24 results
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
fasciculus), which causes ... one side and an internuclear ... The most common causes ... diagnosed with MS
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear ... ) Bilateral Internuclear ... long standing MS ... #Bilateral #Internuclear
Wall-eyed bilateral inter nuclear ophthalmoplegia (WEBINO) Syndrome

In this specific case, the lesion is bilaterally in the
this specific case ... Walleyed #bilateral #internuclear
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Multiple Sclerosis (MS ... nearly 3:1 • MS ... syndromes such as internuclear ... Fulminant Forms of MS ... Lhermitte’s sign • Internuclear
Trichodysplasia spinulosa: follicles plugged w/ hyperkeratotic & parakeratotic debris, excessive inner root sheath differentiation towards keratinization.
EM shows intranuclear
Neoplastic plasma cells with nucleoli (left image) and intranuclear Dutcher body (right image).

Dutcher bodies are round,
left image) and intranuclear ... DutcherBody #Bodies #Intranuclear
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
Wall-eyed bilateral internuclear ... WEBINO #Walleyed #internuclear
Demyelinating Diseases - Differential Diagnosis
 • Inflammatory: MS, ADEM, NMO, Paraneoplastic, Sjogren's, Polyarteritis nodosa, SLE
 •
Inflammatory: MS ... Differential #Diagnosis #causes
MAGIC DR – a handy mnemonic used to remember the potential causes of a cerebral ring
the potential causes ... eg. tumefactive MS
Unilateral Acute Vision Loss - Differential Diagnosis Algorithm
Painful - Cornea
 • Keratopathy
Painful - No Abnormalities of
Demyelination • MS ... Diagnosis #Algorithm #Causes