McMonigle Neurology Associates

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05/23/2026

🧠 CLINICAL VIGNETTE TIME 🧠

A 19-year-old college student presents with a six-month history of worsening hand tremor, slurred speech, and difficulty with handwriting. His roommate reports increasing irritability and impulsive behavior.

On exam:
🔹 Dysarthria
🔹 Bilateral wing-beating tremor
🔹 Dystonic posturing & rigidity

Slit lamp exam reveals Kayser-Fleischer rings.

Lab work shows:
⬆️ AST/ALT
⬇️ Ceruloplasmin
⬆️ Urinary copper excretion

MRI demonstrates symmetrical abnormalities in the bilateral putamina and caudate nuclei.

What’s the diagnosis? 👀

Drop your answers below ⬇️

đź“ŤEast Northport & Garden City, NY
đź“ž 631-230-6644

Depression can affect every part of life — your energy, emotions, relationships, and daily routine. But no matter how he...
05/22/2026

Depression can affect every part of life — your energy, emotions, relationships, and daily routine. But no matter how heavy things may feel, you don’t have to go through it alone. 💙
At McMonigle Neurology Associates, compassionate care and personalized support are available to help patients navigate depression, anxiety, mood changes, and emotional wellness challenges. Taking the first step toward healing is a sign of strength, not weakness.
✨ Support is available. Healing is possible. Hope starts here.
đź“ž Contact us today to learn more about compassionate neurological and mental wellness care.

https://www.mcmonigleneuro.com/depression.html

Anxiety isn’t always visible — sometimes it looks like overthinking, trouble sleeping, constant worry, panic, exhaustion...
05/22/2026

Anxiety isn’t always visible — sometimes it looks like overthinking, trouble sleeping, constant worry, panic, exhaustion, or feeling overwhelmed by everyday life. 🧠💭
If anxiety is affecting your peace of mind, know that support and professional care can help you regain balance and confidence. At McMonigle Neurology Associates, patients receive compassionate, personalized care focused on emotional wellness, neurological health, and improving quality of life.
✨ You deserve to feel calm, supported, and in control again. Small steps toward healing can lead to meaningful change.

đź“ž Reach out today and take the first step toward managing anxiety with expert care and support.
https://www.mcmonigleneuro.com

05/22/2026

Hey guys, I have another clinical vignette for you đź‘€

A 70-year-old man presents with a 2-year history of worsening balance, backward falls, slowed speech, and difficulty with executive function. Exam shows a wide-eyed stare, decreased blink rate, axial rigidity, impaired downward gaze with intact doll’s eyes, and an unsteady gait with retropulsion. Sinemet hasn’t helped. MRI reveals the classic “hummingbird sign” caused by midbrain atrophy.

What’s the diagnosis? 🧠

Drop your answers below ⬇️

05/21/2026

Clinical vignette answer time 🧠

This 58-year-old retired engineer’s symptoms pointed toward Multiple System Atrophy (MSA), not typical Parkinson’s disease.

The combination of:
• Severe autonomic dysfunction
• Poor response to Sinemet
• Parkinsonian + cerebellar findings
• Nocturnal stridor

…strongly suggests MSA, a progressive neurodegenerative disorder that can mimic Parkinson’s early on but has distinct clinical features.

Recognizing these red flags is critical for early diagnosis and management.

05/20/2026

🚨 Clinical Vignette Challenge 🚨

A 68-year-old retired teacher develops progressive loss of control of her LEFT arm. Her hand grabs objects without intention, won’t let go, and even “fights” against her right hand while doing everyday tasks. She’s begun talking to the arm, begging it to stop.

Exam shows:
🧠 Alien hand phenomenon
🧠 Rigidity & dystonia
🧠 Apraxia & cortical sensory deficits
🧠 Memory impairment
🧠 Asymmetric Parkinsonism

What’s the diagnosis? 👀

Hint: Alien Hand Syndrome is one of the most fascinating syndromes in neurology.

Drop your thoughts below! ⬇️

đź“ŤMcMonigle Neurology Associates
East Northport & Garden City, NY
đź“ž 631-230-6644

Living with Parkinson’s Disease can feel overwhelming — but compassionate, expert neurological care can make a meaningfu...
05/19/2026

Living with Parkinson’s Disease can feel overwhelming — but compassionate, expert neurological care can make a meaningful difference.
At McMonigle Neurology Associates, patients receive personalized treatment and support for neurological conditions including Parkinson’s disease, tremors, movement disorders, and more.
From managing symptoms like tremors, stiffness, weakness, and mobility challenges to creating customized care plans, Dr. Jennifer McMonigle is dedicated to helping patients improve their quality of life with compassionate neurological care.
✨ Early diagnosis and proper treatment can help patients maintain independence and better manage Parkinson’s symptoms. If you or a loved one are experiencing tremors, balance issues, or changes in movement, don’t ignore the signs.
đź“Ť Trusted Neurology Care in Long Island, NY

đź“ž Schedule your consultation today with https://www.mcmonigleneuro.com

05/19/2026

🧠 Clinical Vignette Time!

A 58-year-old man with a Parkinson’s diagnosis develops worsening dizziness when standing, falls, balance problems, slurred speech, urinary issues, erectile dysfunction, and strange noises during sleep. 🚨

But here’s the clue: minimal response to Sinemet, severe autonomic dysfunction, cerebellar signs, and the classic “hot cross bun” sign on MRI.

What’s the diagnosis? Drop your answer below ⬇️

đź“ŤMcMonigle Neurology Associates
East Northport & Garden City, NY
đź“ž 631-230-6644

Is Stress a Valid Reason to Consider TMS Therapy?Stress can take a serious toll on both mental and neurological health. ...
05/17/2026

Is Stress a Valid Reason to Consider TMS Therapy?
Stress can take a serious toll on both mental and neurological health. When stress becomes chronic, it may affect mood, concentration, sleep, and overall well-being. For some individuals, traditional treatments may not provide enough relief.
Transcranial Magnetic Stimulation (TMS) is a non-invasive, drug-free treatment that uses gentle magnetic pulses to stimulate specific areas of the brain involved in mood and emotional regulation. By improving activity in these brain regions, TMS may help restore healthier brain function and emotional balance.

For people experiencing persistent stress, anxiety, or mood-related challenges, TMS therapy may be an option worth exploring with a qualified neurological specialist.

Learn more: https://www.mcmonigleneuro.com/is-stress-viable-reason-to-undergo-tms.html

Address

554 Larkfield Road, Ste 10G, East Northport, NY, United States
New York, NY
11731

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm
Saturday 9am - 5pm

Telephone

+16312306644

Website

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