9 results
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
Clinical Diagnosis ... abnormalities (eg nystagmus ... dysfunction and gait ... ataxia is only ... diagnosis #criteria #neurology
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
B1 (Thiamine) Deficiency ... ophthalmoplegia and nystagmus ... dysfunction (e.g. gait ... ataxia - usually ... Diagnosis #Management #neurology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Ocular Nystagmus ... sudhir_kothari #Ocular #Nystagmus ... Hallpike #Maneuver #clinical ... #physicalexam #ophthalmology ... #neurology
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
dysfunction • Nystagmus ... gaze palsies Ataxia ... • Gait • ... Triad #Diagnosis #Neurology ... #Thiamine #Deficiency
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Ocular Nystagmus ... in PSC BPPV after ... Hallpike #Maneuver #clinical ... #physicalexam #ophthalmology ... #neurology #Frenzel
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
Encephalopathy CLINICAL ... DYSFUNCTION (29%) Nystagmus ... GAIT ATAXIA (23% ... Primarily: Stance & gait ... diagnosis #triad #neurology
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
for Treatment of BPPV ... Allow any nystagmus ... Again, allow any nystagmus ... Liberatory #Maneuver #BPPV ... #instructions #clinical
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
for Treatment of BPPV ... Allow any nystagmus ... Again, allow any nystagmus ... Liberatory #Maneuver #BPPV ... #instructions #clinical
Evaluation of Recurrent Falls

Core Concept:
Maintaining an upright posture requires the integrated function of multiple systems.
Disruption in
positional vertigo (BPPV ... diabetic, B12 deficiency ... range of motion, gait ... sclerosis • Clues: Ataxia ... falling, functional gait