30 results
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Oculomotor) Nerve Palsy ... ) Nerve palsy ... ) Nerve palsy • ... #differential #diagnosis ... #ocular
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... • Transverse myelitis ... pain • Extra-CNS ... , Comorbid autoimmune ... Manifestations #diagnosis
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
Autoimmune Myositis ... /full triad at diagnosis ... @AnnKumfer #Autoimmune ... #Myositis #diagnosis ... #rheumatology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... VI palsy) • ... pseudotumor • Orbital myositis ... VI palsy) # ... #Differential #Diagnosis
Left Abducens Palsy on Ocular Examination

Dr. Sebastian Vega @oftalmopo

#Abducens #Palsy #CN6 #CNVI #Ocular #PhysicalExam #clinical #video
Left Abducens Palsy ... on Ocular Examination ... #Abducens #Palsy ... #CN6 #CNVI #Ocular ... #PhysicalExam #
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... pulmonary etc) • CNS ... -> PNS -> NMJ - ... necrotizing myopathy • Autoimmune ... #Differential #Diagnosis
Inflammatory Myopathies
Dermatomyositis
 • Onset: Subacute
 • Pattern: Proximal
 • CK: Up to 50X ULN
 • Autoantibodies:
Associated Features: Diagnosis ... exclusion Necrotizing Autoimmune ... Myositis • Onset ... #differential #diagnosis ... #comparison #rheumatology
Traumatic Lateral Rectus Palsy on Ocular Examination

Impaired left lateral eye movement with left gaze after MVA.
Lateral Rectus Palsy ... on Ocular Examination ... Lateral #Rectus #Palsy ... Abducens #CNVI #CN6 ... #Ocular #physicalexam
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
be any age) Autoimmune ... gland) biopsy • Ocular ... neuropathy, transverse myelitis ... • 8%-27% for CNS ... Sjogrens #Syndrome #Rheumatology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
ulceration • Ocular ... basal ganglia, CNS ... meningitis), MCC CNS ... collaboration • CNS ... signs #symptoms #rheumatology