11 results
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 ... of tonic pupil ... #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... infection which causes ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology #syndrome
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
- Horner's Syndrome ... Anisocoria - CN III Palsy ... Dilatation - Adie's ... Tonic Pupil - ... #Diagnosis #Ophthalmology
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... macropsia), color, movement ... (Many causes!) ... #diagnosis #neurology ... #differential
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... oculomotor nerve palsy ... #ophthalmology ... #physicalexam #neurology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis and Miosis - Differential ... closure glaucoma, Adie's ... tonic pupil, Migraine ... Miosis: Horner's syndrome ... #diagnosis #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the follow up video ... (no horizontal movement ... The most common causes ... #ophthalmology ... #neurology
Anti-IgLON5 Encephalitis - Ocular Examination

Female with 6 months h/o excessive daytime sleepiness, abnormal movements, dysarthria. On
difficulty), bulbar syndrome ... progressive supranuclear palsy ... (PSP like) syndrome ... PhysicalExam #clinical #video ... #neurology #ophthalmology
Causes of Hyperkinetic Movement Disorders - Differential Diagnosis Algorithm
Tics:
 • Tourette's Syndrome
 • Attention Deficit Hyperactivity
Movement Disorders ... - Differential ... • Tourette's Syndrome ... • Epilepsy • Toxic ... MovementDisorders #Neurology