Thymur Chaudhry

Neurointerventional Surgery / Interventional Neuroradiology
🧠 Rush / SIU / Northwestern / Sutter Health

[Thymur Chaudhry @thymur786]

Retrodural space of Okada is not Epidural! Keep injecting until you get epidural penetration for successful synovial cyst rupture.

[Daniel Gewolb, MD @daniel_gewolb]

⭐️ ~17% of patients with classic trigeminal neuralgia have aberrant nerve anatomy which may cause or contribute to their symptoms and is associated with worse surgical outcomes! ⚡️

⭐️ In patients with classic trigeminal neuralgia: Check the angle of the trigeminal nerve as it crosses through the porus trigeminus into Meckel's cave!

🔷Case example in 🧵

#Neurology #Neurosurgery #radres #futureradres #Medicine #MRI #FOAMed @ASNRographics @TheAJNR @Radiopaedia

[Simone Peschillo, M.D., Ph.D. @S_Pesch]

A new #frontier in #endovascular #neurosurgery.

Proud to share our latest publication on @JNIS_BMJ on the endovascular treatment of intracranial #meningiomas—the largest multicenter retrospective series reported to date.

This is only the beginning. The future belongs to those who build it.

For more opportunities: https://t.co/glywOcACxS

#Neurosurgery #Endovascular #Meningioma #Research

[JNIS @JNIS_BMJ]

🧠 Veins are not arteries. Direct angioscopic visualization of the dural venous sinuses revealed why arterial-derived devices often struggle in venous interventions: parallel channel navigation, stent deformation, constrained expansion, and aspiration catheter occlusion. These findings underscore the need for venous-specific technologies. Read more here: https://t.co/TXezD7nqkC

[Stephan A Mayer @stephanamayer]

People are all over the place on whether or not to treat MVO strokes.

Here is a nice study showing benefit with EVR.

Although this single paper may not sway practice immediately, it will help the inevitable progression towards treating MVO strokes with intervention. The main impetus for this will be the continued expansion of thrombectomy capable centers — and further proliferation of Neuro endovascular specialists.

Endovascular Treatment of Medium-Vessel-Occlusion Strokes | New England Journal of Medicine https://t.co/cWrokHmtVy

[Thomas Fazi @battleforeurope]

Crazy that this is getting barely any coverage. This year’s European Press Prize was just awarded to an investigative report by the Dutch newspaper De Volkskrant. It is entitled “What the Wounds Tell” and in it the journalists Maud Effting and Willem Feenstra document the cases of 114 children in Gaza under the age of 15 who were struck by a single bullet to the head or chest. Almost all of them died or were left severely disabled. They chose to document only the cases of boys and girls under the age of 15 (though often much younger: aged 3, 4 or 7) because these are children who can be immediately identified as such. “A single bullet in these parts of the body is a clear indication that these children were deliberately targeted“, the two journalists write.

This is the article: https://t.co/YkZrpqBWBQ

[Thymur Chaudhry @thymur786]

@STateshimaMD Very nice case. Did you use Glue or Onyx?

[Andrew L Callen MD @AndrewCallenMD]

New @TheAJNR #CSFLeak paper out today:

https://t.co/7pOA0dlPT0

We focused specifically on low-Bern patients, the diagnostically ambiguous group where clinical history often drives the decision to pursue myelography for suspected CVF.

One of the most interesting findings was… ↓

[Seemant Chaturvedi @ChaturvediNeuro]

CASES trial shows no definite benefit with immediate CAS for patients with carotid occlusion or severe stenosis compared to deferred treatment. Improved vessel patency with early CAS. An interesting, mixed result! #ESOC2026

[The Lancet @TheLancet]

Presented today at #ESOC2026: Ticagrelor with aspirin dual antiplatelet therapy combined with intravenous thrombolysis in patients with ischaemic stroke in China (TAPIS): a multicentre, double-blind, randomised controlled trial

🔗 https://t.co/4bJgEw8jek @ESOstroke

[Francis Deng, MD @francisdeng]

Implementation of AI assistance for screening mammography did not improve real-world performance of radiologists

[Stroke: Vascular and Interventional Neurology @SVINJournal]

Paclitaxel Drug-Coated Balloon Angioplasty for Medically Refractory Intracranial Atherosclerotic Disease: A US Single-Center Experience With the AGENT Balloon

https://t.co/8caq7LSv3G

[Journal of Neurosurgery @TheJNS]

#JNSCaseLessons. Researchers discuss rare case of idiopathic esophageal hematoma following intracranial flow diverter stent placement managed with antithrombotic therapy.

https://t.co/tSxRpCXarg

[Journal of Neurosurgery @TheJNS]

#JNSCaseLessons. Researchers highlight successful treatment of aneurysmal subarachnoid hemorrhage with immunosuppressive therapy in patient with polyarteritis nodosa.

https://t.co/kqWULWys57

[Shadi Yaghi @ShadiYaghi2]

Remember the differential diagnosis of subacute ataxia:

- autoimmune (anti TPO)
- para-infectious (EBV, miller fisher)
- paraneoplastic (anti-YO, anti-TR, anti-Ri, anti-Hu, antiCV2, antimGLUR1)
- celiac disease (antiGAD, antiTTG)
- vitamin E, b12, b1 deficiency (check levels)

[Simone Peschillo, M.D., Ph.D. @S_Pesch]

Great case: a #ruptured #pericallosal aneurysm (Sept) now #successfully retreated for recanalization using a 1.5 mm stent.
Truly exciting to see how far technology has come—deploying a flow diverter (p48 LITE) in such small vessels is becoming a reality! COI: none. #endovascular #neurosurgery #aneurysm #stent #flowdiverter #technology #INR

[XRP Ledger Announces @XRPL__A]

Premature atrial contractions may herald atrial fibrillation.
In stroke that’s particularly important as we don’t always pick up AF during stroke workups

Occasional PACs are harmless, but the more frequent they get, they raise AFib risk 2-3x, and signal atrial issues.

They can remodel the heart, create conditions favourable for AF or signal an atrial cardiopathy

Monitor burden—don’t ignore patterns

[Stroke AHA/ASA @StrokeAHA_ASA]

#STROKE: This topical review by Hall et al. discusses the current state of rupture risk in intracranial aneurysms. @UHSFT https://t.co/1lD0Qa2wna

[Stroke: Vascular and Interventional Neurology @SVINJournal]

Adjusting Antiplatelet Therapy Using P2Y12 Reaction Units in Endovascular Treatment of Unruptured Intracranial Aneurysms

https://t.co/Hlm2RTQh0A