S.A.

@AssistantProfessor |@CooperUniNJ |@VascularNeurology 🧠 |@Epilepsy| @UNMC24|@MarshallNeuroGrad22🇺🇸|@ShifaSTMUAlumni2015 🇵🇰| #Foodie🍲 | @ProudeFatherII

[けいはら @YNMSiFVLnNqoSMe]

脳動脈瘤の形成から破裂（くも膜下出血）には「炎症」が関与🧠🔥doi: 10.1161/STROKEAHA.125.051475
自然免疫を担うパターン認識受容体(PPRs)やPAMPs/DAMPsに注目🔍🚨
#脳動脈瘤 #くも膜下出血 #PPRs #PAMPs/DAMPs

[Lester Y. Leung, MD, MSc @LesterLeung]

Applying the AHA proposed cancer-related ischemic #stroke (CRIS) framework to a population of patients with “cryptogenic” stroke by TOAST https://t.co/ybzWWcHJhN

[JAMA Neurology @JAMANeuro]

A reperfusion-guided systolic blood pressure strategy improved functional outcomes and reduced hemorrhagic transformation for patients with acute #Stroke after endovascular therapy compared with guideline-recommended management. https://t.co/xb6vkyDxWd

[Epilepsia @EpilepsiaJourn]

A single hybrid depth electrode combines intracranial EEG mapping with MR-guided laser ablation under real-time PRF thermometry.
https://t.co/obPxXY54ZU

#epilepsy #ILAE #epilepsiajourn #depthelectrodes #drugresistant #LITT #minimallyinvasive #neurosurgery #MRthermometry #sEEG

[Umberto Pensato @UPensato]

24‐Hour CT Infarct Density modified the effect of Infarct Volume on Outcomes and is independently associated with outcomes in #stroke patients treated with IVT within 4.5 hours. @nishita_singh3 @draravindganesh @AlmekhlafiMa @bijoymenon @JAHA_AHA https://t.co/8vE4F8hgvV

[Epilepsia Open @EpilepsiaOpen]

In this predominantly pediatric cohort of 37 patients with LGS, 62% achieved ≥50% seizure reduction with RNS therapy.
https://t.co/qvWPHImnhi

#epilepsy #ILAE #epilepsiaopen #drugresistant #epilepsysurgery #LennoxGastautsyndrome #neuromodulation #pediatric #neurostimulation

[Neuropediatrics® @PedNeurol]

Stereo‐electroencephalography–guided cross‐electrode radiofrequency thermocoagulation in focal epilepsy: A review of current methodologies and outcomes https://t.co/enbnTUXByS

[Epilepsia @EpilepsiaJourn]

Interactive language maps translated into the Yale Brain Atlas can help standardize multimodal communication and individualize patient care
https://t.co/iOa0VYkSab

#epilepsy #ILAE #epilepsiajourn #brainmapping #electricalstimulation #intracranialEEG #language #Neurosynth #SEEG

[Dr. Dai @daigaole]

A case of chronic MCA occlusion with focal moyamoya-like neovascularization.

[脳神経外科医 堀 聡 Satoshi Hori @2aTkg86WMYicOGs]

M2閉塞に対する血栓回収の有効性は疑問視されているが、

M2閉塞に対する血栓回収における、ステント vs アスピレーションのレビュー

アスピレーションの方が有意に有効再開通率が高く、回収後のくも膜下出血の発症率が有意に低い

[International Journal of Stroke @IntJStroke]

In pts with minor AIS secondary to distal & medium vessel occlusion:

👉IVT associated with⬇️END risk
👉MT associated with⬆️END risk, but significance was lost after IPTW adjustment

https://t.co/duGB5hD8nP @DhairyaLakhani @hamza_isleem @vsyedavalli @GuenegoAdrien @AdamDmytriw

[Lea Alhilali, MD @teachplaygrub]

My attending once said, “If you don’t want to miss something, you have to know where look for it!”

Intracranial aneurysms may occur at many locations, but overwhelming at the ACOM & PCOMM. Look hard at these regions!

Remember, you miss 100% of aneurysms you don't look for!

Remember these two regions by always saying to yourself before you sign off any angiogram report:

"Always Please Communicate Aneurysms!"

Always = Anterior
Please = Posterior
Communicate = Communicating

Hopefully this will rupture any misconceptions about where to look for aneurysms!

[Cerebrovascular & Neurointerventional Lab @CerebrovascLab]

New findings in @StrokeAHA_ASA! 🧠

Led by our research fellow @LeonardoCruz_C and the CLOT-VENUS registry Team, this CLOT-VENUS substudy identifies early inflammatory biomarkers (NLR, MLR, PLR, & SII) as robust predictors of functional outcomes in acute cerebral venous thrombosis.

These accessible blood-based markers offer a practical tool for early risk stratification and more personalized patient management. 📈🏥

Full study here: https://t.co/TB6VgXMfyB

[Epilepsia @EpilepsiaJourn]

This systematic SEIVAL analysis demonstrates an increase in SEIVAL over time, consistent with an analysis employing a pragmatic approach.
https://t.co/Q6nSEChiXt

#epilepsy #ILAE #epilepsiajourn #benzodiazepine #intranasal #rescue #seizurecluster

[Manuel Moquillaza @mmoquillazaACV]

¿SABÍAS QUE… el umbral para diagnosticar estenosis carotídea acaba de cambiar? 🔄🧠
Durante más de 20 años, una velocidad pico sistólica (PSV) de 125 cm/s en la arteria carótida interna era el punto de corte para diagnosticar una obstrucción ≥50%.
✅ Pero en 2021, un estudio de validación del IAC (Gornik et al., Vasc Med) demostró que ese umbral sobrediagnosticaba estenosis significativas.
📈 Nuevo umbral oficial (IAC 2023, JASE 2026): PSV ≥180 cm/s
🔬 ¿Por qué importa?
• Evita cirugías y stents innecesarios
• Reduce ansiedad en pacientes
• Optimiza recursos del sistema de salud
• Estandariza criterios entre laboratorios
⚠️ Ojo: Si tu informe de eco-Doppler usa criterios antiguos, podrías estar siendo clasificado erróneamente. Pregunta siempre por el protocolo y los criterios usados.
🏥 En Clínica Ricardo Palma aplicamos los criterios IAC actualizados con sonografistas certificados y equipos de última generación.
#NeurosonologíaActualizada #MedicinaBasadaEnEvidencia #IAC2023 #EcoDoppler #PrevenciónCerebrovascular

[Stephan A Mayer @stephanamayer]

Nice summary of best #TTM practices in neurocritical care. Please note that proactive TTM for any target 32-37.5 °C and avoidance of fever is the best prioactice for cardiac arrest.

Don't let them spike and then chase the fevers...

#curingcoma

https://t.co/zEAMFIsGR3

[JAMA Neurology @JAMANeuro]

In #Stroke due to medium or distal vessel occlusion, endovascular treatment plus best medical treatment preserved more brain tissue and was linked to improved imaging outcomes and better clinical recovery compared with medical treatment alone. https://t.co/r93Vqn3fS2

[Marcus Pinto, MD, MS @MarcusVPinto]

IVIg for CIDP: Start with the loading dose (2 g/kg), then give 1 g/kg every 3 weeks. Schedule a follow-up visit in 9-12 weeks. Treatment response should be assessed using the INCAT score (at least 1 point improvement) and/or the MRC sum score (>2 points). If there is no response, reconsider the diagnosis, as it is unlikely to be CIDP. Do not use symptom improvement or “halted progression” as proof of response. Refer to a @gbscidp center of excellence if there is no response or if there are doubts about the diagnosis.

[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

[Epilepsia @EpilepsiaJourn]

New evidence shows that duration of epilepsy and interictal spike exposure correlate with increased connectivity in SeLECTS.
https://t.co/eD6nIZ0nQb

#epilepsy #ilae #epilepsiajourn #BECTS #CECTS #functionalconnectivity #IEDs #Rolandicepilepsy #SeLECTS