2026 AHA/ASA Stroke Guideline: What Actually Changed.
What the 2026 AHA/ASA stroke guideline actually changes at the bedside — tenecteplase first, wider thrombolysis and thrombectomy windows, relaxed BP and glucose targets, and the first pediatric recommendations. A vascular neurologist's plain-English read.
Canadian TIA Score vs ABCD2.
What the Canadian TIA Score measures, why its 13 variables predict 7-day stroke risk better than ABCD2, why vertigo subtracts points, and the workup setting it assumes.
Lipfendra: the first oral PCSK9 cholesterol pill.
The FDA has approved Lipfendra (enlicitide), the first once-daily oral PCSK9 inhibitor. It cuts "bad" cholesterol by nearly 60% in a pill — and lowering LDL is one of the most proven ways to protect the brain from stroke.
The 10-Minute TIA.
Stroke symptoms that disappear can still be a transient ischemic attack. Learn why brief weakness, speech trouble, vision loss, dizziness, or imbalance needs urgent evaluation.
Dizziness and Stroke: When Vertigo Is a Warning Sign.
Can dizziness be a stroke? Yes — and most people miss the pattern. A vascular neurologist explains the danger signs that separate stroke from benign vertigo, how long stroke dizziness lasts, and exactly when to call 911.
ABCD2 Score After TIA: What It Predicts.
What the ABCD2 score measures, the 2-day stroke risk bands from the original validation, why later cohorts disagreed with it, and why it should never decide admission after a TIA.
Atrial Fibrillation and Stroke.
Why atrial fibrillation causes stroke, how risk is estimated with CHA2DS2-VASc, and how anticoagulation, rhythm control, and appendage closure prevent it.
BE-FAST Stroke Warning Signs.
BE-FAST - Balance, Eyes, Face, Arm, Speech, Time - is the simple checklist for spotting a stroke fast. What each sign means, why it beats FAST, and why to call 911 now.
Stroke Recovery Timeline.
A realistic stroke recovery timeline: the hospital phase, the fastest-recovery early months, the first year and beyond, the common challenges, and how caregivers can help.
Types of strokes explained: what really happens in your brain.
Ischemic, hemorrhagic, TIA — what each type of stroke actually is, what's happening inside the brain when it strikes, and why the difference between them changes everything about treatment. A vascular neurologist demystifies the most common — and most misunderstood — neurological emergency.
The first 24 hours after a stroke: what families should expect.
A vascular neurologist explains what happens during the first 24 hours after a stroke: CT scans, clot-busting decisions, thrombectomy, blood pressure goals, swallow screening, monitoring, and recovery planning.
Vascular health and brain function: the connection that matters.
A practical guide to how vascular health affects memory, focus, stroke risk, vascular cognitive impairment, and lifelong brain function.
What is a stroke? A doctor explains — with a story you won't forget.
A vascular neurologist explains what a stroke is, why people wait too long, and what the signs really look like — through a real story from the ER. Learn BE-FAST, ischemic vs hemorrhagic stroke, and why every minute counts.
What is a TIA? The warning stroke most people ignore.
How serious is a TIA? A transient ischemic attack looks like a stroke, then disappears — but it is a medical emergency. A vascular neurologist explains the real risk, the 48-hour window, and exactly what to do.
Ozempic and the brain: what scientists are finding.
Scientists expected Ozempic to be a gut drug. New brain scan findings suggest GLP-1 medications may be reshaping reward circuits, emotion, and motivation in ways no one predicted.
PCA stroke: the back-of-the-brain stroke you can't afford to miss.
PCA strokes hide behind subtle visual, memory, and behavioral changes — and the standard NIHSS often misses them. A vascular neurologist walks through PCA anatomy, the classic syndromes, and a real ER case of alexia without agraphia.
Stroke and dementia: the connection clinicians and patients need to understand.
Stroke more than doubles the risk of dementia. A vascular neurologist explains post-stroke dementia, vascular cognitive impairment, strategic infarcts, silent strokes, and what secondary prevention means for the brain long-term.
Stroke in Buffalo: Your questions answered.
A vascular neurologist in Buffalo, NY answers the most common questions patients and families ask about stroke — what it is, how to recognize it, what we can do, and how to lower your risk.
Early stroke rehab: what survivors should focus on today.
Early, guided stroke rehabilitation can shape recovery after discharge. Learn what survivors, caregivers, and clinicians should prioritize: safe movement, repetition, routines, and emotional support.
Post-stroke fatigue: why it's real and what helps.
Post-stroke fatigue affects up to 7 in 10 survivors and can last months to years - even in people with otherwise good recovery. Learn why it happens, what to rule out, and what actually helps.
Stroke Care 2026: The Landmark Trials Changing Practice.
The landmark trials rewriting stroke care in 2026 — tenecteplase over alteplase (AcT, TRACE-2), large-core and basilar thrombectomy (SELECT2, ATTENTION), and early DOAC timing after cardioembolic stroke (ELAN, OPTIMAS) — explained by a vascular neurologist.
The Golden Hour: why every minute counts in stroke treatment.
Ischemic stroke patients lose 1.9 million neurons per minute. Evidence from NINDS, HERMES, BEST-MSU and current AHA guidelines on door-to-needle, door-to-puncture, and how to compress time in acute stroke.