Neal S Parikh MD

Is left atrial appendage occlusion a valuable treatment option for patients with atrial fibrillation and #breakthroughstroke despite anticoagulation therapy? @davidseiffge @boersma_lucas ja.ma/3MXCO3o

Tough topic good to have some data

There is less buzz on this than I would have expected. Any deep dive threads out there? Makes me miss attending journal club, thats for sure!!

@btolchin Thanks for sharing

A challenging clinical ethics case regarding a parental request for vasectomy thehastingscenter.org/should-he-unde…

@ShadiYaghi2 @ShuLiqi @NguyenThanhMD @JimSiegler @CamStroke @StrokeAHA_ASA @SetarehOmranMD @eva_mistry @m84gruen @VancouverStroke @nbavar Hasbled =0 V4 segment dissection Whats your approach?

Here it is! In this meta-analysis, anticoagulation was superior to antiplatelets for stroke prevention in patients with #cervical #artery #dissection but carried increased risk of major bleeding. This argues for an individualized treatment approach. 🛑CAD ahajournals.org/doi/10.1161/ST…

Interesting rare genetic csvd, for ddx of microbleeds

Between Enrich and Switch, exciting year for acute ICH trials! The balanced discussion section, with compare/contrast of effect sizes, eligibility criteria, and endpoints, is a treat to read. doi.org/10.1016/S0140-…

At this point, just put thrombectomy in the water! nejm.org/doi/full/10.10…

@gdawod1 @StrokeMiami @uthsc @SemmesMurphey Congrats

Last match ever, (!!) & I’m excited to share I’ll be completing my vascular neuro fellowship at @StrokeMiami, followed by endovascular fellowship at @uthsc / @SemmesMurphey. An even more fitting kick off to #StrokeAwarenessMonth 🧠⏰💉A vision since 2017, and now a reality!

@SerenaLOrr @SSNeuroMD @AANmember @Jorge_Ortiz_G @dr_jmartindale @ZachThrelkeldMD @shivika_ch @NezerSara @RaffaellaUmeton It is rather mutual

Lifelong friends and colleagues from the @AANmember ELP Class of 2023- you all continue to inspire me! @SerenaLOrr @Jorge_Ortiz_G @dr_jmartindale @NealSParikhMD @ZachThrelkeldMD @shivika_ch Morgan Jordan (@NezerSara @RaffaellaUmeton in abstentia)

@seanluomdphd Unlike mrs (0-6), utility weighted mrs has range 0-1, with utility reflecting patient perspective

Icymi Enrich is finally out nejm.org/doi/full/10.10…

Excited to head to #aanam and experience it through a new lens

Nice write up of bismuth (pepto bismol) toxicity causing CJD mimic nytimes.com/2024/03/07/mag… A mimic not to miss!

nejm.org/doi/10.1056/NE… Now that is some elegant epidemiology! HR 4, wow.

Logging in after a while to feel out the reaction to ATRESIA. Twitter did not disappoint. Wonderful to have the data! Now, want the same for secondary prevention, including for very brief episodes of device-detected AF (30sec-6 min).

theatlantic.com/health/archive… Interesting perspective on health care and some sort of shocking pieces of knowledge

1/6 🧵 Are you involved in the management of patients with #Afib or intracranial hemorrhage? Important recently published information contained in the following thread. #neurotwitter #cardiotwitter #stroke #medtwitter #MedEd @McmasterStroke #stroke @PHRIresearch @MacDeptMed