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

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction Nystagmus ... left 6th nerve palsy ... Convergence #retraction #nystagmus ... clinical #video #neurology ... #ophthalmology
Stroke Mimics - Differential Diagnosis - MINT Mnemonic
 • Metabolic: Hyper-glycemia, Hypoglycemia, Wernicke's encephalopathy, Mitochondrial Encephalopathy
Mitochondrial Encephalopathy ... • Infectious: Bell's ... palsy (HSV), Vestibular ... CNS abscess • Neurologic ... MINT #Mnemonic #neurology
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
Wernicke Encephalopathy ... 4): - Altered mental ... abnormalities (eg nystagmus ... classic triad of encephalopathy ... diagnosis #criteria #neurology
Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 • Disease fatal in 10% of
& inflammatory cells ... exertion • Neurologic ... : Bell's palsy, ... nodules, lupus pernio ... dysrhythmias • Ophthalmologic
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
Wernicke Encephalopathy ... - Triad Encephalopathy ... dysfunction • Nystagmus ... Lateral rectus palsy ... Triad #Diagnosis #Neurology
Causes of Facial Weakness - Differential Diagnosis Algorithm
Forehead Sparing = Central cause
  - Most commonly
Forehead Sparing = Central ... of facial nerve palsy ... - Unilateral: Bell's ... Palsy (70-75%), ... Algorithm #Causes #neurology
Vertical Nystagmus and Ophthalmoplegia on Physical Exam in Wernicke Encephalopathy

Dr. Bruno Farnetano @bruno.farnetano

#Vertical #Nystagmus #Ophthalmoplegia #Wernicke
Vertical Nystagmus ... Exam in Wernicke Encephalopathy ... #Vertical #Nystagmus ... PhysicalExam #clinical #ophthalmology ... #neurology
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
Wernicke Encephalopathy ... • Changes in mental ... ophthalmoplegia and nystagmus ... worsen Wernicke Encephalopathy ... Diagnosis #Management #neurology
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
ENCEPHALOPATHY ( ... DYSFUNCTION (29%) Nystagmus ... Lateral Rectus Palsy ... Conjugate Gaze Palsy ... diagnosis #triad #neurology
Types of Facial Paralysis - Peripheral vs Central Lesions

Facial weakness or paralysis may result either from
Peripheral vs Central ... exemplified here by a Bell's ... palsy, is compared ... Nerve #Paralysis #Bells ... #Palsy #Neurology