A carotid occlusion on a CTA is sometimes difficult to distinguish if acute or chronic. Often, there are no prior images available. Below are some hints that a cervical carotid occlusion is acute or subacute as opposed to chronic. #stroke#MedEd#neurotwitter
This is my approach. If within 4.5 hrs from LKWT & deficits:
1- clearly disabling or non-clearly disabling, favor TNK & ? EVT.
2- resolved, hold off IVT but can argue to reset the clock & treat w IVT if sxs recur.
3- clearly non-disabling, favor holding off IVT.
The TEMPO-2 trial led to controversy regarding the utility of thrombolysis in patients with NIHSS 0-5 who have an intracranial vessel occlusion. Below is a thread dissecting the trial and available data on minor stroke as well as my interpretation of the trial and practice. 🧵
Join us tomorrow, December 4, 7PM EST as we tackle clinical conundrums in #ICH management focusing on mininally invasive ICH evacuation, antithrombotic resumption in patients with ICH and heart valves and AntiXa inhibitor reversal. #Stroke
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. https://t.co/a46lFd6Zyn
Thrilled to share that I’ve officially completed my #stroke Fellowship at @VancouverStroke and earned the scholar designation from the @CSC_Stroke. 🧠💉
I'm forever thankful to mentors from @pghneuro, @EdmontonStroke, family and friends for all the support!
Dr. Thalia Field joins CTV Morning Live to discuss the findings of a new poll from @HeartandStroke on stroke preparedness with @Keri_Adams 💓🚑
https://t.co/wlixFzpNhf
Join us for the June Virtual Stroke Academy Grand Rounds!
🧠 Topic: Delving into the Principles of Cerebral Venous Thrombosis
🎙 Speaker: Thalia Field, MD
📅 Date: June 12, 2024 – 12:00 PM CT
🔍 Details & Registration: https://t.co/hLGjm1dIMf
#SVINUniversity
Published Large Core Trial Summary #stroke#LargeCore LASTE is published, waiting for TESLA: Trial of Thrombectomy for Stroke with a Large Infarct of Unrestricted Size | New England Journal of Medicine https://t.co/PQf1sZJpmJ