World Stroke Organization #MondayTips
Every Monday, WSA Social Media Leader Rodrigo Guerrero publishes a #MondayTip on the WSA WorldStrokeEd Twitter account, covering a specific stroke related topic. You can find a compilation of our #MondayTips here!
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#Mondaytip
🧠 New @American_Stroke #Stroke Guidelines
✔️ TNK = first-line option for IVT
✔️ EVT expanded (large cores & basilar ≤24h)
❌ No aggressive BP or glucose lowering
👶 First pediatric AIS guidance
⏱️ Systems of care matter more than ever
https://doi.org/10.1161/str.0000000000000513
#MondayTip
🧠 Stroke #recovery doesn’t end at discharge
⏱️ Evidence shows rehab is often too little, too short, and too late, despite clear guidelines
👥 Early intensity, MDT teamwork, and 📅 long-term follow-up are key to better outcomes
https://doi.org/10.1136/practneurol-2021-003004
#MondayTip
Young Stroke: an update
☝️Stroke isn’t just an older-person disease
📈Ischemic stroke in 18–49y is⬆️,often driven by non-traditional risks
🔤Think ABC diagnostics
🎯Tailor 2ry prevention
🛑Don’t ignore long-term cognitive & psychosocial burden🧠
https://doi.org/10.1177/17474930251400524
#MondayTip 🧠
🙅♂️Low NIHSS (0–5) ≠ mild stroke when LVO is present
❌EVT decisions ≠ NIHSS cutoffs alone
🗣️Prioritize disabling symptoms (aphasia,vision loss)
⚠️Assess END risk and imaging🩻
👤Incorporate patient values 💬, until RCT data arrive ⏳
https://doi.org/10.5853/jos.2025.00304
🧠#MondayTip All Year Long
Every week, one insight
One concept
One step toward better stroke care
Thanks to everyone who learned, shared & helped turn evidence into action
Let’s keep raising the standard #together
Missed a #MondayTip this year?
Here’s the (1st part) thread👇🧵
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. @WorldStrokeOrg
@opontesnetoMD @sheilambrasil @SposatoL @a_charidimou @gsaposnik @interneurona @laura_wsa @caso_valeria @johanna_ospel @neuropuc @SIECV_IASO @AfricanStroke @Ash_Shoamanesh @AshuPJadhav @MicieliA_MD @MicheleRomoli @UPensato @IntJStroke @ESOstroke @StrokeAHA_ASA
What happened in #StrokeEducation in November? Time to read our newsletter!
🗞️https://www.world-stroke-academy.org/news/november-newsletter-2/
🟢Webinars
🟢PoM: Pre-Hospital Care w/ @IntJStroke
🟢WSC2025 TV Studio w/ @OruenCNS
🟢Meet The Trialist w/ @Bayer
🟢#MondayTips by @interneurona
𝐇𝐚𝐩𝐩𝐲 𝐋𝐞𝐚𝐫𝐧𝐢𝐧𝐠!
#MondayTip
From WSO/ICAA-A Cerebral Amyloid Angiopathy Statement
🎯Management of antithrombotics in #CAA requires individualized, risk-balanced decision-making, given CAA’s intrinsically high risk of ICH
Phenotypic markers by @a_charidimou
Statement: https://doi.org/10.1177/17474930251365861
#MondayTip
#Extended Window thrombolysis update
🩻Imaging, not time, drives decisions
📍Context-dependent
⛔️Greatest value where EVT access is limited
🚨Non-contrast CT–based selection is emerging, not established
🎯Precision selection is essential to avoid harm
#MondayTip
#Extended Window thrombolysis update
🩻Imaging, not time, drives decisions
📍Context-dependent
⛔️Greatest value where EVT access is limited
🚨Non-contrast CT–based selection is emerging, not established
🎯Precision selection is essential to avoid harm
#MondayTip
#Immunothrombosis
🩸Stroke thrombi are not inert clots
☝️They are immune-active structures
🧬Neutrophils+platelets →NETs: stronger, fibrin-rich clots
➡️harder thrombolysis
➡️longer EVT
➡️worse outcomes
🧠Stroke = thrombo-inflammatory disease
https://doi.org/10.1161/STROKEAHA.124.048137
#MondayTip
From WSO/ICAA-A Cerebral Amyloid Angiopathy Statement
🎯Management of antithrombotics in #CAA requires individualized, risk-balanced decision-making, given CAA’s intrinsically high risk of ICH
Phenotypic markers by @a_charidimou
Statement: https://doi.org/10.1177/17474930251365861
What happened in #StrokeEducation in November? Time to read our newsletter!
🗞️https://www.world-stroke-academy.org/news/november-newsletter-2/
🟢Webinars
🟢PoM: Pre-Hospital Care w/ @IntJStroke
🟢WSC2025 TV Studio w/ @OruenCNS
🟢Meet The Trialist w/ @Bayer
🟢#MondayTips by @interneurona
𝐇𝐚𝐩𝐩𝐲 𝐋𝐞𝐚𝐫𝐧𝐢𝐧𝐠!
#MondayTip
👀#MRWITNESS introduced a quantitative method (qDFM) using a “signal intensity ratio”, SIR, on FLAIR
✨Provides a reliable, reproducible imaging biomarker that identifies #early ischemic tissue in unwitnessed strokes, enabling #safe IV alteplase administration
The onboarding trainings for the deployment of the digital rehabilitation tool used in post-stroke care #iFlexo in Nigeria and Sierra Leone took place today as part of the collaboration between @WorldStrokeOrg and Merz Therapeutics.
The trainings were delivered by Dr. Alexandre
📊New Infographic! Current Insights into Antithrombotic Therapies for #IschemicStroke Prevention - #AtheroscleroticStroke Disease: https://world-stroke-academy.org/news/current-insights-into-antithrombotic-therapies-for-ischemic-stroke-prevention-focus-on-atherosclerotic-stroke-disease/
🎓Related education: https://world-stroke-academy.org/webinars/antithrombotic-therapy-for-atherosclerotic-stroke-prevention-current-insights-future-perspectives/
Learn the latest strategies🎯
#StrokeEducation @WorldStrokeOrg @Bayer
🚨The IJS Podcast is back with a brand-new series, in collaboration with @WorldStrokeEd
🎙️ From Paper to Practice
In the first episode of this new series, Prof Ahmed Nasreldein (@Ahmednasr_Neuro) is joined by Dr Vera Yuan Cai to discuss the @WorldStrokeOrg Vascular Dementia
#Mondaytip
🧠 New @American_Stroke #Stroke Guidelines
✔️ TNK = first-line option for IVT
✔️ EVT expanded (large cores & basilar ≤24h)
❌ No aggressive BP or glucose lowering
👶 First pediatric AIS guidance
⏱️ Systems of care matter more than ever
https://doi.org/10.1161/str.0000000000000513
