iiinova — where your digital self keeps evolving

Reposted by Lea Alhilali, MD

Jim Siegler, Husband, Dad, MD, FAHA @jimsieglermd.bsky.social · 05/02/2025

🔥Chinese RCT shows PCSK9i in severe ICAD can reduce plaque thickness and luminal stenosis! (No surprise, but will be useful to justify this tx for our high risk patients!!) @ahascience.bsky.social #ISC25 @teachplaygrub.bsky.social @ericajonesmd.bsky.social @strokeupmc.bsky.social

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Reposted by Lea Alhilali, MD

Lea Alhilali, MD @teachplaygrub.bsky.social · 23/01/2025

Are you right when it’s bright? Bright cortex on DWI is classically anoxic injury But mimics exist! 6 patterns -Cortex+deep gray -Diffuse Cortex -Focal Cortex -Limbic -Deep gray -WM Ask 3 ?’s: -Acute or chronic? -Acute=metabolic & anoxic. Sz & encephalitis rarer & focal -Chronic, think CJD

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Lea Alhilali, MD @teachplaygrub.bsky.social · 23/01/2025

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Lea Alhilali, MD @teachplaygrub.bsky.social · 21/01/2025

1/Have you been cutting corners when it comes to coronal anatomy? Do you just say a lesion is in the inferior frontal region & hope no one asks for details? It’s time to turn the corner on coronal anatomy Open this thread for an easy way to remember this frontal anatomy you need to know!

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Lea Alhilali, MD @teachplaygrub.bsky.social · 21/01/2025

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Lea Alhilali, MD @teachplaygrub.bsky.social · 16/01/2025

1/ “Tell me where it hurts” How back pain radiates can tell you where a lesion is—if you know where to look! Do YOU know where to look? Open this thread to see how to remember lumbar radicular pain distributions! And keep this cheat sheet as a BACKUP for when you are dealing w/back pain!

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Lea Alhilali, MD @teachplaygrub.bsky.social · 16/01/2025

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Lea Alhilali, MD @teachplaygrub.bsky.social · 13/01/2025

1/Sink or swim! Brain is swimming in CSF! CSF is key for protection, buoyancy, & hormone/waste transport Most know basic ventricular anatomy, but not subarachnoid anatomy How many cisterns do YOU know? Open this thread for a quick guide to the key midline cisterns & what to know for each!

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Lea Alhilali, MD @teachplaygrub.bsky.social · 13/01/2025

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Lea Alhilali, MD @teachplaygrub.bsky.social · 10/01/2025

1/Just because it’s called SMALL vessel disease doesn’t mean it doesn’t have a BIG impact! Small vessel disease (SVD) is a BIG contributor to vascular dementia, along w/large vessel cortical infarcts Do YOU know all the faces of small vessel disease? Open the thread for what you need to know!

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Lea Alhilali, MD @teachplaygrub.bsky.social · 10/01/2025

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Lea Alhilali, MD @teachplaygrub.bsky.social · 09/01/2025

Is looking at dementia PETs one of your PET peeves? Main patterns 🔹AD Nike swoosh—if you see it, just call it! 🔹DLB Hypometabolism looks like an L. L=Lewy 🔹FTD Ant cingulate role makes an f. f=ftd 🔹Posterior cortical atrophy Anterior temporal sparing makes a C=pCa 🔹Vascular dementia Wedge shaped Vs

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Lea Alhilali, MD @teachplaygrub.bsky.social · 09/01/2025

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Lea Alhilali, MD @teachplaygrub.bsky.social · 08/01/2025

Can you only remember temporal anatomy temporarily? It looks like a parfait! Heschl’s is strawberry on top 🔸Heschl sounds like bushel—& bushels=fruit Parfait layers=sup, mid, & inf gyri Glass stem is fusiform gyrus 🔸Stem has fusiform shape! Now your understanding will be, well, parfait!!

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Reposted by Lea Alhilali, MD

Radiopaedia @radiopaedia.org · 08/01/2025

🧑🏽‍🚀 Want to be a part of our virtual conference, #Radiopaedia2025? 👩🏼‍🚀 Submit your educational radiology poster; accepted rPosters will appear during the virtual conference and receive a certificate, a DOI citation and the chance to win an award! Deadline to submit your abstracts is 9th March 2025.

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Lea Alhilali, MD @teachplaygrub.bsky.social · 06/01/2025

Does trying to figure out aphasia leave you speechless? At a loss for words for aphasia types? Remember 3 ?'s: 1. Fluency? Nonfluency=FRONTAL, ant. to fissure of Rolando 2. Comprehension? Impaired=TEMPOROPARIETAL 3. Repetition? Impaired=core PERISYLVIAN Answers give aphasia type & location!

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Lea Alhilali, MD @teachplaygrub.bsky.social · 08/01/2025

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Lea Alhilali, MD @teachplaygrub.bsky.social · 03/01/2025

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Lea Alhilali, MD @teachplaygrub.bsky.social · 30/12/2024

1/ How durable is your knowledge of dural lesions? How’s your knowledge base of the skull base? Know the difference between petroclival & petrous face? Middle fossa & middle sphenoid wing? Clinoid & clivus? Here is a map of the names of skull base meningiomas. How many do you know?

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Lea Alhilali, MD @teachplaygrub.bsky.social · 06/01/2025

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Lea Alhilali, MD @teachplaygrub.bsky.social · 03/01/2025

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Lea Alhilali, MD @teachplaygrub.bsky.social · 01/01/2025

It literally took my radiologist husband a full minute to figure out what was wrong about this picture! How long will it take YOU?? And can you spot the abnormality? Here’s to a year of high resolutions—both in imaging and for New Year’s! Wishing you all the best in 2025!

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Lea Alhilali, MD @teachplaygrub.bsky.social · 01/01/2025

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Lea Alhilali, MD @teachplaygrub.bsky.social · 31/12/2024

Can’t metabolize all the metabolic bone diseases? When you see weird bones, do you just say, “suggestive of metabolic bone disease” & hope no one ask questions? Metabolic disease are complex but a few are a slam dunk Bookmark this figure for the 4 classic xray patterns you NEED to know!

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Lea Alhilali, MD @teachplaygrub.bsky.social · 31/12/2024

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Lea Alhilali, MD @teachplaygrub.bsky.social · 27/12/2024

1/Knowing spinal arterial anatomy is a given. Knowing spinal venous anatomy is next level Vertebral venous plexus can be both good & evil--good for collaterals, bad for tumor spread, infxn, & emboli...and spinal CSF fistulas! Here’s the anatomy you MUST know if you are doing spine

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Lea Alhilali, MD @teachplaygrub.bsky.social · 30/12/2024

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Lea Alhilali, MD @teachplaygrub.bsky.social · 27/12/2024

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Lea Alhilali, MD @teachplaygrub.bsky.social · 26/12/2024

Wish that your knowledge of autoimmune encephalitis was automatic? Do you feel in limbo when it comes to the causes of limbic encephalitis? Do you know the causes? Or the other patterns of autoimmune encephalitis? Here’s a short video and some hints to help you figure it all out!

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Lea Alhilali, MD @teachplaygrub.bsky.social · 25/12/2024

1/Season’s Greetings & Happy Arteries! Have you ever noticed how the cerebral arteries branch just like the antlers of a deer? Coincidence? Or is there a reason? Have you ever wondered why? What could drive 2 things so different to look so alike? Answer may surprise you!!

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Lea Alhilali, MD @teachplaygrub.bsky.social · 26/12/2024

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Lea Alhilali, MD @teachplaygrub.bsky.social · 25/12/2024

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Lea Alhilali, MD @teachplaygrub.bsky.social · 20/12/2024

1/Time to go with the flow! If you see abnormal vessels, do you say “vascular malformation” & hope the endovascular guy figures it out? This months AJNR SCANtastic has the latest on cerebrovascular lesions: www.ajnr.org/content/45/1... Here’s the cheat sheet of imaging vascular malformations!

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Lea Alhilali, MD @teachplaygrub.bsky.social · 20/12/2024

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Lea Alhilali, MD @teachplaygrub.bsky.social · 19/12/2024

1/Talk about dangerous liaisons! Abnormal brain vascular connections like a dural arteriovenous fistula (dural AVF) can be dangerous! This month’s @theAJNR SCANtastic thread is here to you some durable knowledge about dural AVFs! www.ajnr.org/content/45/1...

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Lea Alhilali, MD @teachplaygrub.bsky.social · 19/12/2024

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Lea Alhilali, MD @teachplaygrub.bsky.social · 13/12/2024

1/Have MULTIPLE questions about MULTIPLE sclerosis? Having trouble seeing neuromyelitis optica? In a fog about MOG? Here’s a 🧵about what you NEED to know to distinguish the demyelinating diseases and a cheat sheet to help you remember!!

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Lea Alhilali, MD @teachplaygrub.bsky.social · 10/12/2024

1/Need a DURABLE way to remember what causes DURAL enhancement? Feeling left behind when it comes to leptomeningeal disease? Here’s a 🧵 about an easy way to remember the differential diagnoses for the two types of meningeal enhancement: Just remember LEPTO & PACHY! #radsky #medsky #neurosky

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Lea Alhilali, MD @teachplaygrub.bsky.social · 13/12/2024

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Lea Alhilali, MD @teachplaygrub.bsky.social · 10/12/2024

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Lea Alhilali, MD @teachplaygrub.bsky.social · 08/12/2024

Can you get the diagnosis when it comes to carotid stenosis? Having some confusion about the strokes you see w/ICA occlusion? Why are there so many different patterns of infarcts w/ICA occlusion/stenosis? Here’s a 🧵 on the 5 main infarct patterns!

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Lea Alhilali, MD @teachplaygrub.bsky.social · 08/12/2024

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Lea Alhilali, MD @teachplaygrub.bsky.social · 07/12/2024

“Tell me where it hurts.” How back pain radiates can tell you where a lesion is—if you know where to look! Do YOU know where to look? Here’s how to remember the lumbar radicular pain distributions! Keep this post so lumbar radiculopathies won’t be a pain in the backside! #medsky #radsky

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Lea Alhilali, MD @teachplaygrub.bsky.social · 07/12/2024

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Lea Alhilali, MD @teachplaygrub.bsky.social · 06/12/2024

Looking for a POST about POSTerior vascular anatomy? Don’t postpone learning the posterior circulation! Here’s how to remember PCA branches: Remember PPCA: P =posterior temporal P =parietal occipital C =calcarine A =artery Now you can post a win for posterior vascular anatomy!! #medsky #radsky

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Lea Alhilali, MD @teachplaygrub.bsky.social · 06/12/2024

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Lea Alhilali, MD @teachplaygrub.bsky.social · 03/12/2024

1/Anyone can see the bright spot on diffusion—what sets you apart is if you can tell them why it’s there! Can you tell a stroke’s etiology from its appearance on MRI? Here is a thread to help you remember the main stroke patterns! #medsky #radsky #neurosky #rsna24

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Lea Alhilali, MD @teachplaygrub.bsky.social · 03/12/2024

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Lea Alhilali, MD @teachplaygrub.bsky.social · 23/11/2024

Talk about bad to the bone! Do you know bad actor aneurysms at risk for rupture? @the_ajnr SCANtastic shows the aneurysms bursting w/risk! ajnr.org/content/45/11/… 4 B’s for BAD: 1. BIG: Larger riskier 2. BACK: PCOMM & post circ riskier 3. BLEB: Bleb riskier 4. BALLOONING: Growth is riskier

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Lea Alhilali, MD @teachplaygrub.bsky.social · 23/11/2024

Spinal fusion anomalies are commonly mistaken for fractures when they are just anatomic variants. Don’t let it happen to you! Bookmark this to help fuse these fusion variants into you memory!!

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