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“What we currently call core on early CT, CTP or MRI imaging is not actually infarcted tissue but rather a probabilistic estimate of tissue that is highly likely to become infarcted, if fast reperfusion does not occur.” ahajournals.org/doi/full/10.11… #neurotwitter #stroke

Study of pts w acute mild ischemic stroke or high-risk TIA from atherosclerosis found immediate intensive statin therapy w/in 72h after symptom onset did not significantly reduce the risk of subsequent stroke vs delayed intensive statin therapy w/in 90d. ja.ma/3zKOkf4

#MondayTip ☝️Cervical artery #dissection contributes to 2% of all ischemic strokes but up to 25% of ischemic stroke in adults <50 years of age 💎Predictors of ischemic stroke after #CAD From: doi.org/10.1161/STR.00… #OpenAccess

Lateral medullary syndrome may not be seen well on the initial MRI within 24-48 hours from symptoms. A full neurological exam including temperature sensation on face/limbs, looking for Horner, and hiccups are clues that should trigger a repeat MRI. #stroke #meded #NeuroTwitter

‘Positive’ inter‐ictal clinical signs of functional neurological disorder are found in patients with functional / dissociative seizures. Findings fit well with the increasingly recognized (& documented) overlap across FND subtypes. onlinelibrary.wiley.com/doi/10.1111/en…

What are neurologist’s opinion on this? #Neurology #MedEd #Alzheimer

I always chuckle a bit when I am referred to as the “community stroke neurologist” in other physicians notes 😇

Endovascular Stroke Thrombectomy for Patients With Large Ischemic Core jamanetwork.com/journals/jaman…

Apixaban vs Aspirin in Patients With Cancer and Cryptogenic Stroke jamanetwork.com/journals/jaman…

Just Accepted! 🗞️The treatment effect across ASPECTS in acute ischemic #stroke: Analysis from the AcT Trial journals.sagepub.com/doi/abs/10.117… Chitapa @nishitasingh_3

Human rights should never be ignored when choosing a conference location. The World Stroke congress should never have been held in a location where basic human rights and therefore the safety of participants can not be guaranteed. Stroke Research thelancet.com/journals/lance…

Todays neurology OPD pearl: 6 days acute headache. 36♂ Cardiology reference. Exam CT. #neurotwitter #NeuroX #MedTwitter #MedX #Neurology #FOAMmed #Neurorad #radX

In this issue of NEJM, we clarify several questions regarding the #ANNEXaI results that arose in correspondences to the journal. nejm.org/doi/full/10.10… Some key take home messages: 🧵 1. The superior efficacy of andexanet was not driven by patients who did not receive PCC ..

Never seen such white powdery material removed from EVT before. Suggests more platelet and fibrin rich composition. On CT was low density without hyperdense sign. Literature is varied in terms of its aid in stroke etiology. 🥲

🧠 #NeuroTips 🗣️65 year old patient presents with sudden onset speach impairment. 🧲Admission MRI 💡Ideas? ...Answer and follow-up imaging soon...

Pleased to share the final version of the Canadian Best Practice Guidelines for Cerebral Venous Thrombosis. Many thanks to an outstanding multidisciplinary team of experts who provided unique perspectives on this complex disease. doi.org/10.1017/cjn.20…

Vertebrobasilar dolichoectasia can result in persistent hypoperfusion of the posterior circulation 💡 Perfusion abnormalities may be asymptomatic though findings are associated with increased stroke risk and compression of surrounding structures #neurology #medicine #radres