Most providers start the cranial nerve screen with CNII, but that has been changing since COVID-19 entered the scene. The primary presenting symptoms of loss of taste and smell have re-anchored the sensory systems in the neurological screening and the cranial nerve exam. Both smell and taste are transmitted via cranial nerves so this screeningContinue reading “Can I Touch Your Face? – Screening the Cranial Nerves”
Tag Archives: neuro
Did Anyone Else See That?
Do you ever wonder, “did anyone else see that?” We find those red flags sometimes, don’t we? We see something odd in a physical exam and it completely changes our perspective on the patient. The key to seeing it, though, is to look for it. You may be thinking, “another thing I need to addContinue reading “Did Anyone Else See That?”
Research is piling in regarding the neurological effects of COVID-19 and the depth of the research is giving us some really concrete information to help guide treatment, screening, and monitoring strategies. The anecdotal evidence is continuing to build quickly so I’ve significantly updated this post to reflect some of the more recent changes and findings.Continue reading “COVID Brain”
We used to think of this as only being associated with the flu. But we know now that GBS can be associated with any insult to the immune system, known or unknown (unknown in up to 40% of cases!). Now that we know COVID-19 can present, especially early on, with neurological symptoms, we need toContinue reading “Guillain-Barre Syndrome”
So Now COVID-19 Results in Strokes (and other neat things about ACE2 receptors)
We can basically thank our old friend sepsis for the presentation of strokes in patients with COVID-19. This virus has changed so much and so frequently since it landed stateside, but there was evidence from its China days that neurological involvement was implicated. Initially, though, it all started in the lungs. We talked about thisContinue reading “So Now COVID-19 Results in Strokes (and other neat things about ACE2 receptors)”