8 results
Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-
Opsoclonus Myoclonus ... Ataxia Syndrome ... multidirectional fast eye movements ... PhysicalExam #clinical #video ... #neurology #ophthalmology
Opsoclonus-Myoclonus Ataxia Syndrome (OMAS) -Dancing eyes - dancing feet syndrome
 • Opsoclonus: ocular spontaneous, arrhythmic, conjugate
conjugate saccades movements ... shock-like, involuntary movements ... caused by muscular ... #clinical #video ... #neurology #gait
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential
Causes of Hyperkinetic Movement Disorders - Differential Diagnosis Algorithm
Tics:
 • Tourette's Syndrome
 • Attention Deficit Hyperactivity
Movement Disorders ... - Differential ... • Tourette's Syndrome ... Stereotypies Myoclonus ... #Causes
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... - Differential ... Generalized: Absence, Myoclonic ... vasoconstriction syndrome ... #Causes #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... abnormal extraocular movements ... dissociation • Other causes ... #ophthalmology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... (i.e. myoclonic ... Casey Albin MD @
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the follow up video ... (no horizontal movement ... The most common causes ... #ophthalmology ... #neurology