Top Tweets for #PT546Week12
Use the 4-Pillars of Dementia Care to support the patient, your treatment, and don’t forget the caregivers! Patience will take you far when assisting those with dementia. @juliehershberg @LibbyKrauseDPT @manjiridahdul #pt546week12
Seizures can occur in patients with astrocytomas, meningiomas and metastatic neoplasms. Review your seizure first aid and what you should do if your patient has one here:
https://t.co/F1HV63ufw0
#PT546week12 @juliehershberg @manjiridahdul
CNS Neoplasm Key Signs:
🧠 HA
🧠 Seizures
🧠 Focal Neuro Signs
🧠 Cognitive and Personality Changes
If these non-specific symptoms are present a CT/MRI can help confirm the diagnosis #PT546week12 @juliehershberg @LibbyKrauseDPT
51 yo patient demonstrates progressive signs/sxs consistent with affected cranial nerves. MRI brain imaging shows compressive tumor onto the cerebellum.
Compression + progressive = meningioma
#PT546week12
@juliehershberg
Neoplasms can present with similar signs and symptoms! In order to diver deeper and determine what you're dealing with you can perform a quick 5 min CN screen and watch out for red flags. If you're suspicious then refer for imaging (MRI or CT)! #PT546week12 @juliehershberg
Katie Ledecky's 500y free: 4:24.06 🇺🇸Record
Neuro Screen: 5 mins max
Like Katie Ledecky's swim meets, ⏱is crucial when it comes to neuro screens. When doing a neuro screen, you may become an 🇺🇸 record holder, too.
#PT546week12 @juliehershberg @LibbyKrauseDPT @manjiridahdul
TIL that brain neoplasm can present with either UMN or LMN signs! Don’t forget to perform a thorough 🧠 neuro screen even if your patient is coming in for headache. You might have caught an early meningioma! #PT546Week12 @juliehershberg
Distinguishing btwn benign & malignant brain tumors can be tough w/o imaging since they all have similar signs/sxs 😬🤯
MRI to confirm lesion type/location & perform neuro screen to establish baseline sxs (🗝for monitoring changes)
#PT546Week12 #5minCNscreen @juliehershberg
#PT546week12
Slow progressive symptoms
Cranial nerve involvement = PNS ✅
No infection or CNS signs ❌
Other motor involvement (cervical nerves)✅
Sensation changes ✅
MRI - brain
Meningioma compressing structures
No cerebellum signs - adaptation
Your tumor is B9!...but it can still cause problems in your brain. Check with your doctor or PT before you keep playing bingo
#PT546week12 @juliehershberg @LibbyKrauseDPT @branieriUSCDPT
A neuroscreen can be done in 5 minutes! 2 = visual fields 3, 4, 6 = eye movements 5 = face sensation/muscles of mastication 7 = face expression 8= hearing 9, 10 = voice and palate elevation 11 = SCM and trap strength 12 = tongue deviation #pt546week12 @juliehershberg
Key signs of neoplasm in the brain:
🧠headaches
🧠seizures
🧠focal neuro signs
🧠cognitive and personality changes
#PT546Week12
@juliehershberg
Headache, seizures, Neuro deficits...How do you differentially diagnose? You need an MRI/CT to differentiate between astrocytoma meningioma, and metastatic neoplasms. #tbt to SNOOPPPP symptoms to know when to go to the ER. #pt546week12 @juliehershberg @manjiridahdul
Key points for managing CNS neuroplasms:
🚩 Recognize red flags
👀👃🏼👂🏼Neuro screen
🧠 Monitor post-surgery
♿️ Understand prognosis for recovery vs compensation
🚴🏼♀️ Exercise + rehab
👨👩👧👦 Emotional support for family
#PT546Week12 @juliehershberg @manjiridahdul
Metastatic brain tumors. Not a happy topic to discuss, but brings into perspective differeing views with cancer therapies. Chemo.. to accept/have the risk of getting sick(but possibly prolong life)? Or to not accept/lose the chance of prolonging life? @juliehershberg #pt546week12
Meningiomas may be completely benign or result in headache, seizures, and progressive neuro deficits as a result of compression. Imaging is important to detect and resect in a timely manner! Here’s a microscopic image of a meningioma #Neoplasms #PT546week12 @juliehershberg
Wk 12 Neuropath! 12 things on NEOPLASMS:
2 regions: Supratentorium vs. Infratentorium
4 supratentorium signs: contralateral hemiparesis, apraxia, seizures, hemianopsia
4 infratentorium signs: CN signs, vomiting, hydrocephalus, ataxia
2 tests: CT/MRI #PT546week12 @JulieHershberg
L sided Headaches, diplopia, diff. Swallowing, hoarseness ✔
L CN 5,6,8 & 9-11 ✔
L deltoid weakness 😰
Is it a neoplasm? Stroke?Compression?
MRI shows mass from base of skull, down L side of midbrain ➡️ C4
Diagnosis⁉️
L sided Meningioma compressing the midbrain #PT546week12
Slim Pickens, a prominent rodeo clown and actor (seen here in Dr. Strangelove) was diagnosed too late. With today’s advancements he may have been able to receive treatment for his fatal brain tumor, which is why early diagnosis is key to save lives.
#PT546week12
@juliehershberg
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