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Right Oculomotor (CNIII) Palsy caused by Stroke

Dr. Bruno Farnetano @bruno.farnetano

#Oculomotor #CNIII #Palsy #clinical #video #CN3 #clinical
clinical #video #CN3 ... #physicalexam #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Movement Disorders • CN ... Nerve Palsy • CN ... Nerve palsy • CN ... One-and-a-half Syndrome ... #Localization #ophthalmology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
for the neuro-ophthalmologic ... Sphenoid sinusitis (CN ... Miller-Fisher syndrome ... hypertension (CN ... Diagnosis #Causes #Ophthalmology
CN III Palsy - Oculomotor Nerve
 • Ptosis: Loss of innervation of the levator palpebrae superior.
CN III Palsy - Oculomotor ... comparison to Horner's syndrome ... neudrawlogy #CNIII #CN3
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... • Ophthalmologic ... Diaphresis, flushing • CNS ... ucsdim #Serotonin #Syndrome
BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear

Visual or auditory symptoms in conjunction
BEE Syndromes - ... nervous system (CNS ... causes: • Susac syndrome ... disease • Cogan syndrome ... • Sjögren syndrome
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
CNS Ring-Enhancing ... Diagnosis- Compatible syndrome ... + toxo IgG • CNS ... 30% present w/ CNS ... diagnosis #causes #radiology
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
- Horner's Syndrome ... Anisocoria - CN ... Differential #Diagnosis #Ophthalmology
Causes of Sudden Cardiac Arrest
Primary Myocardial Processes (> 90%):
 • Acquired structural heart disease: CAD, Most
Long/short QT syndromes ... , Brugada syndrome ... Acquired long QT syndrome ... disorders • WPW syndrome ... Cardiac #Arrest #cardiology
Brugada Syndrome Morphology #Diagnosis #Cardiology #MedStudent #EKG #Brugada #Syndrome #Morphology #ECGEducator
Brugada Syndrome ... Morphology #Diagnosis #Cardiology ... #EKG #Brugada #Syndrome