Up to 1 in 10 GBS patients stall—or even slide backward—despite their “miracle” IVIG course. Overlooking this critical red-flag moment means neurons lost and precious opportunities missed. Let's carefully dissect why IVIG sometimes falls short, and how to swiftly pivot

Had a small seminar on how to care for our loved ones who are bedridden or wheelchair-bound. It's so important to regularly meet caregivers, listen to their stories, and remind them they're not alone. Every month, we share not just medical tips, but also hope, laughter, and

🚨 Neurology Emergency Alert:. An elderly diabetic patient suddenly develops wild, flinging limb movements—stroke, right? Think again!. Rapid glucose check could diagnose a completely reversible disorder: Hyperglycaemic Chorea (Diabetic Striatopathy). Early insulin = Rapid.

Acute onset

THP in Neurology . Here's your deep-dive into this classic anticholinergic—when to embrace it, when to avoid it, and how not to accidentally fog your patient's (and your own!) brain.

A 26-year-old software engineer diagnosed with tuberculous meningitis started standard anti-TB therapy with steroids . Two months later, she noticed subtle difficulty distinguishing colors but dismissed it initially. Within weeks, she developed rapid, painless bilateral vision

📈 Noticed more Bell’s palsy cases lately in OPD? . You're not alone—clinics everywhere seem to be noticing more patients with drooping smiles these days. ⏳ Remember, the first 72 hours are crucial! . Early steroids, selective antivirals, vigilant eye care, and timely

70-year-old Prof. S, battling Parkinson’s disease, calmly insists that strangers quietly sit and stare at him each evening in his drawing room. Classic PD psychosis, right? But wait!. 👉 Golden rule: Before reaching for antipsychotics, always rule out infections, electrolyte

Stroke doesn't always mean anti-seizure meds!. Master the SeLECT & CAVE scores and know precisely when—and when NOT—to start prophylactic ASM. #NeuroTwitter #StrokeCare #EpilepsyAwareness

1️⃣2️⃣ Takeaway: Midodrine—small tablet, big impact! 💊.Dose smartly in daytime. Combine lifestyle & adjunctive therapies. Watch for red flags. #NeuroTwitter #NeuroEducation #Midodrine.

🔟 Recent/Ongoing Trials:. MAP-SCI-II: Comparing midodrine vs droxidopa in SCI-OH (2025). FLOMID: Midodrine vs fludrocortisone in community OH (ongoing).

8️⃣ When NOT to Use Midodrine: .❌ Severe heart failure .❌ Uncontrolled HTN .❌ Pheochromocytoma .❌ Thyrotoxicosis.

7️⃣ Combination Therapy Tips: . ✅ Increase salt intake (2–3g/day) . ✅ Compression stockings . ✅ Fludrocortisone for fluid retention . ✅ Pyridostigmine/Atomoxetine if needed (specialist guidance).

6️⃣ Managing Supine Hypertension (SH):. Check BP nightly (supine). SH if supine SBP >180 mmHg. Solutions: elevate head 10°, reduce evening dose, or dose earlier.

3️⃣ Clinical Scenarios in Neurology:. Parkinson’s/MSA: neurogenic orthostatic hypotension (nOH). Diabetic/autonomic neuropathy. Spinal cord injury (SCI): MAP support, weaning IV pressors. Refractory syncope (off-label).

2️⃣ How it works: . Midodrine (prodrug) ➡️ Desglymidodrine (active form). Acts peripherally: squeezes vessels. Boosts vascular tone & venous return. Minimal brain entry (safe in neuro).