Editorial

Writings

Clinical writing for attorneys who want the medicine before the opinion.

Stroke

Thrombolysis for Stroke, Part II: Where the Decision Fails
Most thrombolysis cases are pleaded as cases about the clock. The registries record two larger failure modes, running in opposite directions.
August 9, 2026Primer15 min
Thrombolysis for Stroke, Part I: What the Drug Does and How the Window Moved
The pharmacology is simpler than the decision to use it. What counts as the right decision today has moved three times in thirty years.
August 2, 2026Primer11 min
Adult Moyamoya: After the Diagnosis, Before the Event
The cases that reach counsel rarely turn on the imaging. They turn on the months that come after it.
June 5, 2026Primer11 min
Missed Subarachnoid Hemorrhage: The Clock the Record Has to Establish
Every test in this disease is a timed test. What a record has to establish is the interval, not the read.
May 5, 2026Commentary13 min
Delayed Stroke Diagnosis: What the Timestamps Cannot Show
The delay in a stroke case reconstructs itself from timestamps. What decides the case is the recognition failure that came before them.
January 5, 2026Commentary13 min

Traumatic Brain Injury

Traumatic Brain Injury in Litigation: Mechanism, Symptom, and the Causation Gap
The distance between a traumatic event and a patient's reported symptoms is rarely direct — and where it frays is where the case is made or lost.
February 5, 2026Commentary8 min

Hypoxic-Ischemic Encephalopathy

Hypoxic-Ischemic Brain Injury: When the Fight Is About Timing
Most HIBI cases do not turn on whether injury occurred — they turn on when it occurred, whether it was still reversible, and whether the prognosis was declared too soon.
April 5, 2026Commentary9 min

Autoimmune Neurology

Neuroimaging

Neuroimaging in Litigation: Reading the Record the Images Came From
The contest is rarely over what the scan shows. It is over what the imaging record was built to answer.
March 5, 2026Primer13 min