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With the increase in thrombectomies for ICA occlusions with delayed presentation or for thromboendarterectomies, vessel-wall imaging MRI shows potential for distinguishing with patients will be successfully recanalized. Lu et al bit.ly/4kR9g7f report their use of VWI-MRI

General Anesthesia Versus Conscious Sedation in Thrombectomy Patients With Low NIHSS Anterior Circulation Stroke | Stroke ahajournals.org/doi/full/10.11…

A tremendous pleasure to have Prof Caplan visit in person for the Caplan lecture today at Univ of Maryland Dept of Neurology ⁦Prachi Mehndiratta MD, FAHA⁩ ⁦Michael Phipps, MD, MHS⁩ ⁦Maryland Neurology Residency⁩

A STOP-CAD secondary analysis engineered by Daniel Mandel, MD : Among high risk features identified in cervical artery dissection, only occlusive dissection seemed to benefit from anticoagulation. Important information for future trials. ahajournals.org/doi/full/10.11… Stroke AHA/ASA 🛑CAD

HTN urgency is an outdated term and not an indication to bring down bp with iv meds or rapidly !! ahajournals.org/doi/10.1161/JA…

Lack of foot Nail care but good care of hand nails in geriatrics is an indicator of balance or orthostatic issues !!

1/Wish that your knowledge of autoimmune encephalitis was automatic? Do you feel in limbo about limbic encephalitis? Do you know the patterns? Read on for what you need to know in this month's RadioGraphics review! doi.org/10.1148/rg.240… Cooky Menias RadioGraphics_Editor

C9orf72 behavioral ftd, overlap with schizophrenia, psychosis 30-50% , can have tactile hallucinations also along with visual pmc.ncbi.nlm.nih.gov/articles/PMC40…

Never knew neurosarcoidosis was in the DD of limbic encephalitis!

For those interested in the influence of neuropsychiatric conditions in shaping the world !!

Dilemmas in Secondary Stroke Prevention | Stroke ahajournals.org/doi/full/10.11…

Careful with otc meds. Patient on warfarin with subtherapeutic INR only supplement is “calcium- vitamin D”. Always educate about labels with vitamin K !! American Academy of Neurology Stroke AHA/ASA World Stroke Academy

Real-World Late-Window MeVO EVT Experience In this #BloggingStroke post, Gregory J. Wong, MD discusses #Stroke article by Winzer & Daniel Kaiser et al., presented today at #ESOC2025. #AHAJournals European Stroke Org ahajournals.org/do/10.1161/blo…

If VPA is only AED med controlling seizures and patient is pregnant aim reduce congenital malformations by reducing dose under 1000mg/day!!

Epilepsy pearl of the day: for elderly epilepsy- Lamotrigine, gabapentin, lancosamide are good options. Start low go slow and avoid multiple drugs !! American Academy of Neurology American Neurological Association

#MondayTip The stroke pathway and #ESOC2025 result Last week, Helsinki brought together the world’s leading stroke experts—leaving us with new evidence, fresh questions, and future challenges. All with one goal: improving outcomes for our patients European Stroke Org

Epilepsy pearl: when switching for brand to generic AED it is reasonable to get a baseline level before switching and check again after !! American Academy of Neurology American Neurological Association