When working with a new patient, always remember to think about the neuroanatomical localization! Is it CNS or PNS? UMN or LMN? And don’t be afraid to flip open Brust to help brush you up with unfamiliar diagnoses! #Neuropath2020wk13@juliehershberg
It’s really true that you need imaging of the brain to distinguish brain tumors! Clinical findings could be the same but what’s the cause 🤔 P.S. Don’t forget cranial nerves are peripheral 😏 #Neuropath2020wk12@juliehershberg
Blow the head? Use the SCAT to screen for Concussion. Referral to emergency department or imaging is not usually needed unless there are hard neurological signs! #Neuropath2020wk11@manjiridahdul
Patient presents to the clinic with a headache? Make sure to look at the clinical symptoms to identify primary headache syndrome! But if there are red flags SNOOP4, better get a special test!#Neuropath2020wk10@juliehershberg
Standardized questionnaires can be helpful when working with pediatric populations! Find a “Yes” on Toe Walking Tool? Refer out for Idiopathic Toe Walking! M-CHAT-R helps screen for Autism! @bmendonca_usc@juliehershberg#Neuropath2020wk8
Patient present with sensory, UMN, vision involvement? Make sure to look for waxing and waning symptoms, along with a brain MRI and CSF study to rule out Multiple Sclerosis ... or Acute Disseminated Encephalomyelitis 👀 #Neuropath2020wk7@juliehershberg
Idiopathic Parkinson Disease, Atypical Parkinson, & Secondary Parkinsonism all require a clinical diagnosis! Look out for responsiveness to Levodopa or alcohol, history of falls, or findings on MRIs to rule in or out diagnoses. #Neuropath2020wk6@juliehershberg@NoraDarak
Why does Autonomic Dysreflexia typically start with lesions T6 and above? Lesions at or above T6 allow the strong, inhibited sympathetic tone to constrict the SPLANCHNIC VASCULAR BED causing systemic hypertension. #Neuropath2020wk4@manjiridahdul@juliehershberg
Guillain-Barre Syndrome or Chronic Inflammatory Demyelinating Polyneuropathy? So many similarities between the two 🧐 Remember w/ CIDP, you’ll see a gradual motor and sensory disturbance over 2 months. W/ GBS, there are far less relapse rates! #Neuropath2020wk3@juliehershberg
Notice a “tri-grooved” appearance of the tongue? 😛👅Confirm it is Myasthenia Gravis with blood work for Acetylcholine Receptor Antibodies and Tensilon Test! #Neuropath2020wk2@juliehershberg
Chronic Inflammatory Demyelinating Polyneuropathy can be treated with intravenous immunoglobulin. However, it is consists of a chronic and progressive nature. Look into “supportive therapies” like PT to help manage symptoms! #Neuropath2020wk1@juliehershberg