VITa rahmawati

neurologist | fellowship of vascular neurointervention | @vitakusuma_ | for my medstudents: pretest on monday.

[VITa rahmawati @vitaneuro]

CODE STROKE system is a rapid respond system for hyperacute ischemic stroke patient’s care to have immediate therapy in order to increase effectiveness and achieve optimal functional outcome.

-inhouse training in Wijaya Kusuma Hospital, Lumajang.

[VITa rahmawati @vitaneuro]

pretest.

how do we interpret HINTS to diagnose stroke in the acute vestibular syndrome?

https://t.co/j0sg8ZjRKj

[VITa rahmawati @vitaneuro]

3. describe the recent guidelines of pra-hospital management of hyperacute stroke!

[VITa rahmawati @vitaneuro]

pretest.

M/57 was brought to the neurology clinic with complaints of right arm twitching and weakness of the right half of the body since 4 days. The patient was conscious during the seizure. He complained of left chest pain 3 days ago and had received aspirin and clopidogrel.

[VITa rahmawati @vitaneuro]

His blood sugar was normal. No other datas of lab or imaging. His BP was 178/107, HR 96 regular. Neurological physical examination GCS 15, abnormal right plantar reflex.

1. create neurological working diagnosis!
2. what are your diagnostic planning to him?

[Stroke: Vascular and Interventional Neurology @SVINJournal]

Head down tilt 15° to increase collateral flow in acute ischemic stroke: rationale and study protocol of a multicenter, randomized, proof of concept, phase 2a/b trial in patients treated with mechanical thrombectomy (DOWN-SUITE)

https://t.co/EoTU12AA1G

[VITa rahmawati @vitaneuro]

pretest.

1. please 2D draw the vascular territory of the cerebral artery and the spinal cord artery!

2. ⁠explain the etiology of ischemic stroke and hemorrhagic stroke!

3. ⁠mention the indications and contraindications of lumbar puncture!

[VITa rahmawati @vitaneuro]

when do we suspect Large Vessel Occlusion stroke when VAN score is negative?

[Ash Paul @pash22]

The Paradox of Knowledge: Why Medical Students Know More But Understand Less
https://t.co/mwWJmNfhyB

[VITa rahmawati @vitaneuro]

did you know that filtered coffee is neutral for lipids while unfiltered varieties can raise LDL cholesterol?

[VITa rahmawati @vitaneuro]

By integrating clinical observations with EEG and neuroimaging data, the guide provides a standardized language to assist in accurate syndrome diagnosis and treatment selection.

[VITa rahmawati @vitaneuro]

ILAE has introduced an updated 2025 seizure classification system designed to improve clinical precision and global communication. This framework organizes seizures into four primary categories: focal, generalized, unknown, and unclassified.

https://t.co/wHhKXuNPTO

[VITa rahmawati @vitaneuro]

The system offers a basic version for general healthcare settings and an expanded version featuring detailed semiological descriptors for specialized diagnostic use.

[Journal of Neurosurgery @TheJNS]

#OnlineFirst: Basilar artery perforator rupture as the cause of perimesencephalic subarachnoid hemorrhage.

https://t.co/tB47keMtM0

[VITa rahmawati @vitaneuro]

Pretest.

F40 came to the clinic with stabbing back pain. She had herpes a month ago & history of chickenpox before. Physical examination: traces from ruptured and dried vesicles on the left back; neurological examination: hyperalgesia and alodinia along the dermatom Th10 - Th 12

[VITa rahmawati @vitaneuro]

pretest.

How are clinical manifestations of gaze paresis and hemiparesis if stroke occurs in A and B?

[Arturo González Lara, MD @ArtGLa]

https://t.co/jesz4qkBFM

[VITa rahmawati @vitaneuro]

pretest.

draw on a piece of paper: the anatomy of the Circle of Willis and the large blood vessels that form it!

[VITa rahmawati @vitaneuro]

imagine our brain is like a super busy city that needs a constant supply of “fuel” (blood carrying oxygen & nutrients) to keep everything running: thinking, moving, feeling. the Circle of Willis is a smart “traffic roundabout” of brain where big blood vessels connect in a loop.

[VITa rahmawati @vitaneuro]

pretest. F/75 with DOC. She complained of weakness; continued speaking but was not clear, then suddenly vomited and lost consciousness. She had history of personality disorders since 1 year. Isochoric pupils and right motor lateralization. Hb 11.9, Na 121.
what will you do in ER?