Michael Tso

MD PhD FRCSC FAANS. Dual-trained cerebrovascular neurosurgeon. Clinical and research interest in aneurysmal subarachnoid hemorrhage. Tweets = My opinion.

[Michael Tso @MikeTso1]

Gene expression profiling of brain endothelial cells after experimental subarachnoid haemorrhage https://t.co/YMR5Cw33tb.
Great to have our open-access work published @SciReports.
Thx to funding sources: @cvsection, @NREFORG, @CIHR_IRSC
#SAH #neurosurgery #aneurysm #stroke

[Michael Tso @MikeTso1]

"Among patients with a PHASES score < 8 or an ELAPSS score < 15, no aneurysm-related death or aneurysm rupture occurred."

[Michael Tso @MikeTso1]

Conservative management of 661 patients with
unruptured intracranial aneurysms: an observational
study over 4 decades

#SAH #aneurysm #neurosurgery

https://t.co/hSPFIisiO5

[Michael Tso @MikeTso1]

"Aneurysm size and PHASES and ELAPSS scores were independent predictors of hemorrhage."

[JNIS @JNIS_BMJ]

New multicenter study reveals limitations of medical management for infectious intracranial aneurysms (IIAs). Early surgical or endovascular intervention shows better outcomes for high-risk patients. 🧠💉 #NeuroSurgery #StrokeCare @JNIS_BMJ https://t.co/EpskUqrM4d

[Michael Tso @MikeTso1]

“… modeled risk factors of which high systolic blood pressure… and smoking… had the highest attribution.”

[Michael Tso @MikeTso1]

Global, Regional, and National Burden of Nontraumatic Subarachnoid Hemorrhage
The Global Burden of Disease Study 2021

“… SAH incidence was 8.3… prevalence was 92.2… mortality was 4.2… per 100 000 people”

#sah #aneurysm #neurosurgery

https://t.co/QpwlpmhbSe

[Michael Tso @MikeTso1]

“… SAH ranked as the 36th most common cause of death and 59th most common cause of [disability adjusted life years] in the world.”

[Elad Levy @EladLevyMD]

#Cowboys need #lassos:

After post-deployment rotation of a WEB, the inferior M2 branch was occluded.

1. Flow matters- give #Integrilin
2. 5F catheter parked at aneurysms neck
3. Snare in an micro-catheter
4. Lasso the WEB around the detachment zone and extract

[Michael Tso @MikeTso1]

A Look Back on the History of Cerebral Revascularization for Acute Ischemic Stroke: A Neurosurgeon’s Perspective

#stroke #neurosurgery
@jmfindlay @JournalCJNS

https://t.co/5UYkFg6qhX

[Farzad Maroufi MD, MPH, MHPE @FarzadMaroufii]

Read our paper on risk of IA in ADPKD! Who needs screening?
Thanks to @BernardBendokMD for his support and guidance throughout this work and @nuhguyin for his great lead on this.

https://t.co/HTZk4CvsdH

[Michael Tso @MikeTso1]

"Nighttime treatment was defined when [>] 50% of the procedure was performed between 10pm&7am, with other times classified as daytime treatment. Off-hours treatment was defined when [>] 50% of the procedure was performed between 7pm&7am, with other times classified as on-hours."

[Michael Tso @MikeTso1]

Nighttime Treatment of Ruptured Intracranial Aneurysms Are Associated With Poor Outcomes

#SAH #neurosurgery #aneurysm

https://t.co/ZaO0C1QLRN

[Michael Tso @MikeTso1]

"Aneurysm treatment during the nighttime... but not during off-hours... was independently associated with unfavorable outcomes."

[Michael Tso @MikeTso1]

"Given that this risk seems to be the highest among young individuals and during the first year after aSAH, early assessment and management of psychological distress, especially in young survivors of aSAH may be warranted."

[Michael Tso @MikeTso1]

Risk of Suicide After Aneurysmal Subarachnoid Hemorrhage: A Nationwide Study

#SAH #aneurysm
@GreenJournal

https://t.co/MVG0rHkzbX

[Michael Tso @MikeTso1]

"Survivors of aSAH are at excessive risk of suicide death in comparison with the general population."

[Michael Tso @MikeTso1]

"The primary clinical outcome, death or dependency at 1 year, was similar for EVT and surgery. This study provides the first randomized data on the surgery/embolization controversy since the last trial was completed 15 years ago."

[Michael Tso @MikeTso1]

A randomized trial comparing endovascular and surgical
management of ruptured intracranial aneurysms excluded from previous trials

ISAT-2

#SAH #aneurysm #neurosurgery #clipping #coiling #endovascular

https://t.co/pFBwgCvqFo

[Michael Tso @MikeTso1]

"...compared the clinical outcomes of endovascular treatment (EVT) vs surgery for patients with ruptured intracranial aneurysms excluded from previous randomized trials. This underpowered study showed longer hospitalizations but better 1-year angiographic results with surgery"