Saw a patient with advanced chronic neurodegenerative illness. Family tired, symptoms progressing. Before ending the consult, I simply asked: Aapko abhi kis cheez mein thodi si bhi khushi milti hai? He smiled: Subah ki dhoop… aur mere pote ki awaaz. The latest literature

Doctor, she’s just 10 weeks pregnant… is this migraine or something dangerous? Her BP is high and she has a headache—should we worry about the baby? She used sumatriptan before pregnancy… can she still take it now? Why did her migraine get worse right after delivery? These

Neuropalliative care isn’t about the end of life. It’s about improving tomorrow morning for the patient, the caregiver, and the neurologist who chooses to look deeper. How will you assess patients with Parkinsonism in deeper sense ? Remember these questions #Neurotwitter

Want to predict ACA outcomes in under 10 seconds? Look at the legs, the drive, and the bladder. #StrokeMedicine #NeuroTwitter #BrainHealth #ACAStroke #StrokePrognosis

The hardest part of neurology isn’t diagnosing rare diseases but it’s walking into a room, looking into a family’s eyes, and explaining that the goal is no longer cure, but comfort. When we do this well, we give patients dignity, and families lifelong gratitude. Lets learn

In the OPD, chronic insomnia can look identical across patients, but the underlying biology can be dramatically different. Recognising an orexin-dominant pattern is the difference between repeating benzodiazepines and choosing a more rational pathway-based option #Neurotwitter

In OPD we often hear ‘Doctor, this must be carpal tunnel,’ but hand weakness is rarely that simple. The localisation starts long before the wrist from C-roots to the plexus to the distal nerves. With four focused motor tests and one quick sensory check, you can identify the

Today a patient came to OPD. Relatives complained of repeated falls. On detailed history, yes, Parkinsonism was one reason but the additional culprit was his slippers. Loose, smooth, unstable. We always advise this, but families often overlook it. Here is a simple chart to

A 62-year-old man came for his 6-week post-stroke review. BP controlled, sugars improving, feeling stronger. But his lipid panel told a different story , LDL still far above target despite therapy. This is where a structured Statin → Ezetimibe → PCSK9 pathway saves lives.

🧠✨ Radiant Rehabilitation Centre turns 6 today. Six years of small steps, big courage, micro-wins, tough days, and unforgettable comebacks. To every patient and caregiver who trusted us with their healing , your strength has shaped us. To my rehab team physios, OTs, STs,

Just off the hot plate: CREST-2 quietly reshapes carotid practice. Stent = benefit. CEA = no clear win. Medical therapy = impressively effective. The real question now: Are we intervening on the right patients? #NeuroCommunity #EvidenceBased

Some caregivers for chronic neurological illness love so hard, every small change feels like a crisis. I see it every week. A daughter checks BP ten times a day. Two points up and panic. A son worries if mom sleeps thirty minutes extra. A family calls at midnight. Why? One

1 in 3 dementia patients will have emotional lability. Almost all will be mislabelled as agitated. Let’s stop that diagnostic blindness today. #neurotwitter #Medtwitter #Dementia #emotionallability

The difference between a good examination and an exceptional one is often found in the details. Beyond the Babinski and Pronator Drift, there are deeper, more sensitive markers of pathology that deserve our attention. 7 lesser-known neurological signs for the modern clinician.

Every intensive care doctor has lived through this scene. The septic shock settles blood pressure stabilises, lungs improve on the ventilator, sedative medicines are reduced and yet the patient still cannot breathe independently during a spontaneous breathing trial. The family

For MCA stroke, time is not only brain in the emergency room. Time is also brain in rehab. 0–3 months = gold, 3–12 months = silver, >12 months = still not zero. Map the phases, sharpen your therapy. Lets understand how it improves #neurotwitter #Medtwitter #Stroke

Most patients who say they have imbalance are not talking about vertigo at all. And most vertigo is not coming from the ear. If we cannot separate peripheral from central causes in the first 60 seconds, the patient is already at risk. We often reach for medicines too quickly

The Missed Follow-up is a Missed Conversation, Not a Missed Patient. Every patient who misses a follow-up has a story of travel distance, financial stretch, work shift, fear, or fatigue. In neurology, where disease often outlasts motivation, continuity is therapy. Yet

🧠 When Memory Fades, Clarity Matters Most people make a living will for coma or cancer. Almost no one plans for dementia which is far more common. Dr Barak Gaster (University of Washington) designed a dementia-specific advance directive , a 5-page plan that helps you decide,

Clinical Pearl Parakinesia brachialis oscitans When a hemiplegic arm lifts during a yawn in acute stroke. A small bedside sign with big value, localizes to contralateral hemisphere, often brainstem/cortical involvement. Spot it in your next patient #NeuroTwitter #Stroke