Practical Neurology - For the inquisitive neurologist
Joined December 2013
- Tweets 1,880
- Following 4,232
- Followers 20,003
- Likes 983
307 Photos and videos
🎙️ New Practical Neurology podcast!
What's the difference between a night owl and a morning lark? Prof. @guy_lesch discusses sleep and neurological practice.
pnbmj.podbean.com/e/not-all-…
#Neurology #SleepMedicine #Insomnia #MedTwitter
1
3
10
751
Here are the links:
▶️ Apple: podcasts.apple.com/us/podcas…
▶️ Spotify: open.spotify.com/episode/39j…
▶️ Web: pnbmj.podbean.com/e/not-all-…
1
7
421
🧠💤 Not all insomnia is insomnia. Not all sleepiness is narcolepsy.
- CBT-I first for insomnia
- Interpret MSLT in clinical context
- Recognise parasomnia red flags
- Avoid dopamine agonist overuse in RLS
🔗 doi.org/10.1136/pn-2025-0046…
#Neurology #SleepMedicine #Insomnia #Narcolepsy
1
9
31
1,651
🧠🦎 A new article published in Practical Neurology’s new journal club format!
GLP-1 receptor agonists—originally inspired by Gila monster venom 🦎—could become disease-modifying therapies for IIH.
🔗 doi.org/10.1136/pn-2025-0050…
#Neurology #IIH #GLP1 #MedTwitter
8
30
1,980
🎙️ New Practical Neurology Podcast!
🟪 Drug-induced seizures, limb-shaking TIAs, holistic myasthenia care, Produodopa in Parkinson’s, optic neuritis & more.
🎧 Listen now: pnbmj.podbean.com/e/highligh…
#Neurology #MedTwitter #NeuroTwitter #MyastheniaGravis #ParkinsonsDisease #Stroke
6
769
🧠 The 2024 #McDonaldCriteria are changing #MS diagnosis:
1. Optic nerve = 5th site
2. KFLC joins CSF biomarkers
3. MRI markers (CVS/PRL) ↑ specificity
= Earlier & more confident dx of #MultipleSclerosis
🔗 doi.org/10.1136/pn-2025-0049…
38
128
5,392
🎙️Another fascinating episode from our Case Reports trio. This time tackling perplexing keladophilia & post-surgical symptoms.
🍎 Apple: podcasts.apple.com/us/podcas…
🎧 Spotify: open.spotify.com/episode/1eq…
🌐 Web: pnbmj.podbean.com/e/perplexi…
1
7
913
The wonderful @PracticalNeurol team gathered at #ABN2026.
The conversation ranged seamlessly from neurology to literature, history, politics and back again all before dessert 🧠🍮
#Neurology #MedEd @theABN_Info @bmj_latest #NeuroTwitter #NeuroX #MedTwitter #MedX
1
12
861
🎉 25 years of Practical Neurology 🧠
A huge thank you to the excellent editors Geraint Fuller & Phil Smith 👏. Presented with their first journal cover as editors from Oct 2011.
As they prepare to step down in October, please share your thanks ❤️👇
#PracticalNeurology #MedEd
4
10
35
1,767
'Advances in Functional Neurological Disorder'
Explore the published topic collection: bit.ly/4aQyoIo
ALT The image is a graphic advertisement for BMJ Neurology Open. It features the text: "Advances in Functional Neurological Disorder Topic Collection. Explore the published content" on a dark blue background with a network pattern.
2
7
848
A “cluster of grapes” hiding in plain sight inside the brain 🍇🧠
Not a tumour. Not an abscess. Something far more unexpected.
See if you can figure it out 👇
doi.org/10.1136/pn-2026-0050…
#Neuro #Neurology #MedTwitter #Radiology #MRI #InfectiousDiseases #GlobalHealth #MedicalMystery
5
21
123
15,253
🧠 Suspected encephalitis in adults
Common referral. Early treatment matters.
Review covers:
🔹 infectious autoimmune causes
🔹 clinical phenotypes
🔹 investigation & management
Read 👇
doi.org/10.1136/pn-2024-0042…
#Neurology #Encephalitis #MedEd #NeuroTwitter
2
64
201
8,942
New Practical Neurology podcast 🎙️
🟪 Radiologically isolated syndrome (RIS)
Dr Audrey Reynolds & Dr Amy Ross Russell
▶️ Apple: podcasts.apple.com/us/podcas…
▶️ Spotify: open.spotify.com/episode/0WW…
▶️ Web: pnbmj.podbean.com/e/radiolog…
#Neurology #MultipleSclerosis #MedEd
3
11
1,734
'Epilepsy Beyond Seizures: Multi-morbidity Across the Lifespan'
We have calls for papers in your subject area. Discover the topic collection:
neurologyopen.bmj.com/pages/…
1
5
592
Sight-threatening IIH: stent or shunt?
We still don’t know which is better. No randomised trials, variable data, and practice driven by local expertise.
An answer may be on the horizon.
🔗 pn.bmj.com/content/26/2/142
#Neurology #Neuroophthalmology #FOAMed
4
12
1,042
Do you counsel patients on HLH when starting lamotrigine?
Rare, but life-threatening. Think the “3 Fs”: fever, falling counts, ferritin.
Two cases progressed to multiorgan failure within days of initiation.
🔗 pn.bmj.com/content/26/2/146
#Neurology #Epilepsy
10
34
2,940
Adult Dravet syndrome is under-recognised and worth revisiting in anyone with drug-resistant epilepsy ID.
Diagnosis matters when it comes to treatment, see figure for a practical approach.
🔗 pn.bmj.com/content/26/2/124
#Neurology #Epilepsy
11
33
2,375
'Advances in Functional Neurological Disorder'
Explore the published topic collection: bit.ly/4aQyoIo
ALT The image is a graphic advertisement for BMJ Neurology Open. It features the text: "Advances in Functional Neurological Disorder Topic Collection. Explore the published content" on a dark blue background with a network pattern.
5
556
🟪 Our focus is on brains but we shouldn’t forget the bones!
Join us as our pod explores fracture risk and bone health in the neurology clinic!
▶️ Apple: podcasts.apple.com/us/podcas…
▶️ Spotify: open.spotify.com/episode/6hH…
▶️ Web: pnbmj.podbean.com/e/bone-hea…
#Neurology #BoneHealth #FOAMed
1
4
531
🧠Retired athletes with cognitive symptoms?
Not all cases are neurodegeneration - many are treatable (sleep, mood, pain).
Take a careful head injury history, but don’t overcall CTE.
🔗 pn.bmj.com/content/26/2/106
#Neurology #BrainInjury #NeuroTwitter #MedEd #FOAMed
4
15
1,031