ABPN Vascular Neurology study plan
ABPN Vascular Neurology · Give each week a clear focus.
8 weeks · About 6 hours per week
Cerebrovascular Anatomy, Physiology, and Pathophysiology
Reconstruct the intracranial arterial tree and the major vascular territories from memory on a blank template
Explain cerebral autoregulation, collateral recruitment, and the penumbra-to-infarct cascade in your own words
Differentiate large-artery atherosclerotic, cardioembolic, small-vessel, and hypoperfusion mechanisms by clinical and imaging signature
Map at least 15 classic stroke syndromes to the offending vessel and territory
Your checkpoint
Hand-drawn arterial territory map plus a 20-item self-written localization quiz scored at 85% or better
Cerebrovascular Anatomy, Physiology, and Pathophysiology & Ischemic Stroke: Evaluation and Acute Management
Apply territory anatomy to localize lesions from written vignettes before reading the imaging description
Calculate NIHSS from written scenarios and state its weaknesses in posterior circulation and minor deficits
Screen candidates against 0-4.5 hour and extended-window intravenous thrombolysis criteria
Interpret non-contrast CT, CTA, and CT perfusion patterns to decide reperfusion eligibility
Your checkpoint
Case log of 25 vignettes, each with documented localization, NIHSS score, imaging interpretation, and reperfusion decision
Ischemic Stroke: Evaluation and Acute Management
Sequence the acute stroke code: triage, imaging priority, lab thresholds, thrombolytic dosing, and post-lysis monitoring
Compare thrombectomy trial populations and apply their selection criteria to individual patients
Manage post-thrombolysis blood pressure and hemorrhagic transformation, including reversal strategies
Recognize malignant edema, early recurrence, and other early complications and state the escalation step for each
Your checkpoint
One-page bedside thrombolysis eligibility and monitoring checklist, plus a timed 25-question block scored at 80% or better
Intracerebral and Subarachnoid Hemorrhage
Classify intracerebral hemorrhage by location and mechanism using a structured etiologic framework
Manage blood pressure, coagulopathy reversal, and surgical referral decisions in intracerebral hemorrhage
Distinguish aneurysmal subarachnoid hemorrhage by presentation, grading, and radiographic pattern
Outline aneurysm securing options and the prevention and monitoring of delayed cerebral ischemia
Your checkpoint
Written hemorrhage management algorithm card covering reversal agents with doses, blood pressure targets, nimodipine, and vasospasm protocol
Intracerebral and Subarachnoid Hemorrhage & Neuroimaging, Neurocritical Care, and Vascular Neurology Emergencies
Interpret CT, CTA, MRI, and vascular imaging findings across hemorrhagic and neurocritical presentations
Manage elevated intracranial pressure, herniation syndromes, and hemodynamic and ventilator targets in the neurocritical care unit
Apply delayed cerebral ischemia monitoring and rescue therapy in aneurysmal subarachnoid hemorrhage
Recognize vascular emergencies including cervical dissection, cerebral venous thrombosis, and basilar occlusion
Your checkpoint
15-case neurocritical care set scored at 80% or better with a written rationale for every item answered incorrectly
Secondary Prevention, Vascular Risk Factors, and Atherosclerotic Disease
Build a mechanism-specific secondary prevention plan for large-artery atherosclerosis, cardioembolism, embolic stroke of undetermined source, and small-vessel disease
Select antiplatelet versus anticoagulant regimens with attention to timing, agent choice, and bleeding risk
Apply lipid, blood pressure, glycemic, smoking, and lifestyle targets to guideline thresholds
Weigh carotid endarterectomy, stenting, and medical therapy by symptomatic status and degree of stenosis
Your checkpoint
Mechanism-to-prevention decision table plus a 25-question block scored at 80% or better, with domain subscores recorded
Uncommon and Non-atherosclerotic Vasculopathies, Venous Disease, and Spinal Vascular Disorders
Distinguish cervical artery dissection, reversible cerebral vasoconstriction syndrome, moyamoya disease, and CNS vasculitis by angiographic and clinical pattern
Identify hereditary small-vessel disorders and their imaging hallmarks
Manage cerebral venous sinus thrombosis anticoagulation and recognize its exceptions and escalation triggers
Localize spinal vascular malformations and apply the workup for spinal cord infarction and dural arteriovenous fistula
Your checkpoint
Comparison table of eight non-atherosclerotic vasculopathies with diagnostic criteria, plus a 30-question block scored at 75% or better
Neuroimaging, Neurocritical Care, and Vascular Neurology Emergencies & Ischemic Stroke: Evaluation and Acute Management & Secondary Prevention, Vascular Risk Factors, and Atherosclerotic Disease
Interpret CTA, MRA, DSA, perfusion, and vessel wall imaging at a decision-making level
Integrate all six domains on a full-length timed mock examination
Convert every missed mock item into a documented knowledge gap with a concrete remediation action
Drill rapid recall of thrombolytic dosing, treatment windows, and guideline thresholds
Your checkpoint
100-question timed mock scored at 75% or better with a written error log and a one-page high-yield summary sheet
Milestones
Week 2: Localization case log complete; 20-item anatomy and acute evaluation quiz scored at 80% or better
Week 4: Cumulative 40-question mixed block covering domains 1-3 scored at 75% or better; hemorrhage algorithm card verified against primary guideline sources
Week 6: Secondary prevention decision table finished; cumulative 60-question block scored at 78% or better with every domain above 70%
Week 8: Full-length timed mock examination at 75% or better overall, with no individual domain below 65% and an error log showing a remediation entry for each miss