Quite frankly, I actually recall a question from my MCAT, on the biological sciences section, where they showed a cell, and then they had an extracellular molecule that was a tertiary amine. Anyway, the question then showed that a methyl group was added orthogonally to the amine (making it quaternary), but then it also had a positive charge at that point (which makes sense because N is stable with 3 bonds).
The question asked what effect adding the methyl group would have. At first I saw the positive charge and selected that it would decrease penetration into the cell, but then I re-thought it, and my final answer was that it would actually increase penetration because it was a methyl.
To this day I have never questioned that answer of mine, until I was just re-reading part of my annotated FA, and I have written that physostigmine can cross the BBB because it's a tertiary amine, but that some of the other AChE inhibitors can't cross because they're quaternary.
By all means, I haven't researched the R-groups of the quaternary amines for those latter compounds, but for a moment I was like, "wait, the tertiary amine passes but the quaternaries don't?"
Perhaps on that MCAT question, the tertiary would have passed anyway, but the methyl that was added further assisted that.