Discover and read the best of Twitter Threads about #CSF

Most recents (10)

2/ This 9-year prospective observational study included 490 #IIH patients in @uhbtrust with 98% being female (F:M was 53:1) with mean BMI 38, as defined by papilloedema (Frisen grade >0) in at least one eye. 67.1% required multiple hospital visits. 87% were treated medically.
3/ Medical treatment most commonly used included acetazolamide (27%) and topiramate (9%). #IIH relapse occured in only 3.7%. Ocular outcome mirrored reduction in ganglion cell layer (GCL) vol, perimetric mean deviation (PMD) and retinal nerve fibre layet (RNFL) on OCT. Image
Read 6 tweets
SEMINAL ARTICLE re: #ICD11 Chapter 08 - Diseases of the #NervousSystem 🧠

Study Title: The #leptomeninges as a critical organ for normal #CNS development and function: first patient and public involved systematic review of #arachnoiditis (chronic #meningitis). @PLOSONE
LINK: journals.plos.org/plosone/articl
 @PLOSONE

Abbreviations:
#CES- #CaudaEquina Syndrome
#DLM – Diseases of the #Leptomeninges
#ESI- #Epidural Steroid Injection
LM - #Leptomeninges
#LMF- #Leptomeningeal #Fibrosis
#NAA- #neuraxialanesthesia
PSR- PRISMA Systematic Review
#SAH- #Subarachnoid Hemorrhage
#SAS- #Subarachnoid Space

Key Findings:

1. A varyingly described, and poorly characterized #CNS disease called #arachnoiditis (aka #adhesivearachnoiditis) was exhaustively systematically-reviewed for the first time.
Read 27 tweets
1/10
It is nice when you see a brain #MRI and instantly jump to a unique diagnosis in your mind.
A #tweetorial about #CLIPPERS Chronic Lymphocytic Inflammation with Pontine Perivascular enhancement Responsive to Steroids. #Neurology #NeurologyRF #NeuroRad #MedEd #NeuroTwitter ImageImage
2/10
CLIPPERS is a #rare #disease being increasingly recognized. We saw a case here @UHhospitals @cwru @CwruNeuro
(The coronal brain MRIs in this tweetorial are from a published case report other than but similar to our patient- I chose to use here instead given better quality)
3/10
Middle age patient presenting with emotional liability, subacute bilateral lower extremity weakness/numbness/spasms, ataxia and pan-sphinctric dysfunction over 4 months #NeuroRad ImageImageImage
Read 10 tweets
thread : #ViolencesSexuelles sur mineurs : création d'une commission indépendante présidée par Elisabeth Guigou
C hallucinant @AdrienTaquet qu'on en soit encore là alors que ns avons ttes les connaissances ttes les analyses ts les témoignages nécessaires
lefigaro.fr/actualite-fran

que ns savons ce qu'il faut faire, que c 1 urgence absolue de lutter contre une #pédocriminalité qui ne fait que s'aggraver avec une #impunité quasi totale, ns savons qu'il faut une volonté politique forte, des réformes, des lois et des moyens humains et financiers à la hauteur
et vs demandez une éniÚme analyse par une commission présidée par une personne qui ds un documentaire sur l'affaire #DSK fait des déclarations qui entretiennent la #cultureduviol, vs demandez aux victimes de faire encore et encore des témoignages derépondre à des questions
Read 19 tweets
If I could wave a magic wand:
– we would prove that intracranial hypertension (as measured by ICP bolt) is common in our pt populations, more often than not w/ normal LP opening pressures, w/o papilledema
– we would prove that occult tethered cord is common and runs in families
– we would learn whether we should untethether these kids as kids, if that might help them avoid the hell to come
– we would prove that you can get recurrent leaks that imaging will never catch
– we would understand the relationships between #MECFS #EDS #MCAS #POTS #Fibro, without which we will never be able to get to *prevention*
– every GP/PCP would know each of these diagnoses cold and could refer you to...actual specialists
Read 6 tweets
Now eye enjoyed an important question addressed at #EAN2020. Good to think about when you are called to ED for #opticneuritis. Let’s think about it together. Let’s focus on #clinicaldiagnosismaking #meded #medstudenttwitter #medtwitter #neurologyresident @WNGtweets @EANeurology
How do you tell if it’s optic neuritis or not? #painless #unilateral #altitudinal -means top half or bottom half of the field - vision loss more likely to be non-arteritic AION. Any other red flags less likely to be optic neuritis?
Now if it’s #painful it’s more likely #opticneuritis - but what sort? Bilateral vision loss and painful, think #MOG. Unilateral severe vision loss more than pain, think #Aquaporin4. MRI orbits show longitudinal extensive optic nerve enhancement in both. So MRI orbits for clues.
Read 8 tweets
Let’s do a quick one on #clinicaldecisionmaking and #neuroimaging. See bright spot on MRI T2 Brain just means increased water -could be any insult to the brain - #infection #inflammation #ischemia #neoplasm are the top 4 you gotta have in your brain. Pun intended. #MedTwitter
Then you think - active or inactive process? If it’s actively destroying the BBB, it’ll enhance on contrast enhancement. So get MRI with and without contrast. Why without? T2 shine-through - but that’s for another time. #MedStudentTwitter #neurology #neurologyresident
Now the important question here is what you do - remember that nice poem on #theroadnottaken by #robertfrost? 2 widely diverging choices - to immunosuppress or not to immunosuppress. #tobeornottobe #hamlet #MedTwitter #AcademicTwitter #MedStudentChat
Read 13 tweets
Sad that @NikkiHaley repeats the 2 flawed narratives:

“giving #Pakistan’s military $1 billion” when everyone knows those payments, under the Coalition Support Fund (#CSF), were repayment for Pakistan’s military support for #US forces in #Afghanistan.
Second, the idea that #Pakistan was killing #US soldiers in #Afghanistan by “supporting the #Taliban.”

#Pakistan lost all ties with the #Taliban when it decided to stand with the US in the global war on terror.
Pakistan asked the #Taliban to handover #binLaden to the #US before the invasion, repeatedly stating that there should not be a war in the region.

The Taliban didn’t listen and #Pakistan cut ties. It took years for those ties to be re-established.
Read 5 tweets
MediciĂłn del rendimiento:

ÂżCuĂĄles son las diferencias entre
#KPI
#KPA
#KRI
#KRA
#KSI
#CSF
#OKR
#OGSM
y otros tipos de métricas?

#HiloKPI #Analitica #CuadrosDeMando 😎
1⃣ Toda variable es un métrica, todo indicador es una métrica pero no toda métrica es un indicador.
#KPI #PI #KRI
2⃣ Un indicador necesita una cuota; una métrica, no (en un indicador necesitamos al menos, el mínimo y el måximo, el 0% y el 100%)
#KPI #PI #KRI
Read 10 tweets
After all the tough talk, @realDonaldTrump reimburses #Pakistan for supporting #US troops in #Afghanistan. This is a Coalition Support Fund (#CSF) payment.

dawn.com/news/1376517/t

Those who have celebrated the #US's tough stand on #Pakistan, including #SecState #Tillerson's statement #terrorists could on day decide that #Kabul isn't as beneficial as #Islamabad, Should clearly understand a few things...
1) #Pakistan is not a cowardly cub unable to defend itself. We are not #Iraq, #Afghanistan or #Syria, where you destroyed or dismantled their armed forces, while sponsoring #Fake #Insurgencies in #Balochistan.
Read 6 tweets

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