare #neurocritical

In the ENRICH trial of minimally invasive cerebral hematoma removal within 24 hours after onset of hemorrhage, functional outcomes were better with surgery than with medical treatment, particularly among patients with lobar hemorrhages. Full trial results: nej.md/3VPYggf

Basically NO pts should be excluded from EVT in early windows based on ANY imaging criteria (unless 🩸😬). #stroke #NeuroX ahajournals.org/doi/10.1161/ST…

Is amyloid=Alzheimers? YES: Alzheimer's Association Does lowering brain amyloid predict benefit? YES: U.S. FDA Is lowering brain amyloid safe & effective? YES: drug makers Should we cover amyloid abs? YES: CMS Should we prescribe them? YES: MDs #Consensus #no-debate Alberto J Espay

Madhav Thambisetty Alzheimer's Association U.S. FDA NO is the answer to the last one. Patients won't get better with an illusion --and can be harmed. Lecanemab makes donepezil amazing by comparison.

Intravascular lymphoma associated stroke.Done with presentation. Great vibe!!#AAN2024 #stroke #Neurology

Great to see UofL colleagues!! #AAN2024

Here it is! In this meta-analysis, anticoagulation was superior to antiplatelets for stroke prevention in patients with #cervical #artery #dissection but carried increased risk of major bleeding. This argues for an individualized treatment approach. 🛑CAD ahajournals.org/doi/10.1161/ST…

CPAP vs BIPAP by archer review

Difficult case, let’s run this together. 70 y/o M w/ Hx of HTN presents with acute confusion, dysarthria and facial droop Images in 🧵 #Neurology #neurosurgery #MedEd #medicine #radres #ENT #futureradres