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 All Year Long
Every week, one insight
One concept
One step toward better stroke care
Thanks to everyone who learned, shared & helped turn evidence into action
Let’s keep raising the standard #together
Missed a #MondayTip this year?
Here’s the (1st part) thread👇🧵
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. @WorldStrokeOrg
@opontesnetoMD @sheilambrasil @SposatoL @a_charidimou @gsaposnik @interneurona @laura_wsa @caso_valeria @johanna_ospel @neuropuc @SIECV_IASO @AfricanStroke @Ash_Shoamanesh @AshuPJadhav @MicieliA_MD @MicheleRomoli @UPensato @IntJStroke @ESOstroke @StrokeAHA_ASA
What happened in #StrokeEducation in November? Time to read our newsletter!
🗞️https://www.world-stroke-academy.org/news/november-newsletter-2/
🟢Webinars
🟢PoM: Pre-Hospital Care w/ @IntJStroke
🟢WSC2025 TV Studio w/ @OruenCNS
🟢Meet The Trialist w/ @Bayer
🟢#MondayTips by @interneurona
𝐇𝐚𝐩𝐩𝐲 𝐋𝐞𝐚𝐫𝐧𝐢𝐧𝐠!
#MondayTip
From WSO/ICAA-A Cerebral Amyloid Angiopathy Statement
🎯Management of antithrombotics in #CAA requires individualized, risk-balanced decision-making, given CAA’s intrinsically high risk of ICH
Phenotypic markers by @a_charidimou
Statement: https://doi.org/10.1177/17474930251365861
#MondayTip
#Extended Window thrombolysis update
🩻Imaging, not time, drives decisions
📍Context-dependent
⛔️Greatest value where EVT access is limited
🚨Non-contrast CT–based selection is emerging, not established
🎯Precision selection is essential to avoid harm
#MondayTip
#Extended Window thrombolysis update
🩻Imaging, not time, drives decisions
📍Context-dependent
⛔️Greatest value where EVT access is limited
🚨Non-contrast CT–based selection is emerging, not established
🎯Precision selection is essential to avoid harm
#MondayTip
#Immunothrombosis
🩸Stroke thrombi are not inert clots
☝️They are immune-active structures
🧬Neutrophils+platelets →NETs: stronger, fibrin-rich clots
➡️harder thrombolysis
➡️longer EVT
➡️worse outcomes
🧠Stroke = thrombo-inflammatory disease
https://doi.org/10.1161/STROKEAHA.124.048137
#MondayTip
From WSO/ICAA-A Cerebral Amyloid Angiopathy Statement
🎯Management of antithrombotics in #CAA requires individualized, risk-balanced decision-making, given CAA’s intrinsically high risk of ICH
Phenotypic markers by @a_charidimou
Statement: https://doi.org/10.1177/17474930251365861
What happened in #StrokeEducation in November? Time to read our newsletter!
🗞️https://www.world-stroke-academy.org/news/november-newsletter-2/
🟢Webinars
🟢PoM: Pre-Hospital Care w/ @IntJStroke
🟢WSC2025 TV Studio w/ @OruenCNS
🟢Meet The Trialist w/ @Bayer
🟢#MondayTips by @interneurona
𝐇𝐚𝐩𝐩𝐲 𝐋𝐞𝐚𝐫𝐧𝐢𝐧𝐠!
#MondayTip
👀#MRWITNESS introduced a quantitative method (qDFM) using a “signal intensity ratio”, SIR, on FLAIR
✨Provides a reliable, reproducible imaging biomarker that identifies #early ischemic tissue in unwitnessed strokes, enabling #safe IV alteplase administration
#MondayTip
Spinal Cord Infarction
#SCI is underdiagnosed
🧩A structured approach:
🔸Rapid deficits⚡️
🔸Supportive MRI🩻
🔸Non-inflammatory CSF🧪
🔸Exclusion of alternative causes🚫
your key to early recognition
☝️Accurate Dx avoids delays & harm
https://doi.org/10.1001/jamaneurol.2018.2734
#Mondaytip
Secondary causes of #hypertension in stroke patients
☝️~1 in 10 have an underlying cause for their elevated BP
🤔Keep high clinical suspicion
#CHAPS👉Cushing’s, hyperaldosteronism, aortic coarctation, pheochromocytoma, stenosis of renal arteries
https://doi.org/10.1136/pn-2024-004169
#Extended window thrombolysis
#MondayTip
#Extended Window thrombolysis update
🩻Imaging, not time, drives decisions
📍Context-dependent
⛔️Greatest value where EVT access is limited
🚨Non-contrast CT–based selection is emerging, not established
🎯Precision selection is essential to avoid harm
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Thank you, again, to everyone who read, shared, discussed, and applied these insights in daily practice.
Let’s keep learning 🧠💪
🧠#MondayTip All Year Long
Every week, one insight
One concept
One step toward better stroke care
Thanks to everyone who learned, shared & helped turn evidence into action
Let’s keep raising the standard #together
Missed a #MondayTip this year?
Here’s the (1st part) thread👇🧵
Acute #vestibular syndrome & stroke
#MondayTip
😵💫Acute Vestibular Syndrome and Stroke
#AVS👉continuous vertigo/nausea/nystagmus, worse with head motion but present at rest
⚡️~25% are posterior strokes, often missed by CT/MRI.
💡#HINTS exam > early MRI for diagnosis
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#BloodPressure management in stroke
#MondayTip
#BloodPressure management in Acute Ischemic Stroke
☝️Stability > aggressiveness
🚑Pre-reperfusion: #tolerate high BP (<185/110 if IVT, <220/120 if no reperfusion).
💉Post-reperfusion: #avoid intensive lowering, safer range is ~140–180 mmHg
🆓https://doi.org/10.1007/s11910-025-01443-5
🧠#MondayTip All Year Long
Every week, one insight
One concept
One step toward better stroke care
Thanks to everyone who learned, shared & helped turn evidence into action
Let’s keep raising the standard #together
Missed a #MondayTip this year?
Here’s the (1st part) thread👇🧵
Reply on Twitter 2005812169447735669
Retweet on Twitter 2005812169447735669
37
Like on Twitter 2005812169447735669
86
Twitter
2005812169447735669
. @WorldStrokeOrg
@opontesnetoMD @sheilambrasil @SposatoL @a_charidimou @gsaposnik @interneurona @laura_wsa @caso_valeria @johanna_ospel @neuropuc @SIECV_IASO @AfricanStroke @Ash_Shoamanesh @AshuPJadhav @MicieliA_MD @MicheleRomoli @UPensato @IntJStroke @ESOstroke @StrokeAHA_ASA
What happened in #StrokeEducation in November? Time to read our newsletter!
🗞️https://www.world-stroke-academy.org/news/november-newsletter-2/
🟢Webinars
🟢PoM: Pre-Hospital Care w/ @IntJStroke
🟢WSC2025 TV Studio w/ @OruenCNS
🟢Meet The Trialist w/ @Bayer
🟢#MondayTips by @interneurona
𝐇𝐚𝐩𝐩𝐲 𝐋𝐞𝐚𝐫𝐧𝐢𝐧𝐠!
