26 results
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
nerve palsy Caused ... by a Midbrain hemorrhage ... #ocular #physicalexam ... clinical #video #neurology ... #ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis • Bilateral ... Miosis: Horner's syndrome ... , uveitis) • Bilateral ... Neuro: Pontine hemorrhage ... differential #diagnosis #ophthalmology
Seesaw Nystagmus 

Sawtooth or seesaw nystagmus is an unusual but characteristic type of nystagmus. Typically there
Seesaw Nystagmus ... in the midline, bilaterally ... We have varied causes ... #sawtooth #physicalexam ... clinical #video #ophthalmology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Lateral Medullary ... Clinical Findings: • Nausea ... vomiting/vertigo/nystagmus ... @neudrawlogy #Lateral ... #Wallenbergs #neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central Causes ... Vertigo Peripheral Causes ... (TIA): • Lateral ... Cerebellar infarct or hemorrhage ... differential #diagnosis #neurology
Haemolacria and Spontaneous Globe Rupture on Physical Exam

One of the most horrendous complications of Dengue hemorrhagic
complications of Dengue hemorrhagic ... encountered during a neurology ... both eyes to find bilateral ... #Haemolacria #PhysicalExam ... globe #rupture #ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
dissociaton; • Usually unilateral ... Holmes-Adie Syndrome ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
WEBINO = Wall-eyed bilateral ... ABducting eye nystagmus ... clinical #video #physicalexam ... #ophthalmology ... #neurology
One & a half syndrome with upbeat nystagmus due to a left pontine + bimedullary infarction

Dr.
One & a half syndrome ... with upbeat nystagmus ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... The most common causes ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology