30 results
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
, C8 (radial) Finger ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... #differential # ... diagnosis #ocular
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... GBS • Miller-Fisher ... syndrome • Orbital ... neuropathy (orbital apex ... #Diagnosis #Causes
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
left 6th nerve palsy ... Caused by a ... #physicalexam # ... clinical #video ... #neurology #ophthalmology
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... Diplopia TIER 1-CRITICAL ... syndrome, Cavernous ... tumor, Miller-Fisher ... mass #Diplopia #differential
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
OD and counting fingers ... The most common causes ... diagnosed with MS ... #PhysicalExam # ... ophthalmology #neurology
Miller Fisher Syndrome (MFS) on Neurological Examination

Miller Fisher Syndrome (MFS)- a variant of Guillain Barre syndrome
Miller Fisher Syndrome ... Syndrome (MFS)- ... #Syndrome #clinical ... #video #physicalexam ... #neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... acetate to help with ocular ... Orbital Apex Syndrome ... Ophthalmicus #HZO #clinical ... #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN Ill Palsy ... dissociation • Other causes ... #neurology #ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... think about three clinical ... CN III palsy 2. ... • Third nerve palsy ... #Differential #