Montoya Neuro Care - Brain, Spine and Nerves

Montoya Neuro Care - Brain, Spine and Nerves Neurologist catering to brain & nerve diseases like stroke, epilepsy, headache, numbness, dizziness and more. Mondays to Saturdays

I am located in CHONG HUA MEDICAL MALL Room 919 and UCMED ROOM 211.

The caregivers of our patients are also heroes. From the clinic we celebrate the heroes of our past and honor our moder...
31/08/2026

The caregivers of our patients are also heroes. From the clinic we celebrate the heroes of our past and honor our modern day heroes.

Maligayang araw ng kagitingan!

15/07/2026

🌀 7 CAUSES OF VERTIGO

Vertigo is a symptom, not a diagnosis.

When a patient complains of “dizziness,” the key question is:

❓ Is this true vertigo (a false sensation of movement) or something else?

Correctly distinguishing peripheral from central causes is essential, as some causes are benign, while others may represent a neurological emergency.

🔑 Common Causes of Vertigo

1️⃣ BPPV (Benign Paroxysmal Positional Vertigo)
• Most common cause
• Brief episodes triggered by head movement
• No hearing loss
• Positive Dix-Hallpike test
• Treated with the Epley manoeuvre

2️⃣ Vestibular Neuritis
• Acute severe vertigo lasting days
• Often follows a viral illness
• Nausea and vomiting common
• No hearing loss

3️⃣ Ménière Disease
• Recurrent episodes of vertigo
• Fluctuating hearing loss
• Tinnitus and aural fullness
• Usually unilateral

4️⃣ Vestibular Migraine
• Vertigo associated with migraine features
• Photophobia, phonophobia, aura
• May occur without headache

5️⃣ Labyrinthitis
• Vertigo + hearing loss
• Often post-viral
• Auditory and vestibular symptoms occur together

6️⃣ Acoustic Neuroma (Vestibular Schwannoma)
• Progressive unilateral hearing loss
• Tinnitus
• Gradual onset imbalance or vertigo

7️⃣ Central Causes 🚨
• Stroke
• Multiple sclerosis
• Cerebellar tumours
• Brainstem lesions

⚠️ Red Flags Suggesting a Central Cause

🚨 Diplopia
🚨 Dysarthria
🚨 Limb weakness
🚨 Severe ataxia
🚨 New headache
🚨 Persistent neurological deficits

🩺 Clinical Approach

✔️ Take a careful history
✔️ Examine for nystagmus
✔️ Perform the HINTS examination when appropriate
✔️ Assess hearing
✔️ Look for focal neurological signs

💡 High-Yield Pearl

Peripheral vertigo is common, but never miss a central cause.

Remember:

🧠 Acute vertigo + neurological signs = Stroke until proven otherwise.

📚 Save this post and visit our website for innovative high-yield medical notes:

www.MedicoNotes.com

14/07/2026

One tiny nerve can trigger some of the most excruciating pain a person can experience.

At SASpine we see this every day: a small disc fragment, bone spur, or tight foramen can compress a spinal nerve root and send debilitating pain down an arm or leg. The same “small structure, massive pain” story happens with the trigeminal nerve — the main sensory nerve of the face.

Trigeminal neuralgia (also called tic douloureux) is a chronic neurological condition that produces sudden, electric shock-like attacks lasting seconds to minutes, often striking many times a day. It is frequently described as one of the most severe pains known to medicine.

Because the pain commonly affects the jaw, teeth, gums, lips, or cheek, it is often mistaken for a dental problem. Patients sometimes undergo unnecessary root canals or even tooth extractions before the correct neurological diagnosis is made.

What makes it so cruel is that ordinary daily activities become triggers for agony:

• Brushing the teeth
• Chewing food
• Talking or smiling
• Washing the face
• Shaving
• Lightly touching the skin
• Even a gentle breeze

In many cases the cause is a nearby blood vessel compressing the trigeminal nerve near the brainstem, causing the nerve to misfire — the same compression concept we address in the spine.

Less commonly it can be associated with multiple sclerosis, tumors, cysts, facial trauma, or other conditions affecting the nerve.

Although trigeminal neuralgia can be life-altering, effective treatments exist. Medications such as carbamazepine and oxcarbazepine are first-line. When medications are ineffective or not tolerated, surgical procedures can provide meaningful long-term relief.

The bigger lesson? Precise diagnosis matters enormously whenever nerve pain is involved — whether the problem is in your neck, back, or face.

If you’re dealing with persistent neck, back, or radiating arm/leg pain, our SASpine team is here to help (contact link in bio).

Have you or someone you know had pain that turned out to be something different than first thought? Share below 👇

Do you feel numbness and tingling in your body? Check if you have MS. Contact your nearest neurologist or Call us at 0...
04/07/2026

Do you feel numbness and tingling in your body? Check if you have MS. Contact your nearest neurologist or Call us at 09218484236 for UCMED CLINIC or 09629540325 for Chong Hua Medical Mall clinic

Need ba ko mag pa MRI? not all headaches need a scan. Consult your neurologist or call us at 09218484236 for UCMED clini...
08/06/2026

Need ba ko mag pa MRI? not all headaches need a scan. Consult your neurologist or call us at 09218484236 for UCMED clinic or 09629540325 for chong hua clinic

To our dear Patrons and patients, a new clinic branch is now open at Chong Hua Fuente Medical Mall. To set an appointm...
08/05/2026

To our dear Patrons and patients, a new clinic branch is now open at Chong Hua Fuente Medical Mall. To set an appointment, Contact Rose at 09629540325 😊

Seizure first aidContact us at 09218484236 if seizure does not stop.
05/05/2026

Seizure first aid

Contact us at 09218484236 if seizure does not stop.

Does your headache feel like this? Consult a neurologist ☺️
14/04/2026

Does your headache feel like this? Consult a neurologist ☺️

What is GBS? It is a disease of nerves and muscle and is an EMERGENCY! Do not wait, Go to the ER immediately or call us...
25/03/2026

What is GBS? It is a disease of nerves and muscle and is an EMERGENCY! Do not wait, Go to the ER immediately or call us at 09218484236

Electrical pain in one side of the face? That may be trigeminal neuralgia! Consult a neurologist now or call us at 09218...
10/03/2026

Electrical pain in one side of the face? That may be trigeminal neuralgia! Consult a neurologist now or call us at 09218484236

Address

Room 211 University Of Cebu Medical Center
Mandaue City

Opening Hours

Monday 8am - 5pm
Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm
Friday 8am - 5pm
Saturday 8am - 5pm

Telephone

+639218484236

Website

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