An intriguing case of a spinal perimedullary fistula spontaneously obliterating over time. Thankful to Prof. Timo Krings for this interesting case and insightful discussion. journals.sagepub.com/doi/full/10.11…

Stroke is a major cause of death and disability, and its global impact is getting worse. However, it is a highly preventable and treatable condition, meaning the associated health and economic impacts can be substantially reduced.

In patients w/ cardiovascular disease & overweight or obesity but no diabetes, semaglutide was superior to placebo in lowering the risk of major adverse cardiovascular events at a mean follow-up of 39.8 mos. Full SELECT trial results: nej.md/465pj91 #AHA23 AHA Science

Brainstem Infarction Due to a Basilar Arterial Web | Radiology pubs.rsna.org/doi/10.1148/ra…

A young female presenting with multiple episodes of dizziness and imbalance. What does the left vertebral show? Dissection or fenestration?

Knowing spinal arterial anatomy is a given Knowing spinal venous anatomy is next level! Vertebral venous plexus can be both good & evil Good for collaterals, bad for tumor spread, infxn & spinal CSF fistulas! Here’s the anatomy you MUST know if you are doing spine 3 rings:

An 18-year-old male presented with occipital headache, vomiting, and ataxia. MRI/MRA brain revealed acute infarcts involving the bilateral cerebellar hemispheres and narrowing of the V2 segment. Learn more in the latest #NeurologyRF Video e-Pearl: bit.ly/47O4Zdi

An interesting cause of young stroke

27 year old with 4 episodes of left hemispheric anterior circulation strokes. What makes the arteries of the left hemisphere go from this(left) to this(right) in the space of 2 months? Right hemisphere and posterior circulation totally normal

1/Haunted by questions about stroke imaging? Don’t stand a ghost of chance w/perfusion imaging? Do you know what a ghost infarct core is? Strokes can’t vanish! Or can they? Find out in this week’s AJNR SCANtastic thread! ajnr.org/content/early/…

1/Talk about twisting your back! Do spine vascular lesions make your brain feel as tangled as the dilated vessels you see? Want some information on malformations? Here’s a thread on spine vascular anatomy to give you durable knowledge on dural arteriovenous fistulas (dAVF)

1/Correlate clinically! It’s harder than you think in THALAMUS—where its size is small & but the clinical symptoms are large. Here’s a thread to help you remember the main thalamic syndromes & their locations!

New from JNIS: bit.ly/48Ko4xe Canadian Stroke Consortium Canadian Interventional Neuro Group 🇨🇦CULVO study shows: 1) 1 in 5 decisions for late-window EVT will change with perfusion imaging vs without 2) Reliability of EVT decisions with or without perfusion imaging is not significantly different

1/Time to rupture all your misconceptions about aneurysms! When you see an aneurysm on imaging, do you know it’s risk of rupture? Do you know which features make one aneurysm more likely to rupture? Here’s a short thread to teach you which aneurysms are bursting with risk!

Great learning case. A recent ear of the Lynx caught by Shashank Nagendra in an advanced case.

Young male with progressive vision loss and headache since 2 months,venogram showing thrombosed sinuses. Intrasinus thrombolysis with Tenecteplase and balloon venoplasty resulted in resolution of headache and improvement in visual symptoms. Long term anticoagulation was continued

A variation not seen very often. Prominent anterior meningeal artery in a non operated individual.

35 yr F presenting with a single focal seizure, no headache with CT showing focal edema in the right frontal cortex. DSA showing an isolated thrombosed vein of Trolard with intact Supr Sagittal sinus. What is the natural history and optimal duration of anticoaguln?

Time to give birth to a new idea! Need a way to remember the neuro complications in pregnancy? Try this baby step to help you remember the most common Neuro complications in pregnancy that we see on imaging! Just remember the four “P”s of “P”regnancy! They are.. ▶️Palsy

Please to share our experience with Tenecteplase at our centre #TNK #AIS