🧵👇Cerebral Amyloid Angiopathy🩸🧠

Illustrations and tweetorials on CAA, SVD and related disorders

by @a_charidimou

#NeuroTwitter #stroke #Neurology #neuropath #stroke #dementia #Alzheimers #biomarker #brain #MedStudentTwitter #AmyloidAngiopathy #CAA #cSVD 🧠⭕️Cerebral Small Vessel Disease Classification

https://x.com/a_charidimou/status/1726944749515391363?s=20

Beating Clinical MCQs in #USMLE or #boards2023 when you don’t know the answer! 🩺📝

🧵👇Check out 10 strategies to approach this challenge

#MedTwitter #MedEd #IMG #ECFMG #foamed #medicalstudent #internalmedicine #BoardExams #medicaleducation Don't panic! 😱

Try to work through the question, use strategies below to narrow down the choices and make an educated guess. 💪🤔💡

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🩸🧠What’s new in Cerebral Amyloid Angiopathy?

🚀Updates from the 8th International CAA Conference
#iCAAPerth2022 🌏🇦🇺
..and my take (denoted by:🧔🏻)

*Focus of 🧵 will be on clinical/translational aspects*

#AmyloidAngiopathy #neurotwitter #stroke #Neurology #dementia #NeuroRad 🔥🧠CAA-ri (CAA-related inflammation)

@Ellis_van_Etten provided a clinical update on CAA-ri
-Key need for improving diagnostic tools and clarifying best 🧯treatment options

🧔🏻: Subclinical, non-fulminant CAA-ri forms are beginning to be appreciated!

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🌓🤪 Pac-Man ate my visual fields!

50 year old person presents with sudden onset headache and seeing "pieces of things" on the R.
Visual fields look like this👇👇

➡️What's happening?

#MedTwitter #MedStudentTwitter #neurotwitter #MedEd #Neurology #EndNeurophobia #stroke 🗺️🧠 Where across the visual system is likely the lesion?
#Ophthalmology

⭕️ Vascular supply /🧠 Regions

🚀The whole lineup (10x🧵)

via: @HBlumenfeld
(🔖NEUROANATOMY through Clinical Cases)

#MedTwitter #MedStudentTwitter #neurotwitter #FOAMrad #NeuroTwitter #NeuroRad #neuroradiology #Neurology #Neurosurgery #radiology #stroke #neuroscience ⭕️Circle of Willis 🐳🧠 - Main Branches

via: @HBlumenfeld
(🔖NEUROANATOMY through Clinical Cases)

#MedTwitter #MedStudentTwitter #neurotwitter #FOAMrad #NeuroTwitter #NeuroRad #neuroradiology #Neurology #Neurosurgery #radiology #stroke #neuroscience
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🧠🩸Intracerebral Hemorrhage (ICH) Location Quiz

⚜️ Is it lobar or deep? That is the question...

👇🏿👇🏿👇🏿 (🧵/6)

#neurotwitter #MedEd #FOAMed #EndNeurophobia #tweetorial #FOAMrad #radres #NeuroTwitter #NeuroRad #Neurology #Neurosurgery #RadEd #stroke ICH CASE 1⃣

📌 Major changes in the Boston Criteria v.2.0 for Cerebral Amyloid Angiopathy diagnosis 👇

(🧵 1/4)

#neurotwitter #FOAMrad #radres #NeuroTwitter #NeuroRad #Neurology #Neurosurgery #RadEd #stroke #dementia #brain #Alzheimers 📌 Summary Panel on "Probable CAA"👇🏿

🩸🧠Most commonly used CAA diagnostic category

#FOAMrad #NeuroTwitter #NeuroRad #Neurology #Neurosurgery #RadEd #stroke #DementiaJoe

📌How to design a brain 101🧠🏗️

A 🧵 on how I use @powerpoint to create illustrations

🎨Key tools and my 2 secret weapons:

-@gboulouis adding "advanced" stuff
-@MVarkanitsa reviewing every little detail

#MedTwitter #MedEd #NeuroTwitter #NeuroRad #Neurology #neuropath #FOAMed This 🧵 is inspired by a great recent post from @teachplaygrub, since we are using similar methods and tools on #PowerPoint!

https://twitter.com/teachplaygrub/status/1536732110198697984?s=20&t=EdMpNnMM4v_ZLUA6w_9Btg

🚨Early management of Intracerebral Hemorrhage🩸🧠

📒 My cheat-sheet
(focus on approaches to limit hematoma expansion)

#MedTwitter #neurotwitter #NeuroTwitter #NeuroRad #Neurology #Neurosurgery #stroke #MedStudentTwitter @gboulouis @marco_pasi85 @NMatch2023 #FOAMncc ⚡️For anticoagulation reversal in ICH, see this high yield and simple algorithm from @American_Heart updated ICH 2022 guidelines🩸🧠 @StrokeAHA_ASA

💥Dramatic Intracerebral Hemorrhage🩸🧠 expansion.

Hyperacutely➡️again showing that the window for intervention in ICH is pretty narrow!

⏰=💥🩸🧠

🙏🏿@VancouverStroke for reminding me of these cases!

#neurotwitter #NeuroTwitter #NeuroRad #Neurology #Neurosurgery #stroke

https://twitter.com/VancouverStroke/status/1536489115532808197

Case report from @JAMANeuro @JAMANetwork

cc: @ComaRecoveryLab @salvasapedraza @neurologiagye @NeuroFOD @EmoryNeurorads @MGHNeurology

jamanetwork.com/journals/jaman…

The🟡 Spot Sign might be dead🧟🧟‍♂️ for ICH🧠🩸!

(At least as practice-changing marker for Intracerebral Hemorrhage expansion)

🍄ICH shape/density markers on plain NCCT are more promising👇🏿👇🏿

#neurotwitter #FOAMrad #radres #NeuroTwitter #NeuroRad #Neurology #Neurosurgery #stroke

https://twitter.com/rkchoi/status/1535720315766165509

NCCT markers of hematoma expansion picture from: pubmed.ncbi.nlm.nih.gov/31364773/

These markers still need harmonization and improvement of diagnostic accuracy..
pubmed.ncbi.nlm.nih.gov/34842473/

re: ICH Prevention in People w ⬆️Risk MRI findings in @American_Heart updated 2022 ICH guidelines🧠🩸

📌 Refers to incidentally found MRI markers of small vessel disease (SVD) - a common question

Prompted by @interneurona unpacking below (short 🪀)

https://twitter.com/interneurona/status/1526578646680494081

For context:
🚫MRI is not routinely done for risk stratification of first-ever spontaneous ICH risk

🔮MRI is occasionally available in certain people/pts w/o ICH: may show SVD markers concerning for future ICH risk

〽️These markers are: microbleeds, superficial siderosis

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🚨 🧵 Some pearls on cases I have seen last week during night call @bmcneurology @The_BMC 🧠
PRES, RCVS, Trigeminal autonomic cephalalgia, vertigo, IIH, hyperglycemic hyperosmolar syndrome, hyperK, SAH, a tone of CODES STROKE, a tone of seizures
#NeuroTwitter #MedEd #Neurology 1/
PRES 🗜️
⚡️huge spectrum
⚡️high index of suspicion in ptns with risk factors (often with HTN urgency, immunosuppression, sepsis) + seizures
🕵🏻‍♂️may not be posterior, may not be reversible, may not present as a syndrome!!
emcrit.org/ibcc/pres/ @PulmCrit