“I woke up and the noise was gone.” My patient suffered from pulsatile tinnitus — that relentless whooshing sound in sync with her heartbeat. We found the cause. We treated it. Now: silence. Pulsatile tinnitus is real. And yes—it’s treatable. #PulsatileTinnitus #BrainFlow

Which painting would you rather be—the one that hung on a tree for two years and sold for $250K, or the one painted in New York and sold for $500K in Asia? Different journeys, same essence. Art—like the brain—reveals its worth in the right light.

“Hear your heartbeat in one ear? Press your neck and it stops? That’s your vein talking. Time to listen.” #pulsatiletinnitus #IIH

Brain art follows me around, even into a bathroom in Brooklyn.

🧠 IIH Practitioner Webinar Series 📅 Oct 23, 2025 • 4 PM ET 🎙 @DrAltschul on Venous Manometry 🔗 Register: https://t.co/BIfUzbwTp9 #IIH #Neurology #Webinar #IIHHub

GLP-1 meds ease headaches & protect vision in women with high brain pressure (JAMA Neurol 2025). AI-ECG spots hidden heart risk in migraine—AF risk & “delta age” predict strokes & heart attacks years before symptoms (Chia-Chun Chiang, MD). Early detection matters. #IIH #tinnitus

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

Does the straight sinus play a role in patients with cerebral venous outflow disorders? Fargen et al report a series of 51 patients in whom the straight sinus was successfully catheterized in 38 patients. They found a mean straight sinus pressure gradient of 2.6mmHg with 30.6%

https://t.co/58ljk2GRZg

The IJV isn’t just a passive drain. It’s a dynamic pathway that can influence brain health. If symptoms are unexplained, venous outflow should be on the differential.

Diagnostics: •Duplex ultrasound (dynamic flow) •MR/CT venography •Catheter venography with manometry (gold standard for pressure assessment)

Why it matters clinically: Narrowing or obstruction can lead to: •Headaches •Pulsatile tinnitus •Visual disturbances •Cognitive changes •Fatigue

Why it matters clinically: Narrowing or obstruction can lead to: •Headaches •Pulsatile tinnitus •Visual disturbances •Cognitive changes •Fatigue

Drains blood from the brain, face, and neck •Returns it to the heart for reoxygenation •Plays a key role in regulating intracranial pressure and serves as access point

•Originates at the jugular foramen (base of skull) •Runs down the neck inside the carotid sheath, alongside the carotid artery + vagus nerve •Joins the subclavian vein to form the brachiocephalic → SVC → heart

Arteries get the glory. But the brain’s quiet river — the internal jugular vein — can change everything. 💙🧠 Here’s why it deserves your attention. A🧵

90+% of patients we see with infratentorial superficial siderosis have an underlying spinal CSF leak. This week we saw two other causes: a IVth ventricular ependymoma (postop dural thickening from overdraining shunt) and bilateral jugular vein occlusion ⁦@LivingwithSS⁩ ⁦

Your brain has a built-in rinse cycle. It’s called cerebrospinal fluid (#CSF) and it clears toxins with every heartbeat & breath. When it slows, waste builds up → brain fog, memory loss, dementia risk. Breathe deeper. Move daily. Protect the flow. #BrainFog #InvestInYourBrain

Cognitive dysfunction—mainly in executive function, speed & attention—is seen in up to 86% of cerebral venous congestion cases.” Yet we still use the wrong tests. MoCA & MMSE miss it. It’s time to do better. 📖 @Ferdinandhui et al. @JNIS_BMJ 2025 #InvestInYourBrain #IIH

The brain forgets how to flow… long before it forgets your name. Shrinkage starts silently. I listen to your symptoms. I trace the source. Invest in your brain. #pulsatiletinnitus #IIH #brainhealth

If Christian Dior were alive today, he might design a hat not for fashion’s sake, but for the women guarding the mind’s delicate spark. A tribute to those who heal with precision, strength, and grace. #brainflow #brainhealth #brainpressure