14 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... : • CN Ill Palsy ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Traumatic Lateral Rectus Palsy on Ocular Examination

Impaired left lateral eye movement with left gaze after MVA.
Rectus Palsy on ... eye movement with ... #CN6 #Ocular #physicalexam ... #clinical #video ... #neurology #ophthalmology
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
rectus palsy ... Ataxia • Gait ... Encephalopathy #Syndrome ... #Triad #Diagnosis ... #Neurology #Thiamine
Bell's Palsy on Physical Examination

Bell’s palsy also affects the forehead but CVA spares forehead. Innervation above
and forehead is bilateral ... input movement ... #Forehead #PhysicalExam ... #clinical #video ... #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... (no horizontal movement ... the hospital, diagnosed ... #PhysicalExam # ... ophthalmology #neurology
Anti-IgLON5 Encephalitis - Ocular Examination

Female with 6 months h/o excessive daytime sleepiness, abnormal movements, dysarthria. On
Clinical pentad ... progressive supranuclear palsy ... Encephalitis #Ocular #PhysicalExam ... #clinical #video ... #neurology #ophthalmology
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
Encephalopathy CLINICAL ... ) Nystagmus, Lateral ... Gaze Palsy, INO ... GAIT ATAXIA (23% ... #triad #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... dysfunction to the bilateral ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
HIV-Associated Neurocognitive Disorder (HAND)

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

Pathophysiology:
HIV frequently
show symmetric bilateral ... Diagnosis: MRI ... syndrome of HAD ... dysfunction like gait ... #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 ... , limb ataxia, gait ... hearing loss, palsy