Physician-led stroke education

Stroke care, translated from code stroke to recovery.

Evidence-based stroke education for clinicians, trainees, patients, and families — written by Zaka Ahmed, MD, a vascular neurologist.

Fellowship-trained vascular neurologist · peer-reviewed author — publications on Google Scholar

Acute Stroke · Neuroimaging · Systems of Care

Important: This site is for educational purposes only. It is not intended for diagnostic reasoning, clinical decision-making, or as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider. The author assumes no liability for any actions taken based on this content. Full disclaimers →

§ 01 · Choose your path

Built for the people who treat stroke — and the families living through it.

§ 02 · Clinical Tools

Bedside-ready references.

§ 03 · Trial Library

Landmark stroke trials.

§ 04 · Latest stroke reviews

Long-form writing from the bedside and the literature.

30 August 2026

Central post-stroke pain: when the stroke itself is what burns.

A vascular neurologist on central post-stroke pain (CPSP): why burning pain appears weeks after the stroke, how to separate it from shoulder pain and spasticity pain, the sensory exam that clinches it, and the evidence behind amitriptyline, lamotrigine, and gabapentinoids.

Stroke Complications
30 August 2026

Post-Stroke Dysphagia: AHA Swallow Screening Guideline.

What the AHA/ASA stroke guideline says about dysphagia screening before oral intake (Class 1: nothing by mouth until a bedside swallow screen is passed), why dysphagia roughly triples aspiration pneumonia risk, how silent aspiration fools the bedside exam, and what the FOOD trials settled about NG versus PEG timing.

Stroke Complications
30 August 2026

Post-stroke seizures: when one seizure means epilepsy — and when it doesn't.

A vascular neurologist walks through post-stroke seizures: the 7-day line between early and late seizures, why guidelines say no to prophylactic antiseizure drugs, when a single seizure equals epilepsy, and how to choose a drug that won't fight the DOAC.

Stroke Complications
30 August 2026

Post-stroke spasticity: treat the problem, not the tone.

A vascular neurologist on spasticity after stroke: how to tell spasticity from contracture, when tone is a problem worth treating, the Modified Ashworth Scale, and the treatment ladder — stretching and splinting, botulinum toxin for focal spasticity, oral agents and their sedation tax, and intrathecal baclofen.

Stroke Complications
30 August 2026

Vascular cognitive impairment: the dementia stroke doctors can prevent.

A vascular neurologist's clinical guide to vascular cognitive impairment: the four lesion mechanisms, why the MoCA beats the MMSE here, when to test after a stroke, the depression and delirium look-alikes, and the honest evidence on prevention — blood pressure first.

Stroke Complications

§ 05 · From the literature

Newly published in Stroke.

Titles and abstract excerpts are pulled automatically from the journal’s public feed and link to the publisher. They are not selected, reviewed, or endorsed by Dr. Ahmed.

§ 06 · For patients & families

Recovery and prevention.

The Vascular Brief

A monthly stroke dispatch — trial updates, clinical tools, and bedside-ready summaries. One email. No spam, ever.