Nick Zalewski

Neurologist at Mayo Clinic. Specialties: multiple sclerosis, autoimmune neurology, neurohospitalist. Tweets my own with personal opinions.

[David Jones @DavidJonesBrain]

@ludyshihmd CSF disorder show imaging patterns that follow anatomic features like sulci and fissures (figure attached from article), and not functional patterns of degeneration described by a global functional state space (paper link in next post). This compares: https://t.co/wJBWzAnZk0

[David Jones @DavidJonesBrain]

@ludyshihmd You can use this spectrum to differentiate most (every?) degenerative syndrome with or without Parkinsonism (work not published):

[microscopic images. @microscopicture]

white blood cell making its way through a stream of red blood cells to attack a roundworm (large object at the bottom)

[Eoin Flanagan @EoinFlanagan14]

The criteria are a big step forward for MOGAD community ⁦⁦⁦⁦⁦⁦@TheMOGProject⁩ 👇Thanks to Brenda Banwell ⁦@FabienneBrilot⁩ ⁦@darshi_r⁩ ⁦@marignierro⁩ ⁦@antibodypad⁩ ⁦@jackie_palace⁩ & more for collaboration https://t.co/M8tWVf3MiM

[Neurology Journal @GreenJournal]

Neurology Podcast: Dr. Justin Abbatemacro @JRAbbatemarco talks with Dr. Eoin Flanagan @EoinFlanagan14 about the misdiagnosis of autoimmune encephalitis. Listen now: https://t.co/4g8unejJle

Associated Article: https://t.co/QC9GDjE2Z7 #NeuroTwitter #AutoimmuneEncephalitis

[Nick Zalewski @nzalewski2]

This paper highlights a big issue in the field of autoimmune encephalitis. Well done @EoinFlanagan14 and colleagues!

[Eoin Flanagan @EoinFlanagan14]

Autoimmune Encephalitis Misdiagnosis in Adults https://t.co/EMPzysfuUh via @JAMANeuro part of @JAMANetwork Delighted to share our collaborative study ➡️ Caution with AE diagnosis when non-specific serum antibody positive & when MRI & CSF lack inflammation

[Michael Okun @MichaelOkun]

RABIES! I think this is so important @OGdukeneurosurg as these episodes can appear to be functional or functional movement disorder; can appear embellished. Folks have a fear of water; however we do not know how much is contributed by a nervous system hyper-reactivity of muscles.

[Lex Fridman @lexfridman]

"Be kind, for everyone you meet is fighting a battle you know nothing about."

[Nick Zalewski @nzalewski2]

#MRI assessment of acute severe myelopathy within 24 hrs:
1. Compression?
2. Blood?
3. Flow voids?
4. Normal/eqivocal?
-Early spinal cord #infarct
-Wrong localization
5. Cord lesion?
-Spinal cord infarct
-#NMO
-#MOG
-Others based on appearance

[Nick Zalewski @nzalewski2]

Approach to a patient with an acute severe #myelopathy within 24 hrs:
1. ABCs
2. Any #trauma?
3. Aortic #dissection rule out? (risk factors, severe pain, pulse change, etc)
4. Emergent #MRI spine (w/ DWI)
5. #Stroke labs, consider head CT (no pain, sensory level)

[Eoin Flanagan @EoinFlanagan14]

https://t.co/HfO1nuJvza 👉See our new myelitis review @Lauz_Caccia et al with particular focus on useful mri clues to diagnosis

[Wonder of Science @wonderofscience]

Fascinating footage of a human white blood cell chasing a bacterium captured through a microscope. Credit: David Rogers

[Sebastian López @mdsebaslopez]

🚨Our Autoimmune Neurology Fellowship Program at Mayo Clinic Florida is recruiting for 2024 ! https://t.co/yqWElQeGJx

[Sebastian López @mdsebaslopez]

@GDay_Neuro @ANG_Oxford @MayoFL_NeuroRes @EoinFlanagan14 @StaceyLClardy

[Adam Singer @AdamSinger]

holy crap hurricane Ian is insane, someone spotted a shark on the highway

[Eoin Flanagan @EoinFlanagan14]

MOG and AQP4 antibodies among children with multiple sclerosis and controls https://t.co/V9a1FfvkOM Great collaboration with Drs Gaudioso, Mar, Waubant & USA Pediatric MS network! -MOG & AQP4-IgG negative in 700 pediatric controls shows their utility! -Gives clues to MOGAD vs MS

[Hugo Chrost @chrost_hugo]

Fascinating video showing a neuron trying to make connections to other neurons.

Credits: @AstarMicroscopy

#neuroscience #neurotwitter #sciencetwitter #brain #Bioinformatics #neurology #science #anatomy #medicine #MedTwitter #biotech

[Michael Okun @MichaelOkun]

Kicking off our national course on movement disorders this AM. I am showing this unknown video? Look at the eyes and the jaw....could it be Whipple's?
@VUMCneurology @FOCMVanderbilt

[Mayo Clinic Department of Ophthalmology @MayoClinicEye]

Available data on the long-term clinical outcomes in MOGAD patients show complete or nearly complete recovery from attacks in most cases @chenmayo @FrontiersIN @MayoClinicNeuro.
https://t.co/uqsbbFXPtI

[Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD]

This is what a kidney stone looks like under an electron microscope 🤯

Via @microscopicture

#MedTwitter