Zach London Profile picture
Jan 22 7 tweets 11 min read
It gives my great pleasure to announce the release of THE PLEXUS, a new strategy card game about peripheral nervous system localization.

Folks, this may be our only hope to #endplexusphobia!

Click here ➡️theplexusgame.com

And open the 🧵for more surprises.
1/5 www.theplexusgame.com
It’s a 2-3 player game that takes about 20 minutes🕓 to play. And here's the kicker: It's actually fun, and you don’t need to be be a master of brachial plexus anatomy to enjoy it. (In fact, my middle school-age son beat me the first time he played.😯)
2/5 www.theplexusgame.com
I’m selling these at cost from The Game Crafter, thegamecrafter.com/games/the-plex…
and I will donate $3 to the American Neuromuscular Foundation for every copy sold in 2022! neuromuscularfoundation.org/Home
@AmNmFoundation @AANEMorg @aanem @ShirlynAdkins
3/5 www.theplexusgame.com
And of course, The Plexus has a funky theme song🎸🎵, sung from perspective of the most notorious eponymous woman in neuroscience, Augusta Klumpke. The song features my 14-year-old niece and nephew on lead vocals and marimba, respectively! tinyurl.com/2p8raxwy
4/5
The game even comes with a collectible Augusta Klumpke trading card, which you can keep in your neurology black bag (or fanny pack, if you're a @UMICHNeuroRes resident) for inspiration! @WNGtweets
5/5 Augusta Klumpke trading card.

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More from @zach_london

Jan 4
"A bag with feet."

That's what the patient said he saw when we showed him the cookie jar picture. He was an older man who had been brought to the ED after being found driving his car around a field.

Here is what I think he was seeing:

#neurotwitter #tweetorial #MedEd
He was unable to focus on the whole picture at once.

This is a striking example of simultagnosia, which in his case was related to bilateral parieto-occipital strokes (Balint's syndrome.)
Another way to test for Simultagnosia is to ask a patient what they see in a picture like this. They may only see T's and not the big H.
Read 7 tweets
Oct 26, 2021
1/11
Time for a #tweetorial on one of my favorite topics: Wrist Drop. @AANMember @NMatch2022 #neurology #futureneurologist #neurotwitter #neurotwitternetwork @AANEMorg #meded @KoriPoRodri

The first thing you should think of when you see a patient with weak wrist extension is…
2/11
This. Compression of the radial nerve at spiral groove. And usually, we think of it as being caused by... Image
3/11
This. And by the way, if you’re ever curious about the surprising origins of the term “Saturday Night Palsy,” read this article. pubmed.ncbi.nlm.nih.gov/12188953/

But I digress. The spiral groove (aka radial groove) is not the only peripheral localization for wrist drop. Image
Read 11 tweets
Sep 21, 2021
1/6. This chart shows you everything you need to know about localizing foot drop. But let’s make it even simpler. If dorsiflexion is weak, there is one muscle that really matters: the tibialis posterior, which does ankle INVERSION. Let’s unpack that with a cool mnemonic.
2/6 Common things are common, and most of the time, a foot drop is caused by either:
- A common peroneal neuropathy at the fibular head or
- An L5 radiculopathy.
3/6. The peroneal nerve (which we already know is responsible for dorsiflexion) has two E’s in it. That should remind you that the PERONEAL nerve is responsible for EVERSION, through supplying the peroneus longus.
Read 7 tweets

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