4 results
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... (no horizontal movement ... abduction with nystagmus ... the hospital, diagnosed ... ophthalmology #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 ... , Lateral Rectus ... Gaze Palsy, INO ... #triad #neurology
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
Infection in HIV / AIDS ... should be based on clinical ... • Suspect in movement ... hearing loss, palsy ... #AIDS #opportunistic
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
Depressive symptoms • Movement ... show symmetric bilateral ... Diagnosis: MRI ... disorder #dementia #AIDS ... #Neurology