Bobvarkey
@neurophilia.bsky.social
Neuro-intensivist & interventionalist, Writer, Autodidact, Philomath, Iconoclast, Trader & Aspiring Data Scientist.. Lourdes Hospital, Kochi
Absolutely awesome guidelines for the acute Rx of migraines in the emergency department! Headache 2026
January 30, 2026 at 5:38 AM
Absolutely awesome guidelines for the acute Rx of migraines in the emergency department! Headache 2026
How do I reduce the interruption tax so that I do not lose my flow state in my outpatient department? This helps me to concentrate on what the patient is saying and deliver better care. It's simple measures like putting a notice so that people do not knock on the door or unnecessarily interrupt.
January 27, 2026 at 3:22 AM
How do I reduce the interruption tax so that I do not lose my flow state in my outpatient department? This helps me to concentrate on what the patient is saying and deliver better care. It's simple measures like putting a notice so that people do not knock on the door or unnecessarily interrupt.
What do you offer in pts with severe intracranial stenosis & recurrent cerebrovascular events, despite maximum medical management? Finally, the BASIS Chinese trial offers some options.
Submaximal balloon angioplasty (alone, without stenting) is better than continuing medical management
JAMA. 2024
Submaximal balloon angioplasty (alone, without stenting) is better than continuing medical management
JAMA. 2024
January 25, 2026 at 1:33 PM
What do you offer in pts with severe intracranial stenosis & recurrent cerebrovascular events, despite maximum medical management? Finally, the BASIS Chinese trial offers some options.
Submaximal balloon angioplasty (alone, without stenting) is better than continuing medical management
JAMA. 2024
Submaximal balloon angioplasty (alone, without stenting) is better than continuing medical management
JAMA. 2024
Tips for good sleep
January 22, 2026 at 11:08 AM
Tips for good sleep
Executive function; summed up beautifully. It is like an efficient Personal assistant; one who pays attention, remembers everything, organizes and plans for you, is able to handle multiple tasks together, regulates emotions and is capable of self-monitoring.
January 21, 2026 at 12:46 AM
Executive function; summed up beautifully. It is like an efficient Personal assistant; one who pays attention, remembers everything, organizes and plans for you, is able to handle multiple tasks together, regulates emotions and is capable of self-monitoring.
Here's a useful infographic for the evaluation of Scapular winging
January 16, 2026 at 1:20 AM
Here's a useful infographic for the evaluation of Scapular winging
Tips for good sleep
January 11, 2026 at 2:19 PM
Tips for good sleep
Sudden unexpected death in Epilepsy (SUDEP)
January 10, 2026 at 5:33 AM
Sudden unexpected death in Epilepsy (SUDEP)
Puffiness with alcohol…
January 7, 2026 at 3:08 PM
Puffiness with alcohol…
Lumbar discs can be treated medically most of the time #Lumbar disc #backsurgery #Neurosurgery #spinesurgery #lowbackpain #backpain
#Discprolapse
#Discprolapse
October 25, 2025 at 7:06 AM
Lumbar discs can be treated medically most of the time #Lumbar disc #backsurgery #Neurosurgery #spinesurgery #lowbackpain #backpain
#Discprolapse
#Discprolapse
Wonderful news from the exemplary state of Kerala.
A dictum that must be followed worldwide!
www.instagram.com/reel/DPgaLfh...
A dictum that must be followed worldwide!
www.instagram.com/reel/DPgaLfh...
www.instagram.com
October 18, 2025 at 9:55 AM
Wonderful news from the exemplary state of Kerala.
A dictum that must be followed worldwide!
www.instagram.com/reel/DPgaLfh...
A dictum that must be followed worldwide!
www.instagram.com/reel/DPgaLfh...
“Every kilo lost is less pressure on your back. Small steps, big relief!”
“A lighter you means a happier spine! #weightloss #backpain #painrelief #lowbackpain #healthylifestyle #fitfam #motivation #spinehealth #wellness #fitnessjourney #weightlossjourney #stronger #posture #fitlife #health
“A lighter you means a happier spine! #weightloss #backpain #painrelief #lowbackpain #healthylifestyle #fitfam #motivation #spinehealth #wellness #fitnessjourney #weightlossjourney #stronger #posture #fitlife #health
October 5, 2025 at 5:29 AM
“Every kilo lost is less pressure on your back. Small steps, big relief!”
“A lighter you means a happier spine! #weightloss #backpain #painrelief #lowbackpain #healthylifestyle #fitfam #motivation #spinehealth #wellness #fitnessjourney #weightlossjourney #stronger #posture #fitlife #health
“A lighter you means a happier spine! #weightloss #backpain #painrelief #lowbackpain #healthylifestyle #fitfam #motivation #spinehealth #wellness #fitnessjourney #weightlossjourney #stronger #posture #fitlife #health
Brain eating amoeba
September 17, 2025 at 10:43 AM
Brain eating amoeba
Do you suffer from these headaches? Balm induced headaches. Comment below if you do.
August 21, 2025 at 10:03 AM
Do you suffer from these headaches? Balm induced headaches. Comment below if you do.
Migraine facts and myths
August 20, 2025 at 9:26 AM
Migraine facts and myths
Static electricity and grounding. It explains all those nasty shocks
August 14, 2025 at 11:36 PM
Static electricity and grounding. It explains all those nasty shocks
Restless legs syndrome-treatment
August 4, 2025 at 4:13 PM
Restless legs syndrome-treatment
Carpal tunnel syndrome
August 3, 2025 at 1:10 PM
Carpal tunnel syndrome
Restless legs syndrome
August 3, 2025 at 1:06 PM
Restless legs syndrome
Collagen beta (1‑O) galactosyltransferase 1 (COLGALT1) variants can be associated with cerebral small vessel disease . Check out our latest article on this ⬇️
Young-Onset Cerebral Small Vessel Disease Associated with COLGALT1 variants AIAN 2025
Young-Onset Cerebral Small Vessel Disease Associated with COLGALT1 variants AIAN 2025
January 11, 2025 at 5:24 AM
Collagen beta (1‑O) galactosyltransferase 1 (COLGALT1) variants can be associated with cerebral small vessel disease . Check out our latest article on this ⬇️
Young-Onset Cerebral Small Vessel Disease Associated with COLGALT1 variants AIAN 2025
Young-Onset Cerebral Small Vessel Disease Associated with COLGALT1 variants AIAN 2025
Do you need to remember the Clinical features of Lambert-Eaton Syndrome?
LEMS is named eponymously after Edward Lambert and Lee Eaton, Neurologists at my Alma mater, the Mayo Clinic in Rochester, Minn, who described this myasthenic syndrome.
LEMS is named eponymously after Edward Lambert and Lee Eaton, Neurologists at my Alma mater, the Mayo Clinic in Rochester, Minn, who described this myasthenic syndrome.
December 6, 2024 at 10:48 AM
Do you need to remember the Clinical features of Lambert-Eaton Syndrome?
LEMS is named eponymously after Edward Lambert and Lee Eaton, Neurologists at my Alma mater, the Mayo Clinic in Rochester, Minn, who described this myasthenic syndrome.
LEMS is named eponymously after Edward Lambert and Lee Eaton, Neurologists at my Alma mater, the Mayo Clinic in Rochester, Minn, who described this myasthenic syndrome.
Catch up Saccades seen on rapid head thrust to the right - better seen on Slow Mo- In a 🥸 with post head injury right sided hearing impairment and balance issues
S/0 a right hypo functioning labyrinth which is unable to match the rapid head rotation with a Vestibulo-ocular reflex (VOR).
S/0 a right hypo functioning labyrinth which is unable to match the rapid head rotation with a Vestibulo-ocular reflex (VOR).
November 29, 2024 at 3:27 AM
Catch up Saccades seen on rapid head thrust to the right - better seen on Slow Mo- In a 🥸 with post head injury right sided hearing impairment and balance issues
S/0 a right hypo functioning labyrinth which is unable to match the rapid head rotation with a Vestibulo-ocular reflex (VOR).
S/0 a right hypo functioning labyrinth which is unable to match the rapid head rotation with a Vestibulo-ocular reflex (VOR).
A Lumbo-caval shunt in Idiopathic intracranial hypertension?
Lumbar subarachnoid space to Inferior Vena cava …( new article in JNS)
In patients with slit ventricles, a Ventriculo-peritoneal shunt placement may be technically challenging.
A Lumbo-peritoneal shunt may be more advantageous
Lumbar subarachnoid space to Inferior Vena cava …( new article in JNS)
In patients with slit ventricles, a Ventriculo-peritoneal shunt placement may be technically challenging.
A Lumbo-peritoneal shunt may be more advantageous
November 23, 2024 at 3:37 AM
A Lumbo-caval shunt in Idiopathic intracranial hypertension?
Lumbar subarachnoid space to Inferior Vena cava …( new article in JNS)
In patients with slit ventricles, a Ventriculo-peritoneal shunt placement may be technically challenging.
A Lumbo-peritoneal shunt may be more advantageous
Lumbar subarachnoid space to Inferior Vena cava …( new article in JNS)
In patients with slit ventricles, a Ventriculo-peritoneal shunt placement may be technically challenging.
A Lumbo-peritoneal shunt may be more advantageous