12 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN Ill Palsy ... abnormal extraocular movements ... dissociation • Other causes ... #PhysicalExam #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... differential #diagnosis #ocular
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
with a left 6th nerve ... palsy Caused ... retraction #nystagmus #ocular ... physicalexam #clinical #video ... #neurology #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... suggest oculomotor nerve ... palsy. ... anisocoria #clinical #video ... #physicalexam #neurology
Opsoclonus-Myoclonus Ataxia Syndrome (OMAS) -Dancing eyes - dancing feet syndrome
 • Opsoclonus: ocular spontaneous, arrhythmic, conjugate
• Opsoclonus: ocular ... conjugate saccades movements ... caused by muscular ... #clinical #video ... #neurology #gait
Anti-IgLON5 Encephalitis - Ocular Examination

Female with 6 months h/o excessive daytime sleepiness, abnormal movements, dysarthria. On
Encephalitis - Ocular ... progressive supranuclear palsy ... (PSP like) syndrome ... PhysicalExam #clinical #video ... #neurology #ophthalmology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Optic Nerve/Pathway ... Ocular Adverse Effects ... Tumor • Optic nerve ... glaucoma • GCA • Adie ... or without eye movement
Left Tongue Deviation caused by UMN XII palsy

Looks can be deceiving. The UMN innervation of most
Tongue Deviation caused ... of most cranial nerves ... the preserved movements ... #clinical #video ... #physicalexam #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the follow up video ... fasciculus), which causes ... (no horizontal movement ... The most common causes ... ophthalmology #neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... acetate to help with ocular ... other potential causes ... HZO #clinical #video ... #physicalexam #neurology