Richard Choi, DO, FNCS
@rkchoi.bsky.social
#neurocritcare @medstarhealth.bsky.social, Assoc SoMe Editor @NeuroCritCareJ.bsky.social, Past Chair Ethics & Chair elect marketing @neurocritical.bsky.social. Try to post 1 article review or teaching case q2 Wed’s
Does your center perform #DecompressiveCraniectomy for deep #ICH #neurotwitter #neurocritcare #neurosurgery?
New evidence points to the fact that location does not matter and all patients had some benefit in this secondary analysis of #SWTICH:
www.ahajournals.org/...
New evidence points to the fact that location does not matter and all patients had some benefit in this secondary analysis of #SWTICH:
www.ahajournals.org/...
November 19, 2025 at 9:00 PM
Does your center perform #DecompressiveCraniectomy for deep #ICH #neurotwitter #neurocritcare #neurosurgery?
New evidence points to the fact that location does not matter and all patients had some benefit in this secondary analysis of #SWTICH:
www.ahajournals.org/...
New evidence points to the fact that location does not matter and all patients had some benefit in this secondary analysis of #SWTICH:
www.ahajournals.org/...
11/ As a result:
👉 Clonidine and metoprolol use ⬇️
👉 Norepinephrine use ⬆️
👉 Clonidine and metoprolol use ⬇️
👉 Norepinephrine use ⬆️
November 12, 2025 at 9:02 PM
11/ As a result:
👉 Clonidine and metoprolol use ⬇️
👉 Norepinephrine use ⬆️
👉 Clonidine and metoprolol use ⬇️
👉 Norepinephrine use ⬆️
10/ As expected, they found:
✅ ICP ⬆️ when measured at ear
✅ CPP ⬇️ when measured at ear
✅ MAP did not differ between groups
✅ ICP ⬆️ when measured at ear
✅ CPP ⬇️ when measured at ear
✅ MAP did not differ between groups
November 12, 2025 at 9:02 PM
10/ As expected, they found:
✅ ICP ⬆️ when measured at ear
✅ CPP ⬇️ when measured at ear
✅ MAP did not differ between groups
✅ ICP ⬆️ when measured at ear
✅ CPP ⬇️ when measured at ear
✅ MAP did not differ between groups
9/ In this retrospective review of #TBI patients, they compared 49 patients from the 2013-16 vs. 53 in the 2018-22 time period and were well matched:
November 12, 2025 at 9:02 PM
9/ In this retrospective review of #TBI patients, they compared 49 patients from the 2013-16 vs. 53 in the 2018-22 time period and were well matched:
8/ In this 🇸🇪 study, a unique opportunity presented itself when the department changed where it measures ICP and MAP (after a review of the literature) as detailed in the diagram below:
November 12, 2025 at 9:02 PM
8/ In this 🇸🇪 study, a unique opportunity presented itself when the department changed where it measures ICP and MAP (after a review of the literature) as detailed in the diagram below:
7/ As you can imagine, depending on where you measure your MAP, your CPP values will be very different (image from: link.springer.com/ar...)
November 12, 2025 at 9:02 PM
7/ As you can imagine, depending on where you measure your MAP, your CPP values will be very different (image from: link.springer.com/ar...)
1/ 👋 there #neurotwitter #neurosky #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar...
November 12, 2025 at 9:01 PM
1/ 👋 there #neurotwitter #neurosky #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar...
Happy Halloween! 👻🎃
To give you a good scare, I am sending you to this @neurocritcarej article and see this massive #ClotInTransit!
link.springer.com/ar...
Boo!
To give you a good scare, I am sending you to this @neurocritcarej article and see this massive #ClotInTransit!
link.springer.com/ar...
Boo!
October 31, 2025 at 12:00 PM
Happy Halloween! 👻🎃
To give you a good scare, I am sending you to this @neurocritcarej article and see this massive #ClotInTransit!
link.springer.com/ar...
Boo!
To give you a good scare, I am sending you to this @neurocritcarej article and see this massive #ClotInTransit!
link.springer.com/ar...
Boo!
6/ This is also why it is SOOO important to adjust the dose when patients we are treating with #LEV develop kidney injury: once you are excreting less, the levels will build up in your body
October 29, 2025 at 8:02 PM
6/ This is also why it is SOOO important to adjust the dose when patients we are treating with #LEV develop kidney injury: once you are excreting less, the levels will build up in your body
2/ #levetiracetam is an anti-seizure 💊 (#ASM) that works by binding SV2A, which is believed to modulate transmission by ⬇️ excitatory neurotransmitter release and inhibiting Ca channels (image from: www.sciencedirect.co...)
October 29, 2025 at 8:01 PM
2/ #levetiracetam is an anti-seizure 💊 (#ASM) that works by binding SV2A, which is believed to modulate transmission by ⬇️ excitatory neurotransmitter release and inhibiting Ca channels (image from: www.sciencedirect.co...)
1/ 👋 there #neurotwitter #neurosky #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar...
October 29, 2025 at 8:01 PM
1/ 👋 there #neurotwitter #neurosky #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar...
10/ @90 days, galantamine showed 👆% of patients had mRS 0-1 though 🚫 stat. significant. Functional outcomes and inflammatory biomarkers did not differ
October 15, 2025 at 8:02 PM
10/ @90 days, galantamine showed 👆% of patients had mRS 0-1 though 🚫 stat. significant. Functional outcomes and inflammatory biomarkers did not differ
9/ Galantamine and placebo had similar ADR profile
October 15, 2025 at 8:02 PM
9/ Galantamine and placebo had similar ADR profile
8/ Groups were well distributed during randomization
October 15, 2025 at 8:01 PM
8/ Groups were well distributed during randomization
7/ 60 patients were enrolled
October 15, 2025 at 8:01 PM
7/ 60 patients were enrolled
1/ 👋 there #neurotwitter #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article:
link.springer.com/ar...
@HuimahnChoi
link.springer.com/ar...
@HuimahnChoi
October 15, 2025 at 8:01 PM
1/ 👋 there #neurotwitter #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article:
link.springer.com/ar...
@HuimahnChoi
link.springer.com/ar...
@HuimahnChoi
15/ #CarotidWeb is a shelf-like intimal flap that projects into the lumen and is a known stroke risk factor! See more here:
jnis.bmj.com/content...
jnis.bmj.com/content...
October 1, 2025 at 8:01 PM
15/ #CarotidWeb is a shelf-like intimal flap that projects into the lumen and is a known stroke risk factor! See more here:
jnis.bmj.com/content...
jnis.bmj.com/content...
12/ Pt again undergoes thrombectomy successfully, but this time, an astute #neuroendovascular genius notes this:.
What do you see?
Dissection
Atherosclerosis
Carotid web
What do you see?
Dissection
Atherosclerosis
Carotid web
October 1, 2025 at 8:01 PM
12/ Pt again undergoes thrombectomy successfully, but this time, an astute #neuroendovascular genius notes this:.
What do you see?
Dissection
Atherosclerosis
Carotid web
What do you see?
Dissection
Atherosclerosis
Carotid web
10/ Despite anticoagulation, pt presents several months later with left sided weakness, neglect, gaze deviation again 😩! #CT 🐱scan again with no acute stroke, evidence of prior stroke, but CTA again with right M1 occlusion!!!
October 1, 2025 at 8:00 PM
10/ Despite anticoagulation, pt presents several months later with left sided weakness, neglect, gaze deviation again 😩! #CT 🐱scan again with no acute stroke, evidence of prior stroke, but CTA again with right M1 occlusion!!!
9/ However, given low EF, reasonable to start anticoagulation and so patient is discharged on anticoagulation!
See: www.ahajournals.org/...
See: www.ahajournals.org/...
October 1, 2025 at 8:00 PM
9/ However, given low EF, reasonable to start anticoagulation and so patient is discharged on anticoagulation!
See: www.ahajournals.org/...
See: www.ahajournals.org/...
5/ Patient receives TNK and undergoes thrombectomy with great outcome! (pre/post angio, MRI DWI)
October 1, 2025 at 8:00 PM
5/ Patient receives TNK and undergoes thrombectomy with great outcome! (pre/post angio, MRI DWI)
October 1, 2025 at 8:00 PM