NeuroCases — Neurology Case Discussions

NeuroEvidence.ai AI-Powered Neurology Evidence Search

Open Full Site →

NeuroCases

Real cases from the community. Browse, comment, and share what you're seeing on service — every post shows who shared it, to build trust and conversation.

Ahmed Koriesh Neurologist · 3 months ago

Large MCA infarct 15 h after LKW – ASPECTS 3 — go straight to thrombectomy, or get CT perfusion first?

76F, baseline mRS 1, AF on sub-therapeutic warfarin, global aphasia with R-sided hemiplegia. NCCT ASPECTS 3, left M1 occlusion, LKW 15 h ago. Late window — pull straight to angio or get CTP first?

Ahmed Koriesh Neurologist · 3 months ago

M3 occlusion with aphasia, 18 hours — TNK, thrombectomy, both, or neither?

62F on apixaban, aphasia LKW Tuesday 6 PM, worsened Wednesday noon (18h). NIHSS 16, M3 anterior division occlusion, favorable mismatch. Late window — what do you do?