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physicalexam clinical ocular diagnosis opsoclonus symptoms abducens ataxia cnvi iridodonesis iris myoclonus omas palsy slitlamp adies antiiglon5 apex apraxia behcet
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... #Extraocular #Movement ... #Localization #ophthalmology ... #neurology #differential
Iridodonesis Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
elicited by rapid movement ... occurs with eye movement ... with Marfan’s syndrome ... #PhysicalExam #Video ... #Ophthalmology
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 Clinical Manifestations of Serotonin Syndrome • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements) • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... • Ophthalmologic ... slow horizontal movements ... Diaphresis, flushing • CNS ... Symptoms #spectrum #signs
Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam Dancing eyes and dancing feet in an adult [Aka-
Myoclonus Ataxia Syndrome ... myoclonus ataxia syndrome ... multidirectional fast eye movements ... PhysicalExam #clinical #video ... #neurology #ophthalmology
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 Ocular Apraxia on Physical Exam Ocular Apraxia is the loss of voluntary and purposeful eye movement while
purposeful eye movement ... while all ocular ... movements remain ... PhysicalExam #clinical #video ... #neurology #ophthalmology
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 Opsoclonus-Myoclonus Ataxia Syndrome (OMAS) -Dancing eyes - dancing feet syndrome • Opsoclonus: ocular spontaneous, arrhythmic, conjugate
conjugate saccades movements ... occurring in all ... shock-like, involuntary movements ... #clinical #video ... #neurology #gait
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 Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
/pain upon eye movement ... Other brainstem syndromes ... pain • Extra-CNS ... Manifestations #diagnosis #neurology ... #symptoms #signs
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN ... abnormal extraocular movements ... #PhysicalExam #neurology ... #ophthalmology
Traumatic Lateral Rectus Palsy on Ocular Examination Impaired left lateral eye movement with left gaze after MVA.
left lateral eye movement ... Abducens #CNVI #CN6 ... physicalexam #clinical #video ... #neurology #ophthalmology
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 The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... stimulation to all ... • Examine for signs ... #PhysicalExam #neurology
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