13 results
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... in size (micro and ... • CNS: parietal ... • Epilepsy • Psychiatric ... #diagnosis #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Iniury • One-and-a-half ... Syndrome • Cavernous ... Skew Deviation Casey ... ophthalmology #neurology ... differential #diagnosis #ocular
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Erb's Palsy is caused ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Left Abducens Spasm on Physical Exam

A 50 yr male with left facial spasm and diplopia, with
and diplopia, with ... paroxysmal brainstem syndrome ... #CNVI #CN6 #PhysicalExam ... #clinical #ocular ... ophthalmology #neurology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... involvement: Intractable nausea ... Other brainstem syndromes ... pain • Extra-CNS ... Manifestations #diagnosis #neurology
Cranial Myokymia

Paroxysmal episodes of left facial (Orbicularis oculi) and left abducens spasms after remote radiation to
facial (Orbicularis oculi ... spasms after remote ... clinical #video #neurology ... #physicalexam # ... CNVI #CN6 #Abducens
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Biceps - C5, C6 ... • Cauda Equina Syndrome ... Commonly caused ... Myotomes #diagnosis #neurology ... sensory #motor #leg #physicalexam
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... An APD was noted ... The most common causes ... #PhysicalExam # ... ophthalmology #neurology
Hemimasticatory Spasm on Physical Exam

Hemimasticatory spasm is a disorder of the trigeminal nerve → involuntary jaw
Myokimia will cause ... gross movement and ... #trigeminal #PhysicalExam ... clinical #cheek #CN5 ... #video #neurology