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Aaron Berkowitz Profile picture
@AaronLBerkowitz
Jul 28, 2022 • 10 tweets • 6 min read • Read on X
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It's here! After many years of working on this 2nd edition, it's amazing to finally see and hold it!
I learned so much revising and updating this book, a 🧵
#MedEd #MedTwitter #neurotwitter #NeuroTwitterNetwork @NMatch2023 @caseyalbin @DxRxEdu
One of the most fun things to write was the preface, reflecting on how much has changed and evolved in #neurology in just a few years since the 1st edition. More on why I love neurology here:
For example the antiseizure medication table has expanded from 1 page to two...
The MS drug table has doubled in size...
The autoantibody table has gone from 1 page to 2 and I'm sure is already out of date as this field rapidly evolves
@StaceyLClardy
And there are of course countless updates and expansions in stroke, movement disorders, headache, and every area of neurology...
And I also got the opportunity to work with an amazing artist Dragonfly Media group to develop new neuroanatomy figures. Here are some of my favorites:
What actually crosses in the chiasm and why?

(here's an explanation: )
How does the MLF yoke horizontal eye movements?
(more on that here: )
How to understand the direct/indirect basal ganglia pathways?
(more on that here: )
I'm excited to share this book with you and hear your feedback! 🧠♥️ The book is always freely available on AccessMedicine through a university digital subscription. Otherwise, it is available here in print and kindle versions amazon.com/Clinical-Neuro…

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More from @AaronLBerkowitz

Aaron Berkowitz Profile picture
Jun 8, 2023
Celebrating the life & legacy of Marty Samuels! Here's a master class in the neurologic examination filled w pearls, techniques, wisdom, & history for everyone from students to senior neurologists!
@rabihmgeha @DxRxEdu @AvrahamCooperMD @a_charidimou @caseyalbin @NMatch2024
Marty Samuels: Cardiovascular exam including dynamic palpation of the pulses to assess for carotid stenosis at the bedside. I remember seeing Marty do this at the bedside and being blown away!

Marty Samuels: Mental status exam

Read 8 tweets
Aaron Berkowitz Profile picture
Jun 7, 2023
Today we lost a giant in neurology, medicine,& medical education: Marty Samuels–extraordinary clinician, teacher, mentor,& leader, serving in each of these roles w/humility, humanity,& humor, training& inspiring generations of neurologists. I'm so grateful to have been among them Image
Fortunately for those who didn't have the privilege to learn directly from him, he left behind a wealth of educational resources conveying his extraordinary clinical wisdom spanning neurology, medicine, pathology, and the history of neurology, medicine, and @BrighamWomens
For example, this grand rounds, in which he teaches us to learn from our mistakes
med.stanford.edu/neurology/educ…
Read 10 tweets
Aaron Berkowitz Profile picture
Mar 26, 2023
🧠Neurology Tweetorial🧠I'm often asked about localization/diagnosis in the challenging clinical presentation MULTIPLE CRANIAL NEUROPATHIES. Here is my approach, what is yours #MedTwitter #neurotwitter @NMatch2023 @rabihmgeha @DxRxEdu @caseyalbin @AvrahamCooperMD @a_charidimou?
Multiple CNs can be caused by a STRUCTURAL lesion in
👉🏼Brainstem
👉🏼Subarachnoid space/meninges
👉🏼Skull base
👉🏼Face
👉🏼Neck

🚨 Non-Structural mimics🚨
⚡️PNS (Guillain Barre)
⚡️Motor neuron dz (bulbar ALS)
⚡️NMJ (botulism, myasthenia)
⚡️Myopathy (oculopharyngeal musc dystrophy)
How to localize? #1
👉🏼Know levels of CN nuclei in brainstem

🐭Midbrain: 3, 4
🧠Pons: 6 and 7 (medial); 5 and 8 (lateral)
🧠Medulla: 5 (pain/temp) 8 9 10 (lateral), 12 medial

See diagram:
Read 15 tweets
Aaron Berkowitz Profile picture
Oct 26, 2022
🧠🧠 New #Neurology #Tweetorial added to the collection below 🧠🧠

👀👀VERTICAL DIPLOPIA👀👀

#EndNeurophobia #MedEd #MedTwitter #neurotwitter @CPSolvers @DxRxEdu @caseyalbin @a_charidimou @rabihmgeha @AvrahamCooperMD 🧠❤️
twitter.com/i/events/12671…
First, you might want to review this tweetorial on HORIZONTAL DIPLOPIA
Overall localization of VERTICAL similar to horizontal diplopia = Ocular misalignment due to lesion of:
-Cranial nerve/nucleus
-NMJ (myasthenia)
-Extraocular muscle/Orbit
For vertical misalignment we must also add skew, caused by a lesion in the vestibular pathways
Read 19 tweets
Aaron Berkowitz Profile picture
Jul 12, 2022
#MedTwitter #MedStudentTwitter #NeuroTwitter! This morning on @CPSolvers #VMR we discussed an approach to peripheral polyneuropathy so here’s a #tweetorial to add to the #EndNeurophobia series

Link to whole series here:
twitter.com/i/events/12671…
@rabihmgeha @DxRxEdu @caseyalbin
Peripheral neuropathy can be classified as:

Mononeuropathy: single nerve affected

Polyneuropathy: nerves affected throughout body symmetrically

Mononeuropathy multiplex: multiple individual nerves affected, asymmetric

Check out @DxRxEdu video!
clinicalproblemsolving.com/peripheral-neu… Image
MonoN and polyN are most common.

Mononeuropathy multiplex=rare

MonoN most commonly compressive or traumatic (ulnar neurop @ elbow, median neurop @ wrist, peroneal neurop @ fibular head)

Rarely: tumor (neurofibroma), infiltration (amyloid, neurolymphomatosis
Read 25 tweets
Aaron Berkowitz Profile picture
Apr 24, 2022
Hi #MedTwitter #MedStudentTwitter #neurotwitter #MedEd #FOAMed! It's been too long since my last #EndNeurophobia #tweetorial so here's an introduction to brain imaging–thanks @sarrovasta for the request!🧠❤️
cc:@CPSolvers @rabihmgeha @DxRxEdu @AvrahamCooperMD @caseyalbin
1/🧵
Let's start w/CT. I'll focus on brain (and not bone or soft tissue). First:

* Identify normal structures and any abnormalities in:
- Size
- Shape
- Symmetry
(note *symmetric* abnormalities such as ventriculomegaly or diffuse cerebral edema may not be obvious w/o experience)

2/
Next:

* Identify abnormalities
- Hypodensity
- Hyperdensity

Broadly:

• Hypodensity:
- Ischemia
- Inflammation
- Infection
- Neoplasm

• Hyperdensity:
- Blood
- Calcification
- Hyperdense tumors (e.g. lymphoma)
- Thrombus in vessel
- Contrast enhancement

3/
Read 19 tweets

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