World Stroke Organization #MondayTips
Every Monday, WSA Social Media Leader Rodrigo Guerrero publishes a #MondayTip on the WSA WorldStrokeEd Twitter account, covering a specific stroke related topic. You can find a compilation of our #MondayTips here!
#MondayTip
💊Can illicit drug use ⬆️ stroke risk?
✅New evidence says yes
Metaanalysis of >100 million participants + Mendelian randomization supports⬆️stroke risk w/ cannabis, cocaine & amphetamines
Don't forget substance history in young stroke patients
https://doi.org/10.1177/17474930261418926
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Learn more about this work by listening to our From Paper to Practice podcast, where @ChrissiTunkl interviews Dr. Megan Ritson, PhD, the lead author of the systematic review.
👇
🎙️New episode of 𝐅𝐫𝐨𝐦 𝐏𝐚𝐩𝐞𝐫 𝐭𝐨 𝐏𝐫𝐚𝐜𝐭𝐢𝐜𝐞!
Dr. @ChrissiTunkl & Megan Ritson discuss the relationship between illicit drug use & stroke risk, an increasingly relevant topic in prevention, clinical care & public health
🔗https://shorturl.at/dpgGm
#StrokeEducation
#MondayTip
#CADASIL
🤕Young patient + lacunar stroke, migraine+aura or cognitive/psychiatric change?
🧬Bilateral WMH in the anterior temporal poles/external capsules👉NOTCH3 testing
🫀Control vascular risks
💊Disease-modifying therapy remains preclinical
https://pn.bmj.com/content/early/2026/05/05/pn-2025-004718
🤩 June was packed with new learning opportunities at the #WSA! 🧠🌍
📅 Upcoming webinars
📽️ Recent expert sessions
📄 #TRIDENT PoM
🎙️ Factor XI/XIa Vodcast Series
🔬 From Paper to Practice
💡 New #MondayTips
Catch up, stay curious & happy learning!
👇
https://www.world-stroke-academy.org/news/june-newsletter-3/
#MondayTip
Stroke #RehabCertification is about criteria, not paperwork
@WorldStrokeOrg´s framework emphasizes:
🤝MDT care
📄documentation & data
📈therapy intensity
🧑🍳dysphagia/nutrition safety
💪motor rehab
✅complication prevention & discharge support
🔗https://doi.org/10.1177/17474930261463019
#MondayTip
In #PSCI, infarct location matters.
🚨Highest cognitive risk in a 2950-patient pooled analysis:
🧠Left frontotemporal
🧠Left thalamic
🧠Right parietal.
☝️Use imaging to prompt early cognitive #screening—not to rule PSCI
https://doi.org/10.1016/s1474-4422(21)00060-0
#MondayTip
#NameTheCore
🔴The ischemic core is more than a volume
☝️It is a common reference point for prognosis, risk, and teamwork
🧠Standardizing how we describe it may make acute stroke decisions clearer
Based on Dr J Saver proposed terminology:
https://doi.org/10.1001/jamaneurol.2026.1788
#MondayTip
🪟The first 30 days after stroke are a recovery-critical window
🧠Transitional care should extend stroke-unit practices home:
👩⚕️Early specialist contact
🩸BP/DM/med review
😣complication screening
💪rehab access
🧑🤝🧑care-partner support
🔗https://continuum.aan.com/doi/10.1212/cont.0000000000001706
📰May #Newsletter
What did you miss in May—and what’s next in #StrokeEducation?
👩💻Webinars
🌍ESOC 2026 highlights
📋Paper of the Month #OCEANICStroke
🎙️New vodcast series on Factor XI/XIa inhibition
🌦️Climate change & #stroke
🧠Latest #MondayTips
Here!👉https://world-stroke-academy.org/news/may-newsletter-3/
#MondayTip
#Thrombophilia & Young #cryptogenic stroke Abnormalities are common early, but high-risk findings are rare
🤫SECRETO: 37.1%👉any abnormality; only 5.2% were high-risk
🧠Screen smarter: prior VTE, inactivity, low HDL-C or anemia may guide testing
https://doi.org/10.1161/strokeaha.125.053251
#MondayTIP
#PerihematomalEdema
🩸After ICH, #PHE edema growth matters
📈In an IPD meta-analysis, PHE growth on CT at 24–72h was independently linked to death/dependence at 90 days
🎯Repeat CT may aid risk stratification and trial design
https://doi.org/10.1161/strokeaha.125.053991
#MondayTip
#Early ticagrelor+aspirin after IV thrombolysis may improve 90-day excellent recovery in selected moderate AIS (NIHSS 4–10)
🚶♀️mRS 0–1 68.7% vs 62.0%
🩸sICH was rare, but CIs were wide.
☝️Defined phenotype, not broad adoption yet
#TAPIS
🔗https://doi.org/10.1016/s0140-6736(26)00757-9
May #PaperofTheMonth: 𝐎𝐂𝐄𝐀𝐍𝐈𝐂-𝐒𝐓𝐑𝐎𝐊𝐄: 𝐅𝐚𝐜𝐭𝐨𝐫 𝐗𝐈𝐚 𝐈𝐧𝐡𝐢𝐛𝐢𝐭𝐢𝐨𝐧 𝐒𝐭𝐞𝐩𝐬 𝐢𝐧𝐭𝐨 𝐒𝐞𝐜𝐨𝐧𝐝𝐚𝐫𝐲 𝐒𝐭𝐫𝐨𝐤𝐞 𝐏𝐫𝐞𝐯𝐞𝐧𝐭𝐢𝐨𝐧
🤓Commentary
🔽#MondayTip
🎧4 expert interview episodes
Access it: https://www.world-stroke-academy.org/news/the-paper-of-the-month-may-4/
#StrokeEducation
#MondayTip 🧠
🌍From #ESOC2026 to practice: stroke care is moving across the whole pathway: BP control, imaging, EVT selection, adjunctive therapies, cooling, mobility & recovery.
☝️Better outcomes will come from better systems, sharper selection, and evidence-based details
#MondayTip
#TRIDENT
💊One pill could change post-ICH care.
🧠Low-dose triple antihypertensive therapy ↓ recurrent stroke by 39% and improved BP control vs standard care
☝️Simpler regimens may beat therapeutic inertia
🔗https://doi.org/10.1056/nejmoa2515043
#MondayTip
#Tenecteplase may help—even when the artery stays closed.
In #TRACE3 (4.5–24h window), pts without recanalization still had better outcomes (42% vs 30%). Strongest effect in NIHSS ≥10.
👉 Think beyond large vessel reopening
https://doi.org/10.1186/s12916-026-04877-x
#MondayTip
Can we prevent stroke without increasing bleeding?
Factor XIa inhibition #asundexian :
🔹⬇️recurrent stroke (HR 0.74)
🔸with no ⬆️major bleeding in OCEANIC-STROKE.
A potential shift in secondary prevention. 🧠⚖️
🔗 https://www.nejm.org/doi/full/10.1056/NEJMoa2513880
