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!
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#MondayTip
From @Jan_FriSch presentation in our last webinar:
☝️Patients with #AF-associated #strokes despite OAC are much more likely than patients who are OAC näive to have #competing stroke mechanisms
Search for competing causes‼️
#MondayTip
Post Stroke #Seizure and #Epilepsy
🧠Cerebrovascular disease is one of the most common causes of epilepsy in adults
☝️There are several risk factors related to development of PSE: localization, seizure onset (early vs #late), etc
Check this PSE Risk Scale👇
🍂We're sharing the latest educational updates from the @WorldStrokeEd in our #August newsletter:
🎓 New #stroke material coming soon
🌐 Upcoming and past webinars
📆 WSA at #WSC2023
📢 #MondayTips
📖 Proposals submission
👉Read it here: https://world-stroke-academy.org/news/newsletter-august/
#MondayTip
✨Normal #variants of 🧠arteries
0️⃣Origin
#️⃣Number
🫶Morphology
🛣️Pathways
⭕️Complete #CoW 👉44%😱
☝️Increasingly observed as #incidental findings, even though they may be of #significant clinical value for diagnosis and #decision-making
🔗https://onlinelibrary.wiley.com/doi/abs/10.1111/jon.12475
#MondayTip
✨Normal #variants of 🧠arteries
0️⃣Origin
#️⃣Number
🫶Morphology
🛣️Pathways
⭕️Complete #CoW 👉44%😱
☝️Increasingly observed as #incidental findings, even though they may be of #significant clinical value for diagnosis and #decision-making
🔗https://onlinelibrary.wiley.com/doi/abs/10.1111/jon.12475
🍂We're sharing the latest educational updates from the @WorldStrokeEd in our #August newsletter:
🎓 New #stroke material coming soon
🌐 Upcoming and past webinars
📆 WSA at #WSC2023
📢 #MondayTips
📖 Proposals submission
👉Read it here: https://world-stroke-academy.org/news/newsletter-august/
#MondayTip
4 main components of #atherosclerotic plaques
🟢Fibrous component
🟠Lipid core
🔴Hemorrhage
⚫️Calcification
☝️And their signal intensity on MRI
From: https://www.j-stroke.org/m/journal/view.php?doi=10.5853/jos.2015.17.3.238
#OpenAccess
#MondayTip
Post Stroke #movements disorders
~20% of all 2ry movs dis
1-4% of all stroke
🚶🏽♂️Parkinsonism & chorea + common after ischemic
💪🏾Dystonia & tremor after hemorrhagic
👉Chorea was the earliest (within hours)
☝️Dystonia & tremor manifested several months after stroke
#Mondaytip
Deep Cerebral #Perforators, DCP
👉End-arteries that vascularize specific deep territories in central #core of hemispheres (BG, IC, thalamus)
☝️DCP territories are highly #variable
☝️DCP anatomy: essential for understanding the #pathogenesis and consequences of stroke
#MondayTip
Thrombus Composition & Stroke
🖇️Fibrin-rich
-difficult to retrieve w/MT bc dense & compact structure
-poorer infiltration of tPA: pores smaller & +compact
🩸RBC-rich
-easier to retrieve, but +vulnerable to fragmentation
-⬆️sensitivity to tPA: looser clot architecture
#MondayTip
1/2 Different lesion patterns in Reversible Cerebral Vasoconstriction Syndrome #RCVS
⏺️ No lesion (+/-Flair dot sign)
💦 Watershed
🌊Vasogenic Edema
🩸Hemorrhage
🖇️Combinations
https://onlinelibrary.wiley.com/doi/pdf/10.1002/ana.24652
#MondayTip
#No_Reflow
👉Dysfunction of the #microvasculature despite macrovascular #recanalization
Mechanisms:
🛑 Microvascular Occlusion
🛠️(inmediate) Vascular Remodeling
✋Stalled Neutrophils
🚦Large Vessel Occlusion
🔗https://www.ahajournals.org/doi/10.1161/STROKEAHA.123.044240
@StrokeAHA_ASA
This is a late #MondayTip
Clues for #underlying treatable causes of intracerebral #haemorrhage
Via @DiseasePrimers
https://www.nature.com/articles/s41572-023-00424-7
#MondayTip
🧠#Headache in cerebrovascular disease
#SAH #CADASIL #RCVS #CVT
would you add another?
#OpenAcces via @SVN_CSA
👉https://svn.bmj.com/content/5/2/205
#MondayTip
Structural clasiffication of🧠#collateral circulation
✅Circle of Willis
✅Microvascular intracranial colls:
👉Leptomeningeal (pials) colls (1-4)
👉Subcortical colls (5)
✅Extracranial sources of collateral circulation (6-10)
This is a late #MondayTip
Clues for #underlying treatable causes of intracerebral #haemorrhage
Via @DiseasePrimers
https://www.nature.com/articles/s41572-023-00424-7