Neuro Nerd

*Welcome to the exciting world of Neuroscience. *Learning while scrolling *Parent: @dhrumilshah18. *Epileptologist

[World Stroke Academy @WorldStrokeEd]

#MondayTip
Post Stroke #Seizure and #Epilepsy

🧠Cerebrovascular disease is one of the most common causes of epilepsy in adults
☝️There are several risk factors related to development of PSE: localization, seizure onset (early vs #late), etc

Check this PSE Risk Scale👇

[International League Against Epilepsy @IlaeWeb]

#EpilepsyDay Art: It is Not Just a Medical Disorder But a Social Problem by Ruby Kasana (India)
"Do not let myths & misconceptions about #epilepsy make you anxious. If you come across information from any source that makes you uncomfortable, seek the advice of a neurologist..."

[Neuro Nerd @NeuroNerd12]

#Neurology #NeuroTwitter #neuronerd #medtwitter #neet #USMLE #mrcp

[Neuro Nerd @NeuroNerd12]

#Neurogyaan
#MultipleSclerosis - Differentiating MRI lesions with MS and MS mimics

[Neuro Nerd @NeuroNerd12]

Reference: https://t.co/Ida7U25mCp
@PracticalNeuro

[Neuro Nerd @NeuroNerd12]

#Neurogyaan - 2
Chronic #migraine

▶️ Headache days >=15/mo
▶️ Migraine days >=8/mo

🔼 For >3 months

Investigated treatments
▶️Topiramate
▶️Onabotulinum toxinA

Experience and strong data (in episode migraine)
▶️Propranolol
▶️Amitriptyline

[Neuro Nerd @NeuroNerd12]

#NeuroGyaan - 1
Indications of Endovascular management in #CVT
▶︎Deterioration despite anticoagulation
▶︎Comatose presentation
▶︎Major C/I to anticoagulation (Bleeding disorders, PC <100k, recent GI bleed)

Comment if you encountered more▼

[Neuro Nerd @NeuroNerd12]

Also read editorial

https://t.co/YMElaCVsCP

[Neuro Nerd @NeuroNerd12]

#RINOMAX Trial

#Rituximab as add on to “standard care” of early generalised #MyastheniaGravis

#JAMA

[World Stroke Academy @WorldStrokeEd]

#MondayTip
Stroke & Heart Failure
☝️Up to 20% of pts w/MI &⬇️EF have a LV thrombus
☝️Do not relay only on TTE for dx LVT➡️use🫀MRI
☝️High recurrence! use S2I2N0-3
🧠HFrEF/noAF: anticoagulation⬇️43% stroke/⬆️2x major 🩸
☝️In LVT➡️DOAC better than VKAs

From @SposatoL at #WSC2022

[Stroke Trials @StrokeCliTrials]

IV thrombolysis, Endovascular therapy and BP management.

https://t.co/eKjWNiNwlQ

[Andrew Micieli @MicieliA_MD]

An alternative antiplatelet regimen for TIA/minor stroke population is ASA + Ticagrelor for 30d (🇨🇦,🇺🇸, Euro guidelines below)

Consider in patients with high chance of plavix resistance (CYP2C19 loss of function allele)

~15% Caucasions
~30% Middle East, Africa
~60% East Asia

[Michael Okun @MichaelOkun]

New path to diagnose vascular parkinsonism proposed by @AlbertoEspay @ParkinsonismD 'Let's restrict VP to neuro outcome of ischemic/hemorrhagic strokes affecting nigra or nigrostriatal path. For others, something missing, left for an attentive clinician to uncover.' @MedscapeLIVE

[Andrew Micieli @MicieliA_MD]

How to risk stratify TIAs.

WHAT an event was and WHY is happened are more important than a score 💯

➡️ Likely reason why some patients benefit more from DAPT (than single antiplatelet)

https://t.co/wbwbq1WckU

#neurotwitter #stroke

[World Stroke Academy @WorldStrokeEd]

#PaperOfTheMonth

Dear colleagues & friend ‼️

You can already check the #September POM with the commentary by our EiC @gsaposnik regarding 2 new studies about #MT with or without IV #thrombolysis:
#SwiftDirect & #DirectSafe

With author interview!!

🧠https://t.co/YIcFepVadl

[Neuro Nerd @NeuroNerd12]

Reference:

https://t.co/UGLAvI9Bme

[Neuro Nerd @NeuroNerd12]

Chances for a recurrent #seizure after first unprovoked is greatest within the first 2 years after a first seizure (21%–45%).

🧵

[Neuro Nerd @NeuroNerd12]

Adverse effects of AED ranges from

7% to 31%

These AEs are predominantly mild and reversible