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Interventional Neurologist & Neuro-critical care specialist, Autodidact, Iconoclast, Agentic enthusiast, Technophile, Sempiternal scholar & Teacher DM, FRCP, FICCN, EDSI, EDNI Joined July 2009-
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Came in with complaints of feeling of weakness of left index tip. Flummoxed me a bit till the full exam
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There is a peculiar pleasure in diagnosing a condition out of your specialty: something that you studied a long time ago in your undergrad. Kind of makes up for all the unnecessary and useless stuff that you had to study back then: a partial vindication Don’t you think?
Xray ↘️; non weight bearing as I forgot about it , even then there is some e/o arch collapse Final Dx- Mononeuropathy with unilateral Charcot joints
Ncv shows absent SNAPs in the right foot ( med and lat plantar) Exam shows a unilateral rocker bottom foot
Unsteady gait and some tripping Lady with long standing rheumatoid arthritis and prior mono neuritis multiplex On examination- mild sensory deficits in the soles
Satralizumab Phase 3 METEOROID Trial is the First-Ever Positive Trial in MOGAD (AAN 2026 / Life Science Daily News / NeurologyLive 2026) Impact: STZ ↘️68% relapse risk reduction, 79% reduction in active MRI lesions, 73% reduction in rescue therapy need. MOGAD previously had NO approved therapies and this is good news as pts relapse on existing therapies
🚨 Burning Vertex Syndrome: A novel headache 🔥 A common problem in the Neurological OPD, well described by our colleague Pravin Thomas et al 🧠 Curr Opin Neurol 2025 ➡️ Episodic, burning pain localized to the vertex (10–20 cm zone) ➡️ Mostly affects women (~65%), avg. age ~41 ➡️ Duration: 1 min to 24 hrs, often <4 hrs ➡️ Frequency: daily to 1–3x/week ⚠️ Associated features in 76%: •Nausea, vomiting •Photophobia/phonophobia •Autonomic signs •Localized warmth (rare) 🧬Hypothesized mechanism? Small fiber scalp neuropathy 💉 Interesting finding: GON block helped in 2 patients #NeuroTwitter #Headache
A 36 year old obese man on Rx for schizophrenia, diabetes and metabolic syndrome, comes to you with a six month hx of neck pain. On examination there are no focal neurological deficits. Neck movement is slightly restricted This is his Xray
They’re not even conducting Exams fairly & They want us to believe that they’re conducting Elections fairly.
He has no hx of low back pain or morning stiffness . Esr and CRP are normal What are your thoughts?
@Mo_element26 I don’t think it’s sensitive at all . Just an interesting clinical correlative sign. EEG is the gold standard
Clinical pearl- Epileptic hippus- pupillary diameter oscillation during a status epilepticus
If you see a team walking around the hospital, kindly refer to them by the appropriate name: ⚕️A ganglia of neurologists ⚕️An inflammation of rheumatologists ⚕️A caffeine of nurses ⚕️A murmur of cardiologists ⚕️A croup of pediatricians ⚕️ Infectious disease docs in clusters
@HowToAI_ Asking for a friend: Does it matter if you’re building the app on Claude code anyway
Just went through a neuropsychological assesment of a child who was referred for difficulty with studies and behavioural phone addiction . The psychologist spent 10 minutes talking with him and sent me a report that he seemed like a bright child and did not seem to have ADHD. Contrast this with an assesment performed for his sibling in the US who underwent a detailed assesment and was finally diagnosed with mild ADHD. After starting medications, the child improved significantly. These were the tests the second child underwent 1. a clinical Interview 2.Behavioral Observations 3. Wechsler Intelligence Scale for Children - Fifth Edition (WISC-V) 4.The Beery-Buktenica Developmental Test of Visual-Motor Integration - Sixth Edition 5.Delis-Kaplan Executive Function System (D-KEFS) 6.Conners' Continuous Auditory Test of Attention 7.Conners' Continuous Performance Test - Third Edition 8.Behavior Assessment System for Children - Third Edition, Parent, Teacher and Self report forms 9.Behavior Rating Inventory of Executive Function - Second Edition, Parent and Self report forms The difference in quality of the tests was astounding and eye-opening. I was unable to even face the parent with such a shoddy test report. We need to do better than just make diagnoses based on a hunch. It's a big problem in India, where we often take shortcuts; maybe due to lack of time or large OPDs....but we compromise tremendously on quality and hardly ever make any edge contributions
A 75 year old 🧔with gradually increasing left sided headache of 1 month duration No fever/ ear discharge No hx of Diabetes O/e: temporal skull tenderness Clinical dd/‘s : Skull base osteomyelitis/ metastasis MRI/CT ; show an ill defined soft tissue in the region of the left occipital console and left lateral aspect of the Atlantic occipital joint What are your thoughts on?
Occipital condyle lesions are overwhelmingly metastatic in origin (>90%) from prostate, lung , breast : the rest are due to primary skull base tumors or rarely due to infections such as Tb Waiting for a PET-CT😃
Oren Gottfried, MD @OGdukeneurosurg
241K Followers 372 Following Neurosurgeon/ Professor at Duke University & TV Producer, Writer, Actor, and Consultant.
Dr Joshua Walinjom @walinjom
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Andreas Charidimou MD... @a_charidimou
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Dr G Rajesh (Gopalan ... @DrRajeshG1
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سكليف طبي ا�... @sklufolol
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JMAK @jmaandfriends
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Mahmoud El-Sayed @nephro_tips
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saqer-alotaibe @SaqerAlotaibe
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Angelina Moffo 2028 @angmoffo2028
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Avraham Z. Cooper, MD... @AvrahamCooperMD
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Lea Alhilali, MD @teachplaygrub
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Andreas Charidimou MD... @a_charidimou
22K Followers 5K Following Neurologist | Asst. Prof @BUMedicine | Medical Director, BU CBR | Stroke,🩸🧠 Cerebral Amyloid Angiopathy, Dementia, Brain Small Vessel Disease
NephroPOCUS @NephroP
94K Followers 307 Following #POCUS #MedEd education 📖 | by Abhilash Koratala MD @KoraAbhi, “Echo-friendly” Nephrologist and Intensivist I Founding Member @POCUSIAPN | X≠ medical advice
Neurology Journal @GreenJournal
100K Followers 1K Following Neurology is the most widely read and highly cited peer-reviewed neurology journal. It is the medical journal for the American Academy of Neurology.
Michael Okun @MichaelOkun
40K Followers 954 Following Author, The Parkinson’s Plan, a NY Times Bestseller and 14 other books, Medical Advisor Parkinson’s Foundation, Distinguished Professor UF Fixel Institute
radRounds Radiology N... @radRounds
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Neurosurgery Cocktail @BipinChaurasia_
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Dr G Rajesh (Gopalan ... @DrRajeshG1
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Dr Harun Yıldız @drharunyildiz
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Casey Albin, MD @caseyalbin
22K Followers 1K Following Neurointensivist @EmoryNeuroCrit | @ContinuumAAN media AE | Passionate about #FOAMncc & acute neurology
Brain @Brain1878
75K Followers 167 Following Brain: A Journal of Neurology. Publishing leading studies in neurological science since 1878.
Continuum: Lifelong L... @ContinuumAAN
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AshuJadhav @AshuPJadhav
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JAMA Neurology @JAMANeuro
67K Followers 240 Following JAMA Neurology is a member of the JAMA Network, a consortium of peer-reviewed, general medical and specialty publications.
Antonio Cruz-Culebras @CulebrasCruz
1K Followers 1K Following Tuits y RT personales #stroke #NeuroTwitter #neurology #ictus #neurologia #medicina #medicine #healthcare
Neuro Op Guru @AndrewGoLeeMD
1K Followers 202 Following Neuro-ophthalmologist @HoustonMethodist dedicated to informing and educating on all things #NeuroOp | Making information accessible.
Surg Lt (Dr) Anan Jai... @docjais
386 Followers 460 Following Veteran, Indian Navy | Consultant Pathologist | Advocate for Mindfulness & Veterans' Rights | Alumnus: MAHE Manipal, ISB, KMC Manipal, KMC Mangalore, KEM Pune |
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13K Followers 166 Following AI Creative Suite. Gear: https://t.co/PWAXxSxMGP Discord: https://t.co/T3hL60zLDf
claire vo 🖤 @clairevo
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DAN KOE @thedankoe
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88K Followers 0 Following The official home of Google's Gemma. Lightweight, state-of-the-art open models by Google DeepMind, built on Gemini tech. What will you build? 🚀💻
atomic.chat @atomic_chat_hq
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OpenClaw🦞 @openclaw
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Ege @egeberkina
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Peter Steinberger �... @steipete
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Neurographics @ASNRographics
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45K Followers 90 Following Built Hotmail. Sold to @Microsoft . Alum - @Stanford & @Caltech . Now Hotcoin. Enlightening hearts & minds one tweet at a time..
Australasian Sleep As... @SleepOrgANZ
2K Followers 208 Following The Australasian Sleep Association is the peak scientific body in Australia & NZ representing clinicians, scientists and researchers in the broad area of Sleep.
BritishSleepSociety @BritishSleepSoc
4K Followers 110 Following The British Sleep Society (BSS) is an professional organisation for medical, scientific and healthcare workers within sleep and sleep disorders
ESRS @ESRS_Sleep
6K Followers 606 Following European Sleep Research Society, an international scientific non-profit organisation promoting all aspects of #SleepResearch #SleepMedicine. #SleepEurope2026
World Sleep Society @_WorldSleep
8K Followers 2K Following Advancing Sleep Health Worldwide. Hosting #WorldSleep2027 in Montreal and #WorldSleepDay on Friday, March 13, 2026.
JCSM Journal @JCSMJournal
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American Academy of S... @AASMorg
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6K Followers 397 Following Co-founder and CEO @firecrawl ️🔥 Prompting humans and machines. Be the best version of yourself.You might like
