Pierre Gobin MD

The River stent is FDA approved. Finally.

This a remarkable story of medical reversal that every doctor should read. High dose dexamethasone was a standard component of chemo for multiple myeloma (I remember this from residency in the 1990s) until this practice was challenged by a patient advocate and subjected to an RCT which showed it was very harmful. Echoes of the CAST trial for antiarrhythmic drugs. In both cases, experienced clinicians were unable to see harm in practice without the clarity of RCTs. We should always be questioning what medical practices now accepted as "standard of care" are actually harmful. @adamcifu @drjohnm @VPrasadMDMPH @AndrewFoy82

Neuro-oncology is entering a new era. New Frontiers in Neuro-Oncology highlights cutting-edge endovascular and intra-arterial approaches driving progress against complex brain and head and neck tumors at #SVIN25. Register here to join us: svin.org/2025! @DanielVelaMD @brake_aaron @yafellserulle #SVIN2025 #StrokeCare #NeuroIntervention

🧠 IIH Practitioner Webinar Series 📅 Oct 23, 2025 • 4 PM ET 🎙 @DrAltschul on Venous Manometry 🔗 Register: iih-hub.com/iih-practition… #IIH #Neurology #Webinar #IIHHub

Welcome our new @JNIS_BMJ Editor-in-Chief @dr_mchen! As a member of #SNIS, he enjoys learning more about the field and different career paths. In his spare time, you can find him on the tennis court, at the gym, reading or playing poker!

🎗️ IIH Awareness Month 🎗️ Dr. Sofia Cienfuegos shares how weight bias and stigma impact care for those with Idiopathic Intracranial Hypertension (IIH). Awareness + education are key for this underdiagnosed condition. 🔗 iih-hub.com/iih-practition…

Another reported series of patients with spinal CSF-venous fistulas treated by endovascular embolization expands the data available supporting this novel treatment paradigm. Schreiber et al. report a series of 21 patients undergoing 23 procedures with 86% of patients experiencing both clinical and radiographic resolution of their symptoms of spontaneous intracranial hypotension. No major neurological complications occurred as a result of the procedure. bit.ly/3HBBjbV #embolization #SAH

August is here, Stay hydrated! Water helps maintain csf balance. Staying hydrated can ease headaches and reducing other IIH symptoms To learn more about IIH at iih-hub.com/series #IntracranialHypertension #IIH #BrainHealth #IIHSymptoms #ChronicIllness #IIHWarrior

There’s no such thing as a bad day in Paris. Quick stop over en route to Mannheim for a Visiting Professorship at the University Medical Center in Mannheim…

In idiopathic intracranial hypertension, lumbar puncture opening pressure strongly correlated with venous sinus pressure gradient (r = 0.76). Patients with higher gradients may derive the most benefit from venous sinus stenting. #IIH #VenousStenting Link:journals.sagepub.com/doi/abs/10.117…

🚨 VSSS is safe and effective! 🚨 The River Stent Trial confirms venous sinus stenosis stenting (VSSS) is safe and effective treatment for idiopathic intracranial hypertension (IIH). Commentary discusses how clinical practices have evolved to prioritize noninvasive methods for post-stent evaluations. 🧠💡 Read the commentary now: bit.ly/4lSEUBL in the pages of @JNIS_BMJ #NeuroIntervention #MedicalInnovation #IIH #VenousSinusStenting 🧠

How accurate is assessment of extrinsic vs. intrinsic venous sinus stenosis on MRV? Obviously intrinsic after stent deployment in this case. Venous angioplasty is then a distinct technique, with serial upsizing of noncompliant balloons. @iih_hub @Tinnitus_USA @SNISinfo

🚨 Expert Insight Alert! 🚨 The River Stent Trial confirms venous sinus stenosis stenting (VSSS) as a safe and effective treatment for idiopathic intracranial hypertension (IIH). Discover how clinical practices have evolved to prioritize noninvasive methods for post-treatment evaluation. 🧠💡 @MattAmansMD Read the full commentary now: bit.ly/4lSEUBL in the pages of @JNIS_BMJ #NeuroIntervention #MedicalInnovation #IIH #VenousSinusStenting 🧠

🚨 Groundbreaking Research Alert! 🚨 Discover the revolutionary River stent for treating idiopathic intracranial hypertension (IIH) in the first prospective multicenter trial! 🌟 This novel stent shows promising safety of the stent in reducing headaches and papillledema for IIH patients resistant to medical therapy. 🧠💡 Read more @JNIS_BMJ: bit.ly/3GCsiPe #NeuroIntervention #MedicalInnovation #IIH 😱

We have created a list of physicians comfortable with diagnosing and treating Idiopathic Intracranial Hypertension to aid patients and families. IIH-Hub.com does not endorse any listed provider. Full list: iih-hub.com/practitioners/

Have you seen the replay yet from our webinar on “IIH and Pregnancy" featuring the esteemed Dr. Nicole Lee Plenty? 🔗 Make sure to catch the replay: iih-hub.com/iih-practition… #IIHandPregnancy #MedicalInsights #ExpertTalks #iih #fetalmedicine #ostetrix #obgyn #iihhub

Catch our replay! Go to iih-hub.com/iih-practition… to rewatch our Novel Advanced Imaging & Treatment Paradigms for Patients with Idiopathic Intracranial Hypertension and Pulsatile Tinnitus #IIHHub #InnovativeTreatment #IIHInsights

A question commonly asked- what is the role of embolization?…Stereotactic Radiosurgery With Versus Without Neoadjuvant... : Neurosurgery journals.lww.com/neurosurgery/a…

Daytime napping is associated with a larger total brain volume. 🧵1/8

Higher muscle mitochondrial oxidative capacity is associated with >10 years of preserved brain structure. 🧵1/9