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Jul 28 • 10 tweets • 6 min read
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The autoantibody table has gone from 1 page to 2 and I'm sure is already out of date as this field rapidly evolves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
Jul 12
#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
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
Aaron Berkowitz Profile picture
Feb 22
Paul Farmer changed my life before I ever met him. I'm a cliche: I read Mountains Beyond Mountains as a student, my worldview changed, and I decided I wanted to follow in his footsteps and pursue global health equity when I grew up.

But an atypical version of the cliche...
🧵1/
I was a med school dropout/grad student in music when I read MbM! Here's the story, a portrait of Paul at the bedside, an attempt to capture two of the most meaningful moments in my life, a small homage to Paul from one of the countless lives he touched and shaped.💔 2/
3/
Read 21 tweets
Aaron Berkowitz Profile picture
Feb 13
Yes, @Tracey1milligan! How do I #LoveNeurology let me count the ways! 🧠❤️
A 🧵
Below is from a presentation where we each gave a pitch to students why our specialty was the best. All due respect to admired colleagues in other specialties, roasting/humor was encouraged😀
So when trying to choose a specialty, your advisor may ask you what’s your favorite organ?

You’ve heard the arguments:
- the skin is the largest organ in the body
- the heart moves and makes cool sounds
- the kidney has such fascinating biochemistry (if you're into that)
Read 19 tweets
Aaron Berkowitz Profile picture
Oct 2, 2021
It’s time for another #EndNeurophobia #tweetorial!

PUPILS AND ANISOCORIA

#MedStudentTwitter #neurotwitter #MedEd
@DxRxEdu @rabihmgeha @CPSolvers @Tracey1milligan @NMatch2022
🧠❤️
The pupils can constrict (miosis) and dilate (mydriasis)
Mydriasis = bigger word = bigger pupil.

Constriction is a PARASYMPATHETIC function (tiny relaxed happy pupils)

Dilation is a SYMPATHETIC function (eyes wide with fear)
Pupils constrict in response to LIGHT and NEAR

Pupils dilate in response to DARKNESS and ADRENERGIC TONE

Drugs can also affect the pupils as can prior trauma/surgery
Read 26 tweets
Aaron Berkowitz Profile picture
Aug 22, 2021
Hi #medtwitter #neurotwitter #medstudenttwitter #meded #FOAMed

It's been too long since my last #EndNeurophobia #tweetorial. As requested by @sukritibanthiya here is a tweetorial on MUSCLE DISEASE (MYOPATHY)

Let me know what you think and what I should cover next!
Classic pattern of weakness in myopathy is PROXIMAL symmetric weakness of the limbs, though there are exceptions.

There should be NO sensory findings (unless there is concurrent neuropathy) and reflexes are often spared until the patient is extremely weak.
Difficulty rising from a chair (hip girdle musculature), washing hair (shoulder girdle musculature)

CK is often elevated but not always

EMG can demonstrate myopathic pattern (though can be normal eg statin myopathy)

Definitive Dx may require muscle biopsy and/or genetic test
Read 19 tweets

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