Tychicus Chen, MD

General neurologist, master of none | Associate program director @ubcneuro

[Tychicus Chen, MD @tychicuschen]

Neurologists love #localization. These classic clinical signs can help localize not only upper motor neuron dysfunction, but the exact spinal level - even without imaging! @ubcneuro #NeuroTwitter #MedEd

[Neurology Journal @GreenJournal]

Teaching Video #NeuroImage: Inverted Radial and Wartenberg Thumb Reflex in Cervical Myelopathy https://t.co/5oYIbfA53W #NeurologyRF

[Tychicus Chen, MD @tychicuschen]

The decision on when to stop antiseizure medication is often less clear than when to start: however as always should be individualized weighing the risks and benefits

https://t.co/SCUZWCNLkg

[Neurology: Clinical Practice @NeurologyCP]

This study found that horizontal canal benign paroxysmal positional vertigo is far more common than previously reported. It is important to perform the supine roll test in addition to the Dix-Hallpike in all patients suspected with BPPV. https://t.co/TuPEXPzEXr

#NeuroTwitter

[Neurology Journal @GreenJournal]

Pearls & Oy-sters: Idiopathic Orbital Inflammation and Tolosa-Hunt Syndrome With Intracranial Extension https://t.co/I3LcDX3NJa

#NeurologyRF #NeuroTwitter

[UBC Neurology @ubcneuro]

Read about the many neurological manifestations of cancer immunotherapy, with @ubcneuro resident authors @aseelisms and Leslie Scarffe! #neurotwitter

Full text: https://t.co/fCLd0WOgrR

[Talal Hilal 🩺 @THilalMD]

I did not expect this piece to resonate with so many people. This is dedicated to all the clinicians in the trenches. https://t.co/BfDLUH5lmq

[Tychicus Chen, MD @tychicuschen]

"We should start by acknowledging that general neurology is a valuable specialty"

Proud to be a general neurologist 🧠

[Joshua Budhu @JoshuaBudhu]

"Modern Neurology Training Is Failing Outpatients"

Great editorial by @BrainHealthMD and @KlebanoffLouise @WCMCNeurology about the subspecialization of neurologists and the pressure that trainees feel to increasingly subspecialize

What do you think?

https://t.co/uz9da0TG3f

[UBC Neurology @ubcneuro]

It was an absolute pleasure to host Dr. Aaron Berkowitz at our annual Stanley Hashimoto Lecture Series. Really appreciated your insights on neurology and global health! @AaronLBerkowitz

[Tychicus Chen, MD @tychicuschen]

Can't wait to add this to the arsenal 💉

[Andy Webb @AJWPharm]

Is IV perampanel on the horizon? 👀

Phase 1 PK trial of IV perampanel showed good tolerability of 1:1 IV:PO doses of perampanel. Would be an awesome addition to the slim panel of available IV ASMs

https://t.co/jh2i037USi

[Tychicus Chen, MD @tychicuschen]

Useful examples for scoring spirals and handwriting in essential tremor using the TETRAS score - a scale from 0-4 (with .5 increments)
✍️
Ref: https://t.co/juS75nkeDi

[Tychicus Chen, MD @tychicuschen]

Is extreme delta brush pathognomonic for anti-NMDAR encephalitis? Apparently not - a reported case seen in anti-DPPX encephalitis:
https://t.co/ziTDWbVIt7

[Tychicus Chen, MD @tychicuschen]

@sudhakar_satti @GreenJournal @VancouverStroke @ubcneuro Indeed a left vert V4 occlusion - no comment on acute treatment or outcome, only secondary prevention

[Tychicus Chen, MD @tychicuschen]

What do you get when you add a Wallenberg (lateral medullary) to a Dejerine (medial medullary) syndrome? 🧐

Teaching Neuroimage: Reinhold's Hemimedullary Syndrome @GreenJournal #NeuroTwitter
https://t.co/kggsDnD7RA

[Neurology Journal @GreenJournal]

Read the latest from the #NeurologyEducation blog, "The 6 Rs for Residency Rotation Success: Practical Tips, Tricks, and Templates," by @AlissaHigMD and Dr. Wei Xiong: https://t.co/hgQRB3dmMa #NeuroTwitter #NeuroEd

[Neurology Journal @GreenJournal]

This 52-week trial examined the efficacy of #ubrogepant (50 and 100 mg) for treating mild to severe #migraine. Rates of freedom from pain and associated symptoms after 2 hours were higher for mild attacks than for moderate or severe ones. Learn more: https://t.co/bzvbbFg3fo

[Tychicus Chen, MD @tychicuschen]

-Empower patients! Always explain what to expect and why you are doing a test
-If you can reduce apprehension, you can improve the experience
-Some patients may take comfort knowing that LP is generally better tolerated than imagined

[Tychicus Chen, MD @tychicuschen]

This study in @NeurologyCP supports that lumbar puncture is generally well tolerated and minimally painful – anxiety and anticipation of pain correlate with experienced pain #neurotwitter

[Neurology: Clinical Practice @NeurologyCP]

Discordance Between Perceptions and Experience of Lumbar Puncture: A Prospective Study https://t.co/WbT8Y4JGt5 #Neurology #NeuroTwitter

[Tychicus Chen, MD @tychicuschen]

While useful in general, it should be kept in mind that people have different experiences with pain and medical procedures – one size does not fit all

[Tychicus Chen, MD @tychicuschen]

🔍Full Article:
The inherited cerebellar ataxias: an update

https://t.co/dZwoYXNWbm

[Tychicus Chen, MD @tychicuschen]

Can EMG/NCS help in the diagnosis of genetic cerebellar ataxia? #neurotwitter

[Tychicus Chen, MD @tychicuschen]

Note: a lack of family history of ataxia is frequent in autosomal-recessive cerebellar ataxia (ARCA)