Trigger Warning (for Neurologists)‼️ Long-Term Follow-Up of #CMOSS reveals superiority of Bypass vs Medical. Why is the Neuro community playing the sound of silence 🤫? Time for a paradigm shift? ⁦JAMA⁩ jamanetwork.com/journals/jama/…

Do clinical variables and aneurysm morphology influence subarachnoid hemorrhage volume? Is this volume associated with clinical outcomes? Check out our latest work published at Neurosurgery Publications Edgar A Samaniego P Iowa Vascular Cerebrovascular & Neurointerventional Lab Mario Zanaty journals.lww.com/neurosurgery/f…

"Extended" CT angiography that includes cardiac and aortic imaging was shown in this RCT of 465 acute AIS/TIA patients to increase the yield of detecting a cardiac or aortic thrombus from 1.7% to 8.8%. Why not? The Lancet Neurology thelancet.com/journals/laneu…

Remyelination of chronic demyelinated lesions with directly induced neural stem cells academic.oup.com/brain/advance-…

An important feature of early brain injury after poor grade SAH is global cerebral edema. Dynamic Contrast–Enhanced MRI can quantify blood brain barrier disruption in this entity. ahajournals.org/doi/abs/10.116…

The Large-Core Paradox explained here. How can MCA stroke patients presenting with large lucencies and low CBV regions benefit from thrombectomy? Here’s a thoughtful review. ahajournals.org/doi/abs/10.116…

Hope you like the cover this month! The endoscopic view of chronic subdural hematoma membranes.

Safety of emergent intracranial stenting after thrombolysis: a multicenter matched analysis The safety of rescue stenting in ICAS-LVO is not significantly affected by prior thrombolysis ajnr.org/content/early/… Aldobrando Broccolini, MD, PhD Pietro Panni Thanh Nguyen 🇺🇦 Andrea Zini AJNR

"Volume of aneurysmal subarachnoid hemorrhage and cognitive outcomes" Neurocritical Care Society doi.org/10.1007/s12028… Edgar A Samaniego P Cerebrovascular & Neurointerventional Lab Mario Zanaty

Stevie Ray Vaughan playing with a rare Gibson acoustic guitar (1983)

Soon we will ALL be giving IV TNK to stroke patients on DOACS. The drumbeats are pounding. Here is yet another comparative effectiveness study showing lower ICH and better mRS outcomes among DOAC pts given lytics compared to those who did not. ahajournals.org/doi/abs/10.116…

thelancet.com/journals/lance…

When to start anticoagulation after an ischaemic stroke in people with atrial fibrillation? Attached please find a comment in the NEJM Journal Watch on our CATALYST meta-analysis, published in The LANCET. Bo Norrving Signild Åsberg

Getting closer to a paradigm shift in the surgical treatment of non-acute subdural hematoma. Liu et al evaluated 69 brain CT scans to determine that the posterior MMA division accomodated a 0.027in microcatheter in >90% of cases, with perforation trajectories into high

Our last effort on poor grade aSAH from POGASH Registry! We never talk enough about delayed infarction volume!! link.springer.com/10.1007/s10143… Edoardo Picetti Chiara Robba

Aneurysm Wall Imaging and Risk of Growth and Rupture jamanetwork.com/journals/jaman…

We’re thrilled to share our new preprint unveiling a remote-controlled microballoon platform that lets us titrate carotid flow on demand while imaging the brain’s real-time response in vivo:) It could be transformative for the study of brain hemodynamics! biorxiv.org/content/10.110…

Large Core Thrombectomy: Feasibility of Simplified Protocol in Resource‐Limited Settings | Stroke: Vascular and Interventional Neurology ahajournals.org/doi/full/10.11… Stroke AHA/ASA Stroke: Vascular and Interventional Neurology SVIN

Intracranial Aneurysm Wall Phenotypes: Clinical, Morphological, and Hemodynamic Influences | Stroke: Vascular and Interventional Neurology ahajournals.org/doi/full/10.11… Stroke AHA/ASA SVIN Stroke: Vascular and Interventional Neurology

Hemorrhage and Risk Factors in Unruptured Brain AVM jamanetwork.com/journals/jaman…