8 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
Primary Downbeat Nystagmus on Ocular Examination

Primary downbeat nystagmus, most evident on looking down and out .
Primary Downbeat ... nystagmus, most ... #clinical #video ... #physicalexam #neurology ... #ophthalmology
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
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
movements found in Downbeat ... Nystagmus Downbeat ... Eye Center #Downbeat ... #Ophthalmology ... #Neurology #Clinical
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
dysfunction • Nystagmus ... gaze palsies Ataxia ... • Gait • ... Triad #Diagnosis #Neurology ... #Thiamine #Deficiency
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
Downbeat Nystagmus ... Why downbeat nystagmus ... #clinical #video ... #ocular #ophthalmology ... #neurology
Acquired Downbeat Nystagmus

This 62 yo AA female reported to clinic for retinal evaluation of diabetic PDR.
female reported to clinic ... A downbeat nystagmus ... #Nystagmus #clinical ... #video #ophthalmology ... #physicalexam #neurology
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