56 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 ... #physicalexam #clinical ... #video #neurology ... #ophthalmology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central ... Causes of Vertigo ... Peripheral Causes ... Cerebellar infarct or hemorrhage ... #diagnosis #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
vomiting, auditory symptoms ... Bone Fracture Central ... symptoms/signs, ... • Cerebellar Hemorrhage ... Dizziness #Vertigo #Neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
patient with vertigo symptoms ... cause of vertigo ... #PhysicalExam #Clinical ... Video #Positive #Neurology ... #Central #Vertigo
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... Cerebellar hemorrhage ... (Wallenberg's syndrome ... Syndrome usually ... differential #diagnosis #neurology
BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear

Visual or auditory symptoms in conjunction
Visual or auditory symptoms ... conjunction with symptoms ... attributable to central ... Inflammatory causes ... #neurology #inflammatory
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
patient with vertigo symptoms ... cause of vertigo ... #PhysicalExam #Clinical ... #Video #Neurology ... #Vertigo #Central
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Cause This patient ... patient with vertigo symptoms ... cause of vertigo ... #PhysicalExam #Clinical ... #Video #Neurology
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Clinical Manifestations ... of Serotonin Syndrome ... • Ophthalmologic ... : Mydriasis, Ocular ... #Symptoms #spectrum