#STROKE Topical Review by Andreas Charidimou MD, PhD & Eric_Smith_VCI: Cerebral microbleeds #CMBs in the setting of cerebral amyloid angiopathy #CAA : bleeding risk and safety of antithrombotic management. #AHAJournals ahajournals.org/doi/10.1161/ST…

Can you distinguish lobar and deep?

ENRICH trial in NEJM shows improved outcomes for lobar ICH treated with minimally invasive surgery. Surgery not effective for basal ganglia ICH. 30 day mortality lower with surgical rx. A major development in ICH rx options World Stroke Org European Stroke Org
nejm.org/doi/full/10.10…

🩸🧠Concept validation of new Boston criteria v2.0 for Cerebral Amyloid Angiopathy (CAA) diagnosis International Journal of Stroke

🧬In Dutch-type hereditary CAA the new Boston criteria increase the sensitivity for capturing presymptomatic mutation carriers, **before the appearance of any…

🧠⭕️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,…

⚡️🧠 Amazing book for neurologists by Eelco F.M.Wijdicks,MD,PhD!

It has the flow of a novel and gives pearls and practical common sense advice about diagnosis, management and prognosis in every chapter.

#FOAMcc #NeuroCritCare #FOAMed #EMCCM #NeuroICU #NeruroMonitoring #IntensiveCare …

In investigating patients with ICH, when should we consider entities besides HTNive hemorrhage and CAA? Excellent review on less common causes of ICH in Stroke AHA/ASA Charlotte Cordonnier Andreas Charidimou MD, PhD European Stroke Org World Stroke Org University of Maryland Neurocritical Care
ahajournals.org/doi/abs/10.116…

🦓🩸🧠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:…

⭕️Small Vessel Disease (cSVD) ~ 🧠MRI markers

~Nothing small about cSVD!

#NeuroTwitter #NeuroRad #Neurology #Neurosurgery #stroke #MedStudentTwitter #FOAMncc #MedTwitter #amyloidangiopathy #FOAMncc #neuroscience #brain #Alzheimer s #Alzheimer #illustration #neuropath #cSVD

Nirmal Pandey MD DM Neurologist Mohan Sai Gudela, MD I agree, looks like convexal SAH, which does have a wide differential - clinical context, brain MRI with SWI and appropriate w/up with vessel imaging (DSA?) would shed light on the cause. #neurotwitter #stroke #Neurology

#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

All you ever needed to know about the data for TNK!

Andrew Micieli Andreas Charidimou MD, PhD World Stroke Org WorldStrokeAcademy SCCM Neuroscience Section Aarti Sarwal, FNCS, FAAN, FCCM Professor Aaron S. Zelikovich, MD

Todo lo que tienes que saber del manejo cardio/cerebrovascular de pacientes con micro hemorragias y/o sospecha de Angiopatía amiloidea cerebral . Por el gran Andreas Charidimou MD, PhD Acceso libre en Stroke AHA/ASA 👇👇

🚨 Management of Cerebral microbleeds ⚫️🧠

📚Everything you need to know in our new review article with Eric_Smith_VCI in Stroke AHA/ASA 👇

#NeuroTwitter #stroke #Neurology #neuropath #stroke #dementia #Alzheimers #biomarker #brain #MedStudentTwitter #AmyloidAngiopathy #CAA …