Jacqueline Moreno A

🇵🇪 Neuróloga - Fellow Neurología vascular 🧠 Instituto Nacional de Neurología y Neurocirugía - México 🇲🇽

[Amit Chaudhari MD @NeuroIRdoc]

https://t.co/rY4Nk30579

[World Stroke Academy @WorldStrokeEd]

#MondayTip
#NameTheCore
🔴The ischemic core is more than a volume
☝️It is a common reference point for prognosis, risk, and teamwork
🧠Standardizing how we describe it may make acute stroke decisions clearer

Based on Dr J Saver proposed terminology:
https://t.co/M1RunZMnbp

[Malik Ghannam @GhannamMalik]

Identifying High-Risk Patients With Cerebral Venous Thrombosis for Early Intervention | Stroke: Vascular and Interventional Neurology https://t.co/vQiebPAYqd

[Shadi Yaghi @ShadiYaghi2]

Convexity SAH:
Differential diagnosis includes:
- Mycotic aneurysm
- ischemic stroke with conversion
- dural AVF
- Cerebral Amyloid Angiopathy
- trauma
- coagulopathy
- RCVS

Workup includes:
- CTA head and neck
- MRI/MRA brain w SWI
- possible angiogram

https://t.co/uDGH4XJB46

[World Stroke Academy @WorldStrokeEd]

#MondayTip
#Thrombophilia & Young #cryptogenic stroke Abnormalities are common early, but high-risk findings are rare
🤫SECRETO: 37.1%👉any abnormality; only 5.2% were high-risk
🧠Screen smarter: prior VTE, inactivity, low HDL-C or anemia may guide testing
https://t.co/vilb8MvS4u

[Neurology: Clinical Practice @NeurologyCP]

This study evaluated and compared the diagnostic performance of 4 major modalities: transcranial Doppler, transthoracic echocardiography, transesophageal echocardiography, and cardiac CT in patients with #EmbolicStroke of undetermined source: https://t.co/2xIOulNWOI
#Stroke

[Umberto Pensato @UPensato]

Redefining the Cerebral Ischemic Core-Penumbra-Oligemia Continuum @StrokeAHA_ASA @johanna_ospel @draravindganesh @nishita_singh3 @AlmekhlafiMa @BroocksGabriel @Libero131087 @DGutierrez__V @NguyenThanhMD @VYogendrakumar @ZiniAndrea @KimBJstroke https://t.co/QmPTYNtaPt

[World Stroke Academy @WorldStrokeEd]

#MondayTip
#TRIDENT

💊One pill could change post-ICH care.

🧠Low-dose triple antihypertensive therapy ↓ recurrent stroke by 39% and improved BP control vs standard care

☝️Simpler regimens may beat therapeutic inertia

🔗https://t.co/LUy8wIZ6dD

[World Stroke Academy @WorldStrokeEd]

#MondayTip

Can we prevent stroke without increasing bleeding?

Factor XIa inhibition #asundexian :
🔹⬇️recurrent stroke (HR 0.74)
🔸with no ⬆️major bleeding in OCEANIC-STROKE.

A potential shift in secondary prevention. 🧠⚖️

🔗 https://t.co/OT4X2mmjyW

[World Stroke Academy @WorldStrokeEd]

#MondayTip
#Collaterals
Collateral status are relevant in stroke
🧠 Good collaterals + recanalization → strong outcomes
⚠️ Poor collaterals → limited benefit, even if opened

CTA isn’t just diagnostic—it’s decision-making

https://t.co/1kxc466fs2

[World Stroke Academy @WorldStrokeEd]

#MondayTip
Not all “seizures” are epilepsy.

🧠 #LimbShakingTIA = hypoperfusion from carotid disease
📌 Triggered by standing/exertion
📉 EEG often normal
⚠️ Treat flow, not firing

https://t.co/RTnxAnwQG9

[Umberto Pensato @UPensato]

Highly-recommended review on #dyslipidemia management for #stroke prevention. Learned a lot from this one! @IntJStroke @WorldStrokeOrg @WorldStrokeEd Kudos to the Authors! https://t.co/frO1DaUFOM

[Michela Rosso @rossomichi]

Are arterial webs limited to the carotid?

In our case series + systematic review, we describe extra-carotid webs and propose the term “cervical arterial web”—a unified entity that may represent an underrecognized cause of cryptogenic stroke. @ENossek @BellevueHosp @nyugrossman @nyulangone @svinsociety @SVINJournal @AHAScience

https://t.co/H3P5Czy6op

[World Stroke Academy @WorldStrokeEd]

#MondayTip
Cancer-related stroke ≠ routine ESUS

~50% of strokes in active cancer are cryptogenic, but many are cancer-driven hypercoagulable events
🔁14–29% recur at 1 year
⚖️Anticoag vs aspirin? Still equipoise
🧠Classify. Risk-stratify. Individualize

https://t.co/bvv0vAFBot

[World Stroke Academy @WorldStrokeEd]

#MondayTip
#ISC2026
🌎ISC delivered fewer “home runs” and more hard truths: what works, what doesn’t, and where selection matters most in stroke care
From extended-window thrombolysis to FXIa inhibition, #ISC26 highlights where stroke care is truly moving — and where it isn’t.

[Andreas Charidimou MD, PhD @a_charidimou]

🩸🧠Clinical MRI framework for cerebral amyloid angiopathy (CAA) diagnosis.

@StrokeAHA_ASA

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

[Stroke AHA/ASA @StrokeAHA_ASA]

2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke: A Guideline From the American Heart Association/American Stroke Association https://t.co/ztmfxD3mBZ

[Shadi Yaghi @ShadiYaghi2]

Excited to share this secondary analysis of STOP-CAD. Recurrent dissection is rare (1-2% per year) and only 3% of those had a #stroke. Factors associated with higher risk were young age, FMD, & migraine. Check out the full manuscript. 🛑CAD @StrokeAHA_ASA https://t.co/jKRI2jJYuP

[World Stroke Academy @WorldStrokeEd]

#MondayTip
Young Stroke: an update
☝️Stroke isn’t just an older-person disease
📈Ischemic stroke in 18–49y is⬆️,often driven by non-traditional risks
🔤Think ABC diagnostics
🎯Tailor 2ry prevention
🛑Don’t ignore long-term cognitive & psychosocial burden🧠
https://t.co/f98oOdvXL0

[World Stroke Academy @WorldStrokeEd]

#MondayTip 🧠
🙅‍♂️Low NIHSS (0–5) ≠ mild stroke when LVO is present
❌EVT decisions ≠ NIHSS cutoffs alone
🗣️Prioritize disabling symptoms (aphasia,vision loss)
⚠️Assess END risk and imaging🩻
👤Incorporate patient values 💬, until RCT data arrive ⏳
https://t.co/aSNzwzfrT3