Thymur Chaudhry

New @TheAJNR #CSFLeak paper out today: ajnr.org/content/early/… We focused specifically on low-Bern patients, the diagnostically ambiguous group where clinical history often drives the decision to pursue myelography for suspected CVF. One of the most interesting findings was… ↓

CASES trial shows no definite benefit with immediate CAS for patients with carotid occlusion or severe stenosis compared to deferred treatment. Improved vessel patency with early CAS. An interesting, mixed result! #ESOC2026

Presented today at #ESOC2026: Ticagrelor with aspirin dual antiplatelet therapy combined with intravenous thrombolysis in patients with ischaemic stroke in China (TAPIS): a multicentre, double-blind, randomised controlled trial 🔗 spkl.io/6015A7dTb @ESOstroke

Implementation of AI assistance for screening mammography did not improve real-world performance of radiologists

Paclitaxel Drug-Coated Balloon Angioplasty for Medically Refractory Intracranial Atherosclerotic Disease: A US Single-Center Experience With the AGENT Balloon ahajrnls.org/4t21ZV4

#JNSCaseLessons. Researchers discuss rare case of idiopathic esophageal hematoma following intracranial flow diverter stent placement managed with antithrombotic therapy. thejns.org/doi/10.3171/CA…

#JNSCaseLessons. Researchers highlight successful treatment of aneurysmal subarachnoid hemorrhage with immunosuppressive therapy in patient with polyarteritis nodosa. thejns.org/doi/10.3171/CA…

Remember the differential diagnosis of subacute ataxia: - autoimmune (anti TPO) - para-infectious (EBV, miller fisher) - paraneoplastic (anti-YO, anti-TR, anti-Ri, anti-Hu, antiCV2, antimGLUR1) - celiac disease (antiGAD, antiTTG) - vitamin E, b12, b1 deficiency (check levels)

Great case: a #ruptured #pericallosal aneurysm (Sept) now #successfully retreated for recanalization using a 1.5 mm stent. Truly exciting to see how far technology has come—deploying a flow diverter (p48 LITE) in such small vessels is becoming a reality! COI: none. #endovascular #neurosurgery #aneurysm #stent #flowdiverter #technology #INR

Premature atrial contractions may herald atrial fibrillation. In stroke that’s particularly important as we don’t always pick up AF during stroke workups Occasional PACs are harmless, but the more frequent they get, they raise AFib risk 2-3x, and signal atrial issues. They can remodel the heart, create conditions favourable for AF or signal an atrial cardiopathy Monitor burden—don’t ignore patterns

#STROKE: This topical review by Hall et al. discusses the current state of rupture risk in intracranial aneurysms. @UHSFT ahajrnls.org/47X7Ray

Adjusting Antiplatelet Therapy Using P2Y12 Reaction Units in Endovascular Treatment of Unruptured Intracranial Aneurysms ahajrnls.org/4tFzjC3

#OnlineFirst: Circumferential venous sinus: an innovative separation method for total vertical type II craniopagus twins thejns.org/pediatrics/vie…

Cement can slowly leak back through the path of least resistance...so keep the cannula for access and push it back in!

🚨 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

@freemonotheist This is the original in Jingjue Mosque in Nanjing, China. This city is also where the author is buried

Timeless

#STROKE: In a multicenter cohort of >175K patients with nonsurgical, nonacute subdural hematoma, standalone MMA embolization was associated with a 45% lower risk of incident dementia vs conservative management over 5 years. ahajrnls.org/4mao2Y1

📊 Meta-analysis of 612 pediatric stroke cases suggests mechanical thrombectomy is safe and effective, achieving high recanalization rates and better functional outcomes than medical management—highlighting its promise despite current off-label use. Read more here: bit.ly/41syz73 @ElekAlperen

I didn't think I could still diagnose non-neuro diseases! Always good to think outside the box for your patients. I.e. referral for dizziness in light of mild vertebral stenosis, other vessels looked fine, VBI less likely, but ordered a cbc showing severe anemia-> new dx of HCC