NeurAnki

Neurology Anki deck for all things neurology | Redefining learning, one synapse at a time🧠 Download now ⬇️ Now on AnkiHub! Creator @JoyfulAstrocyte

[NeurAnki @neuranki]

Introducing NeurAnki, an Anki deck designed to comprehensively cover a wide array of topics, tailored to prepare you for the RITE exams and, ultimately, the neurology boards!

It focuses on subjects that benefit from repeated review, such as genetics, pathology, and more!

[NeurAnki @neuranki]

Welcome to #dailyneuranki 🧠

_____ classically presents with large mass-like lesions with "open ring sign"

#Neurotwitter #neuranki

[NeurAnki @neuranki]

Welcome to #dailyneuranki 🧠 💃 🕺

A type of Parkinsonism affecting LE>UE, presents with rigidity and bradykinesia with little tremor

#neurotwitter #neuranki

[NeurAnki @neuranki]

Yup C 🙌

[NeurAnki @neuranki]

Welcome to #dailyneuranki 🧠

Astereognosis, is a feature present in _____one of the atypical parkinsonian syndromes.

[Michael Kentris, DO @DrKentris]

You've been called to evaluate someone with a new diagnosis of epilepsy.

Now you need to decide what kind of antiseizure drug (ASD) to recommend.

Start Keppra and be done with it?

We can put a little more thought into it than that!

Why can it be so challenging to pick an appropriate ASD for someone?

There's a number of factors that have to go into it!

🧠 Type of epilepsy/seizures/syndrome present
😵‍💫Possible side effects
↔️ Med interactions
💵 Cost of meds

🧠 Type of Epilepsy or Seizures
Broadly speaking we think of 2 kinds (this is a very simplified approach ok?)

1. Focal
2. Generalized

This determines if we're looking at broad spectrum or narrow spectrum meds.

Broad spectrum can be used for both generalized and focal onset seizures

Some examples include:
1. Valproic acid
2. Zonisamide
3. Topiramate
4. and yes...Levetiracetam (aka Keppra)

Narrow spectrum includes meds primarily for focal onset seizures. A few examples being:

1. Phentyoin
2. Carbamazepine
3. Oxcarbazepine
4. Pregabalin

😵‍💫Side Effects
These can be broad ranging and many antiseizure drugs have unique profiles of things to watch out for.

A common grouping of symptoms for many of them is "dizzy, drowsy, drunk"

Which is to say imbalance, sedation, ataxia are common to many seizure meds.

Other side effects that can be common include rashes. In the future we'll break down the different families of ASDs and talk more about their unique characteristics.

↔️ Interactions
Many ASDs have interactions in the liver, classically the CYP450 pathway. We tend to think of interaction with other ASDs, but they can affect different blood thinners or other meds that go through the pathway.

Broadly we think of inducers and inhibitors

Inducers:
1. Phenytoin
2. Phenobarbital
3. Carbamazepine

Inhibitor:
1. Valproic acid

There are other ASDs that have effects on these pathways, but there are a few of the classics.

💵 Cost of meds
It should come as no surprise that brand name drugs are more expensive than generic meds in the US.

What may surprise you is that many ASDs have an extended release (XR/ER) form, and while the regular release may be generic, sometimes the XR is still branded.

It's always important to check to see if the cost of the med you're prescribing is going to be possible for the person to afford.

We'll continue running through some principles of prescribing ASDs and specific med quirks throughout the month.

Check back next week when @rohitmarawar and I discuss the evaluation for a 1st seizure!

https://t.co/0BLGy8rGGZ

And in the meantime you can listen to us talking about selecting ASDs on @neuro_podcast here:
https://t.co/g82jP7EqVN

[Neurology Journal @GreenJournal]

🚨 Neurology residents worldwide are invited to apply for a 3‑year term on the Neurology Resident & Fellow Section Editorial Board.

📆 Application deadline: July 13, 2026
🔗 Details: https://t.co/kNYlb8JB25

#NeurologyRF #NeuroTwitter

[NeurAnki @neuranki]

Bilateral occipital lobe is the right answer 🩺🧠

[NeurAnki @neuranki]

🧠Welcome to #dailyneuranki!

A patient presents with the classic triad of optic ataxia, ocular apraxia, and simultanagnosia.
📍 What is the most likely location of the lesion on MRI?

#Neurology #NeuroTwitter #Neuranki

[NeurAnki @neuranki]

The answer is thiazides diuretics due to their sustained and chronic potassium lowering action. 🧠

[NeurAnki @neuranki]

Welcome to #dailyneuranki🧠
Hyperkalemic periodic paralysis, preventive treatment:

#Neurotwitter #Neuranki

[NeurAnki @neuranki]

@Scorpion_lady01 Yes Ans is Balint syndrome 👏

[NeurAnki @neuranki]

@angoffinet Both sides, bilateral

[NeurAnki @neuranki]

Ans: Sandifer syndrome

[NeurAnki @neuranki]

🧠 Welcome to #dailyneuranki

Paroxysmal intermittent episodes of generalized stiffening and opisthotonic posturing in infants, often triggered by gastroesophageal reflux refers to-

[NeurAnki @neuranki]

Ans: Implicit memory

[NeurAnki @neuranki]

Hey guys!! Welcome to #dailyneuranki 🧠

In pseudodementia, which type of memory is preserved:

#Neurotwitter #dailyneuranki

[NeurAnki @neuranki]

Ans: HLA-B1502

[NeurAnki @neuranki]

Welcome to #dailyneuranki 🧠

Patient has trigeminal neuralgia. Before treatment, the patient should be screened for?

[NeurAnki @neuranki]

Hey everyone! Welcome to #DailyNeurAnki
What is the mechanism of action of Lacosamide?

[NeurAnki @neuranki]

@OligoclonalBand @zach_london @drbhooma @acostalmd @Finnatsea3 @StaceyLClardy Congratulations @OligoclonalBand ♥️♥️