Victor Carrasco Wall

Professor of Neurology | Stroke Neurologist | Interventional Neurology Fellow.

[Victor Carrasco Wall @vacw_12]

Plantar reflex🦶🏻eliciting maneuvers 🔨 in order of appearance:

1. Babinksi
2. Gonda/Stransky
3. Chaddock
4. Oppenheim
5. Gordon with triple flexion reflex

Media recorded and shared with patient consent 🤓

#MedTwitter #NeuroTwitter

[Marcus Pinto, MD, MS @MarcusVPinto]

One of my missions is to make Peripheral Neuropathies more understandable for non-experts. Recognizing that physicians often find PNs challenging, especially in the hospital setting, I collaborated with @MayoClinicNeuro Neuromuscular hospitalists, @ReeceHass and @SantilliAshley, and my former NM co-fellow #JMartinezThompson to develop an engaging infographic that simplifies how to approach neuropathies leading to hospitalization. The incredible artistic skills and creativity of @ReeceHass truly brought this project to life, exceeding all expectations. We hope you find this helpful. https://t.co/HjEJbfOkqh

[Victor Carrasco Wall @vacw_12]

@DuqueDeCaixas Ni hay quirófanos en los centros de salud 😂

[World Stroke Academy @WorldStrokeEd]

This week: 𝐄𝐧𝐝𝐨𝐯𝐚𝐬𝐜𝐮𝐥𝐚𝐫 𝐓𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭 𝐨𝐟 𝐂𝐞𝐫𝐞𝐛𝐫𝐚𝐥 𝐀𝐧𝐞𝐮𝐫𝐲𝐬𝐦𝐬 webinar as part of our @WorldStrokeOrg Neurointerventional Fellowship

𝐑𝐄𝐆𝐈𝐒𝐓𝐄𝐑: https://t.co/oBjLkHAm9U

#StrokeEducation

[Lyell Jones MD @LyellJ]

Just a few days away…

[Society of NeuroInterventional Surgery (SNIS) @SNISinfo]

The next @JNIS_BMJ Journal Club is 10/1 at 4PM ET. Authors David Fiorella, MD & Sophia Hohenstatt, MD will sit down with discussants @MeyerL_MD, David Volders, MD,& JNIS Social Media Associate Editor @DanniDiestro to discuss their articles. Register: https://t.co/5x598hyOaq

[Neurocritical Care Society @neurocritical]

Register now for Point of Care EEG: An EEG Reader’s Perspective on October 14 to explore the selection, integration and clinical application of point-of-care EEG systems, including quality assessment strategies and effective communication of EEG findings across care settings. https://t.co/TKYkVQaafV

[Steve Magness @stevemagness]

You can chase the PR and still love a Tuesday jog.
You can take the work seriously and stop thinking about it at dinner.
You can be ambitious and take the whole weekend off.

Wanting more and enjoying what you've got aren't opposites. We just keep coaching people like they are.

[Steve Magness @stevemagness]

The best thing that can happen to a performer is you perform well when feeling like shit.

An athlete who runs a PR after feeling like trash. Or a parent who does their best writing with two kids under two.

It frees you up from the idea that you need to feel great to perform.

[International Journal of Stroke @IntJStroke]

🚨 🌍 WHO has adopted its first-ever stroke resolution, recognising stroke as a full continuum of care, from prevention to rehabilitation.

👉 The resolution sets out 16 operative actions for Member States

Read about the resolution here👇
https://t.co/82b7KbiNnl @WorldStrokeOrg

[Victor Carrasco Wall @vacw_12]

Criterios que me parecen de especial utilidad para acelerar el dx en nuestro medio:
✅1 lesión con borde paramagnético y LCR+.
✅ 4/5 espacios.

[Practical Neurology @PracticalNeurol]

🧠 The 2024 #McDonaldCriteria are changing #MS diagnosis:

1. Optic nerve = 5th site
2. KFLC joins CSF biomarkers
3. MRI markers (CVS/PRL) ↑ specificity
= Earlier & more confident dx of #MultipleSclerosis
🔗 https://t.co/04kgknfgcD

[Victor Carrasco Wall @vacw_12]

Las preguntas que le haré a continuación le van a sonar medio raras.

[Michael Kentris, DO @DrKentris]

When is a first time seizure not the first time?

When you take a thorough history!

I saw someone recently who came in after their spouse heard a loud cry from sleep and some shaking of their limbs followed by confusion.

Pretty suspicious, right?

Even more so when you find out there's a history of stroke with some pretty noticeable encephalomalacia in the left temporal region.

So you go through your questions, asking about past episodes

You get a litany of No's, until, you get that answer you've been looking for

"Every night since I had the stroke 3 years ago I have been having panic attacks"

My ears perk up, I need to hear more about this

It turns out that every night for the past few years, about 1-2 hours after falling asleep this person has been waking up with an unpleasant feeling in their abdomen and living through unpleasant memories from their past.

This would last for a few minutes, and then he would go back to sleep.

This "first" seizure that brought them to the hospital wasn't the first. It was the first tonic-clonic seizure!

It's very common for people to have different kinds of auras (likely temporal in this case) which go undetected or get brushed off as nothing (by either the person experiencing them or the doctors they've seen).

Knowing about these past episodes can completely change your recommendations. So make sure to ask those probing questions, or as I usually begin, "I'm going to ask you some questions that may sound a little strange."

#EpilepsyAwarenessMonth

[Antelm Pujol, MD PhD @AntelmPujol]

La evidencia científica es clara: el mejor antiaging es el ejercicio físico.

📊 145.465 personas
📉 + actividad física → ↓ edad biológica

[International Journal of Stroke @IntJStroke]

💊Early DOAC initiation is safe and non-inferior to delayed treatment regardless of infarct volume

❌⏱️No evidence that anticoagulation initiation should be delayed beyond 4 days on the basis of infarct size

Read the paper here!👇
https://t.co/3P82y5V7hu @UCLStrokeRes

[International Journal of Stroke @IntJStroke]

#FlashbackFriday!
🏥Direct transfer from the stroke unit to inpatient neurorehabilitation was associated with a⬆️likelihood of functional improvement at 3 -months

Read more here!👇
https://t.co/tOimzak3yi

[Practical Neurology @PracticalNeurol]

Sight-threatening IIH: stent or shunt?

We still don’t know which is better. No randomised trials, variable data, and practice driven by local expertise.

An answer may be on the horizon.

🔗 https://t.co/yezGAPg7yG

#Neurology #Neuroophthalmology #FOAMed

[JAMA Psychiatry @JAMAPsych]

Among individuals with severe, treatment-resistant #Schizophrenia, #dementia was common and showed a distinct clinical and genetic profile not explained by #Alzheimer disease, cardiovascular risk, or medication effects.

https://t.co/80w4GA5aLp

[Practical Neurology @PracticalNeurol]

Do you counsel patients on HLH when starting lamotrigine?

Rare, but life-threatening. Think the “3 Fs”: fever, falling counts, ferritin.

Two cases progressed to multiorgan failure within days of initiation.

🔗 https://t.co/uzbR8Dsgb6

#Neurology #Epilepsy

[Epileptic Disorders @EpiDisorders]

Can you classify this seizure? Explore the 2025 ILAE practical guide featuring real-world cases and the latest updates in seizure taxonomy. https://t.co/JwJTh1q5hq