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MedXY News/Neurology

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Neurology

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Emergency Medicine

Evaluating Sphenopalatine Ganglion Block Dosage for Headache Relief in the Emergency Department

This randomized trial found that larger doses of bupivacaine for sphenopalatine ganglion block did not improve sustained headache relief in emergency patients compared to smaller doses, with good tolerability across all doses.

Sep 24, 2026
Critical Care

Optimizing Etiologic Investigations After Status Epilepticus: Diagnostic Yield and Therapeutic Implications from the ICTAL Registry

Etiologic investigations after status epilepticus (SE) demonstrate variable diagnostic yield and significantly influence treatment decisions, especially when guided by clinical pretest probability. Tailored diagnostic strategies enhance tim

Sep 23, 2026
Neurology

A Harmonized Visual Reading Framework for Tau PET Staging in Alzheimer Disease

This study introduces a standardized 5-class framework for tau PET imaging to better detect and stage Alzheimer’s disease, improving early diagnosis and patient stratification across different tracers.

Sep 23, 2026
Cardiology

Identifying and Mitigating Risk Factors for Intracranial Haemorrhage Following Tenecteplase Fibrinolysis in Acute Myocardial Infarction

This study evaluates risk factors for intracranial haemorrhage after tenecteplase fibrinolysis in STEMI patients, developing a prediction model highlighting age, blood pressure, sex, weight, and dose interactions as key determinants.

Sep 23, 2026
Neurology

Temporal Dynamics and Morphological Predictors of Stroke Recurrence After Craniocervical Artery Dissection

This study delineates how vascular imaging morphologies, notably the double lumen sign, predict time-specific recurrence risk after craniocervical artery dissection, highlighting the hyperacute phase as critical for secondary prevention.

Sep 22, 2026
Neurology

EEG Evolution and Seizure Characteristics in Early CDKL5 Deficiency Disorder: Implications for Developmental Outcomes

Longitudinal EEG analysis in infants with CDKL5 deficiency disorder reveals progressive background abnormalities and specific seizure phenotypes correlating with developmental severity within the first two years of life.

Sep 21, 2026
Neurology

Long-Term Health Impacts of Military Blast Exposure on Veterans: Insights from the Millennium Cohort Study

This study reveals significant associations between high-level blast exposure during military service and increased risk for chronic health conditions in US Veterans, emphasizing the long-term occupational hazards of blast injuries.

Sep 21, 2026Sign in to read
Neurology

Retinal OCTA as a Window into Cerebral Small Vessel Disease and Cognitive Decline Post-Stroke

This longitudinal study shows that retinal microvascular changes measured by OCTA correspond with cerebral small vessel disease progression and cognitive decline in mild ischemic stroke patients, highlighting OCTA’s potential as a non

Sep 20, 2026
Hematology-Oncology

Unveiling the Systemic Drivers of Blood-Brain Barrier Disruption in Sickle Cell Disease: Insights from Proteomic Profiling

This study identifies systemic pathological pathways that mediate blood-brain barrier injury in sickle cell disease, linking BBB disruption to brain hypoxia and microstructural injury, highlighting new therapeutic targets to preserve neurol

Sep 20, 2026Sign in to read
Neurology

Arterial Spin Labeling Hemodynamic Metrics Predict Cognitive Decline and Small Vessel Disease Progression Over 11 Years

This study demonstrates that arterial spin labeling spatial coefficient of variation (ASL-sCoV) correlates with cerebral small vessel disease burden and predicts cognitive decline over 11 years, outperforming traditional cerebral blood flow

Sep 19, 2026
Clinical Updates

Inpatient Rehabilitation and Major Adverse Cardiovascular Events After Ischemic Stroke: Clinical Implications and Evidence Synthesis

Postacute discharge to inpatient rehabilitation facilities (IRF) after acute ischemic stroke (AIS) is associated with a reduced 1-year risk of major adverse cardiovascular events (MACE) compared to discharge to home or skilled nursing facil

Sep 19, 2026Sign in to read
Emergency Medicine

Emergent Interfacility Transfers for Ischemic Stroke in the U.S.: Patterns and Implications from 2016 to 2022

This study analyzes national trends in emergent interfacility ischemic stroke transfers among Medicare beneficiaries, revealing shifts in transfer rates, patient characteristics, and hospital features associated with transferred versus nont

Sep 19, 2026
Gastroenterology

Harnessing Kynurenic Acid and the Gut-Brain Axis to Improve Stroke Recovery

Kynurenic acid (KYNA) reduction in the gut correlates with worse poststroke outcomes. Supplementation activates a gut-brain neural circuit via GPR35 and the vagus nerve, promoting neuroprotection and functional recovery after ischemic strok

Sep 18, 2026Sign in to read
Diabetes & Endocrinology

SGLT2 Inhibitors Enhance Recovery After Endovascular Thrombectomy in Diabetic Stroke Patients: A Multicenter Retrospective Study

SGLT2 inhibitors administered after endovascular thrombectomy in diabetic stroke patients significantly improve 3-month functional outcomes, suggesting a promising adjunctive therapy for poststroke diabetes management.

Sep 18, 2026Sign in to read
Cardiology

Evaluating Stroke Risk in Asymptomatic Carotid Stenosis: Transcarotid Artery Revascularization versus Carotid Artery Stenting

This comparative analysis assesses ischemic stroke outcomes in patients with asymptomatic carotid stenosis undergoing transcarotid artery revascularization (TCAR) versus carotid artery stenting (CAS), highlighting no significant difference

Sep 17, 2026
Clinical Updates

Early Life Vascular Risk and Midlife Markers of Brain Aging: Insights from Longitudinal Neuroimaging and Cognitive Trajectory Studies

This review synthesizes longitudinal evidence linking early adulthood vascular risks, particularly elevated systolic blood pressure and smoking, to midlife cognitive decline and brain structural alterations. It highlights critical intervent

Sep 17, 2026Sign in to read
Cardiology

Carotid Artery Stenting Emerges as a Proven Adjunct to Intensive Medical Therapy in Stroke Prevention: Insights from CREST-2

The CREST-2 trial substantiates carotid artery stenting plus intensive medical management significantly reduces stroke risk in high-grade asymptomatic carotid stenosis compared to medical therapy alone, emphasizing patient selection and pro

Sep 16, 2026
Neurology

IVIG Plus Prednisone Enhances Recovery in Newly Diagnosed Idiopathic Inflammatory Myopathies: Insights from a Randomized Clinical Trial

A recent randomized trial shows that adding intravenous immunoglobulin (IVIG) to high-dose prednisone significantly improves muscle strength and disease activity in newly diagnosed idiopathic inflammatory myopathies with rapid and clinicall

Sep 16, 2026
Neurology

Early Recanalization in Distal and Medium Vessel Occlusion Strokes: Tenecteplase vs Alteplase

In patients with distal and medium vessel occlusion strokes, tenecteplase achieves higher early recanalization rates and reduces early infarct growth compared to alteplase, supporting its preferential use in this clinical setting.

Sep 15, 2026Sign in to read
Neurology

Vessel Wall MRI in Pediatric Arterial Ischemic Stroke: Insights into Diagnosis and Prognosis

This study evaluates vessel wall MRI (VW-MRI) in pediatric arterial ischemic stroke, highlighting its diagnostic role in detecting inflammatory arteriopathies but limited prognostic value for long-term outcomes.

Sep 15, 2026
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