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differential ophthalmology physicalexam clinical management treatment video adies algorithm alice ataxia causes cerebritis cns comatose disorders erythematosus extraocular gait half
Opsoclonus-Myoclonus Ataxia Syndrome (OMAS) -Dancing eyes - dancing feet syndrome • Opsoclonus: ocular spontaneous, arrhythmic, conjugate
spontaneous, arrhythmic, conjugate ... saccades movements ... shock-like, involuntary movements ... caused by muscular ... clinical #video #neurology
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 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
Alice in Wonderland Syndrome What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... macropsia), color, movement ... (Many causes!) ... * (most common cause ... #diagnosis #neurology
Causes of Hyperkinetic Movement Disorders - Differential Diagnosis Algorithm Tics: • Tourette's Syndrome • Attention Deficit Hyperactivity
Causes of Hyperkinetic ... Movement Disorders ... • Tourette's Syndrome ... Disease Athetosis Ballism ... MovementDisorders #Neurology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... abnormal extraocular movements ... dissociation • Other causes ... #PhysicalExam #neurology
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
/pain upon eye movement ... involvement: Intractable nausea ... Other brainstem syndromes ... Manifestations #diagnosis ... #neurology #symptoms
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... Casey Albin MD @ ... #PhysicalExam #neurology
CNS Manifestations of Systemic Lupus Erythematosus (SLE) Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Demyelinating Syndrome ... , Headache, Movement ... autoantibodies that will cause ... permeability Diagnosis ... Erythematosus #SLE #CNS #neurology
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary Epidemiology: • Prevalence: 1-2 cases per million -
(SPS) - Diagnosis ... Prevalence: 1-2 cases ... Triggers - sudden movement ... triggered by noise, movement ... Management #treatment #neurology
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
fasciculus), which causes ... (no horizontal movement ... The most common causes ... the hospital, diagnosed ... ophthalmology #neurology
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