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Amongst all the beautiful blooms and blossoms, I had a lovely post Sunday call walk with the amazing Elizabeth Page, MD 🧠 . #Grateful #neurotwitter Cleveland Clinic Neurology Residents

65-year-old man to his daughter-in-law: "You look very pretty today, let us go out for a movie." ➡️Mr Rakesh (name changed) presented with a 4-week history of psychiatric symptoms, including irritability, agitation, and inappropriate behavior directed toward his daughter-in-law.

Fascinating and important work. Type 5 Diabetes- Insulin responsive , low BMI, no family history, no AutoAb identified yet, can be managed with oral medications. #neurotwitter #MedTwitter

How frequently do you apply the COMPASS trial in your practice ? It showed that low dose rivaroxaban+aspirin was beneficial in reducing cardiovascular events, with a surprisingly low NNT for higher risk patients. #neurotwitter #MedTwitter #stroke 🧠😃 nejm.org/doi/full/10.10…

CHOP & Penn Medicine have delivered the first-ever personalized gene editing therapy for a patient with CPS1 deficiency, marking a major milestone in the application of CRISPR-based treatments. Learn more about KJ & the future of personalized medicine: ms.spr.ly/6015SZLAx.

Photo I took in Mumbai.

📣 Just came out on the green journal! Our study demonstrates Magnetic Resonance Fingerprinting (MRF), combined with deep learning, enables whole-brain automated detection of focal cortical dysplasia, even in cases hard-to-identify by conventional MRI. neurology.org/doi/10.1212/WN…

Just California things.. #happysunday

Who believes in SREAT ? Just a naive neurology resident who has seen 2 cases of abnormal MRI, inflammatory tap, high tpo Ab and otherwise broadly negative work up with rapid improvement post steroids trying to figure out if I am a SREAT believer or nonbeliever. 🙈 #Neurology

Trying to make sense of alpha synuclein Skin biopsies. 🧠🤯🧫🧪🧑‍🔬 -Clinicians are wrong upto 30% of the times when diagnosing different Parkinsonism when compared to autopsy. pubmed.ncbi.nlm.nih.gov/1603339/ -the new skin biopsy paper correlates whether skin biopsy results correlate with

What's the gold standard for diagnosis of PD ? 1)Depletion of dopaminergic neurons in susbtanstia naigra with Lewy body pathology 2)Only depletion of neurons in substantia Niagra 3)only lewy body pathology 4)synuclein deposits in the substantia niagra with loss of neurons.

Making paracetamol from plastic waste !!! Bioengineering

“If it’s endurable, then endure it. Stop complaining.” — Marcus Aurelius

👩‍⚕️👨‍⚕️ A multidisciplinary team assessment of the footage can significantly enhance diagnostic accuracy and guide more effective, personalized management. DOI: doi.org/10.1002/epd2.2… Giovanni Castellucci, MD, MS Giovanni Falcicchio irfan sheikh 伊凡 Joana Ribeiro The AnPhy Lab

#MondayTip #DWI_negative AIS 📊Meta-analysis, 3,236pt➡️6.8% had clinical diagnosis of AIS w/DWI (-) 🔑Post. circulation is key: 5x greater odds of (-) DWI vs anterior strokes ⏰Timing & size matter ☝️While DWI is highly sensitive, it can still be falsely (-) in selected AIS cases

I have a patient with Parkinsons disease and dementia who when I asked him how he was feeling told me without any self pity that he could usually find two or three moments each day to be happy. I have tried to carry this forward in my own life