Ersifa Fatimah

Neurologist

[Surjith Vattoth @drSurjthVattoth]

Anatomy Pearl 6: Single slider detailed MRI anatomy of HIPPOCAMPUS in EPILEPSY protocol high resolution coronal T2W imaging perpendicular to the hippocampal long axis

#epilepsy #FOAMed #FOAMrad #meded #Neurology #neuroscience #Neurosurgery #radiologia #anatomy

[Michael Okun @MichaelOkun]

Is these tics or epilepsy (seizures)?
The videos show several folks in a nice paper by Morano and colleagues @MDCP_Journal who have faciobrachial dystonic seizures (FBDS).
Key points:
- Manifestation of anti‐leucine‐rich glioma‐inactivated 1 (LGI1) encephalitis.
- Debate: epileptic seizures vs. paroxysmal movement disorders.
- Debate: cortical vs. subcortical.
- Typical FBDS sudden, brief, lateralized tonic contractions involving upper limb and the ipsilateral face and less frequently, the leg.
- Can be hand dystonia.
- Can be unilateral, bilateral asynchronous, or alternating.
- Mostly aware but may have loss of awareness.
- Violent and jerky can bring in trunk and lower limbs and lead to traumatic falls.
- May have basal ganglia hypermetabolism on PET.
- Epileptic nature: stereotyped appearance and the possible impairment of awareness, and neurophysiological evidence.
- Cortical myoclonic jerks superimposed to tonic spasms may occur.
- EEG: slow activity preceding FBDS by less than one second, maximal over the contralateral mid frontal regions, has been consistently documented.
- Could it be a wider cortico‐subcortical network?
My take: The separation of tics from seizures/epilepsy is trickier than one may think and maybe in a generation or two we will understand the physiology and possibly even remove or refine labels.
https://t.co/QMabqJ6FQ5

[Ronnie E. Baticulon @ronibats]

Do you know when your cerebral vessels develop? Here's an excellent graphic from Arrighi et al. summarizing the timeline of #CircleOfWillis maturation in children. Read now @NeurosurgeryCNS.
🔗: https://t.co/el8CYNewqA

[Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD]

You can check for clonus in the wrist ⬇️

Via @semiologianeurologica(IG) @grepmeded

#MedTwitter

[Continuum: Lifelong Learning in Neurology @ContinuumAAN]

The first Editor's Pick from the February #Neurology of Systemic Disease issue is now open to all at https://t.co/7QSbV89Bjh.
@AANmember #NeuroX #MedEd

[Mark Oldham @MarkOldhamMD]

Tackling a 92-page #delirium guideline can be daunting: https://t.co/HHxykJhgkx

Well, now there's a 6-page clinically focused review!

https://t.co/PprDO4TUBS

[EEG Master @eeg_master]

42F with drug-refractory b/l independent hippocampal onset seizures on stereoEEG undergoes bilateral hippocampal (RHip + LHip) RNS implantation. EcOG for a habitual seizure is shown below. Click to view your options and review the explanation

https://t.co/BhEHVpajc1

[EEG Master @eeg_master]

What's the best diagnosis based on the following 2hr QEEG epoch?

A) Absence seizures
B) R focal SE
C) L focal SE
D) L lateralized PD

https://t.co/oAiZXKzQCX

[EEG Master @eeg_master]

44 male with left frontoparietal glioblastoma develops worsening aphasia. cEEG demonstrates the following. What is the best description of this EEG finding.

GRDA | LRDA | LPDs | Seizure | Artifact

Answer and read the explanation by clicking here.
https://t.co/PrxYptQRLF

[Aravind Palraj @Rheumat_Aravind]

Neuro-SLE: how it really presents.

Seizures. Psychosis. Stroke. Confusion.
MRI may be normal.

Big traps:
• APS-related thrombosis
• Treating psychosis as psychiatric illness
• Missing infection

Psychosis in SLE ≠ psychiatry.
Think inflammation, thrombosis, infection - in that order.

#NeuroRheum #SLE #MedTwitter @IhabFathiSulima @DrAkhilX #ClinicalPearls

[IFCN and its Clinical Neurophysiology journals @ClinicalNeuroph]

[Epilepsy] Zhang et al.: "For all patients, PET/MRI showed the highest sensitivity for localizing the epileptogenic zone." https://t.co/DUZR4HGW51

[Neurochecklists @neurochecklists]

Movement Disorders in Antibody-Associated Neurologic Diseases https://t.co/uuoJq5vvHw

[Dr. Heli Shah @dr_heli]

Navigating complexities of CIDP
Spectrum & pattern recognition in chronic inflammatory demyelinating polyneuropathy....
https://t.co/ufLYWIfsCa

[JAMA Neurology @JAMANeuro]

Viewpoint: Routine brain health screening, interdisciplinary teams, and policy reforms addressing neurotoxic exposures may shift neurology toward primary prevention—reducing disease burden across populations. https://t.co/9pIlgAMD5y

[Dr. Nara Michaelson MD, MS @narologist]

Wonderful neurology pearls 🧠

[Neurology Journal @GreenJournal]

Patterns of Retinal Damage and Visual Long-Term Consequences in Patients With Idiopathic Intracranial Hypertension: https://t.co/EKXKMnbuEa

[Neurochecklists @neurochecklists]

Clinical, radiologic, and pathologic associations of executive dysfunction in children with focal cortical dysplasia–related epilepsy https://t.co/ftdJRfin1K

[Neurochecklists @neurochecklists]

Microglia in epilepsy https://t.co/v8ErXXmlmo

[Neurochecklists @neurochecklists]

White matter abnormalities across different epilepsy syndromes in adults: an ENIGMA-Epilepsy study https://t.co/kNINkDum4z