Ruben Cuellar, SPT

[Ruben Cuellar, SPT @RubenC_PT]

In the case of a Brainstem Neoplasm, looking at which cranial nerves are impacted with a ~5-minute CN screen™️~ can help to localize the tumor! #Neuropathwk11 @juliehershberg

[Ruben Cuellar, SPT @RubenC_PT]

The difference between a concussion and a hematoma?

Concussions:
1) Have a rapid onset
2) Are Not visible on a CT scan
3) Resolve spontaneously in 7-14 days!

#Neuropathwk10 @juliehershberg @manjiridahdul

[Ruben Cuellar, SPT @RubenC_PT]

If your headache has changed it’s presentation (Eg- frequency/intensity), this may be a sign of a more serious secondary headache 🤕. SNOOPPPP signs are an important way to rule this out! #Neuropathwk9 @juliehershberg

[Ruben Cuellar, SPT @RubenC_PT]

General weakness & sensory loss patterns can help localize where in the brain 🧠 a stroke has occurred!

Example: ipsilateral face sx (same side as the stroke) paired with contralateral body sx (opposite side) can point to Brainstem involvement. #Neuropathwk8 @juliehershberg

[Ruben Cuellar, SPT @RubenC_PT]

Let’s chat about the M-CHAT! If you suspect your toe-waking child has Autism Spectrum Disorder (ASD), a score of 8-20 on the M-CHAT-R can help rule in this diagnosis and rule out Cerebral Palsy (CP) or Acquired brain injury (ABI) #Neuropathwk7 @juliehershberg

[Ruben Cuellar, SPT @RubenC_PT]

Diagnosis for Multiple Sclerosis (MS) can be hard, especially since it can present in so many different ways! Look for UMN signs, dissemination in time/space, and of course visible lesions on MR Imaging! #LetsTacoBoutIt 🌮 #Neuropathwk6 @juliehershberg

[Ruben Cuellar, SPT @RubenC_PT]

#CSM2020 #webPT #peoplejoystudentloans #UniversityofSouthernCalifornia

[Ruben Cuellar, SPT @RubenC_PT]

Not all Parkinsonian Disorders are equal! Some, like Multiple Systems Atrophy (MSA), have key 🔑 signs such as autonomic dysfunction. #NeuroPathwk5 @juliehershberg @Carly1L

[Ruben Cuellar, SPT @RubenC_PT]

If your patient has Dizziness/Disequilibrium alongside facial weakness, determining UMN vs LMN is a crucial first step in diagnosing.

Here’s a clue ���: PARTIAL facial weakness indicates UMN, while FULL facial weakness indicated LMN

#Neuropathwk4 @juliehershberg

[Ruben Cuellar, SPT @RubenC_PT]

@zkzkkaren @juliehershberg HAHAHAHA amazing!!

[Ruben Cuellar, SPT @RubenC_PT]

@manjiridahdul

[Ruben Cuellar, SPT @RubenC_PT]

Have you heard of Autonomic Dysreflexia? This is an exaggerated response of your autonomic nervous system that can be triggered by something as simple as tight clothing, and lead to enormous increases in BP. Usually occurs in SCI T6 & above. #neuropathwk3 @juliehershberg

[Ruben Cuellar, SPT @RubenC_PT]

Amyotrophic Lateral Sclerosis (ALS) and Myasthenia Gravis (MG) can have similar presentations, but a closer look at the timeline , MCV test, and repetitive EMG test can provide great clues 🔍👀 for one or the other @juliehershberg #neuropathwk2

[Ruben Cuellar, SPT @RubenC_PT]

As it turns out, a thorough Neuro screen can reveal not just important impairments, but even a different diagnosis in your patients! #Neuropathwk1 #DontNeglectTheNeuroScreen @juliehershberg