18 results
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
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
, C8 (radial) Finger ... Saturday night palsy ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
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 ... tumor, Miller-Fisher ... mass #Diplopia #differential ... #diagnosis #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
OD and counting fingers ... the hospital, diagnosed ... with MS, and started ... #PhysicalExam # ... ophthalmology #neurology
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 #
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 - ... #neurology #ophthalmology
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
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Demyelinating Disease (MS ... heavy metals), Critical ... #differential # ... diagnosis #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... tumors along the apex ... #clinical #video ... ophthalmology #physicalexam ... #neurology #Anisocoria