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

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction Nystagmus ... nerve palsy Caused ... Convergence #retraction #nystagmus ... clinical #video #neurology ... #ophthalmology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a peripheral cause ... with a central cause ... with an AVS with nystagmus ... #PhysicalExam #Neurology ... VestibularSyndrome #Posterior
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Ocular Nystagmus ... Maneuver This is a case ... #BPPV #Posterior ... #physicalexam #ophthalmology ... #neurology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
vertigo due to Posterior ... Stroke (usually Posterior ... Clinical Findings: • Nausea ... vomiting/vertigo/nystagmus ... #Wallenbergs #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... than 3mm in this case ... rare bilateral cases ... clinical #video #ophthalmology ... #physicalexam #neurology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Maneuver This is a case ... of right posterior ... #BPPV #Posterior ... #physicalexam #ophthalmology ... #neurology #Frenzel
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
dissociation • Other causes ... • Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... with vascular causes ... • Nystagmus: ... positional episodes caused ... Hallpike test (posterior
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... forehead) in classic posterior ... with vascular causes ... , such as with posterior ... circulation TIA • Nystagmus
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
experience, the cause ... surgery; as in our case ... clinical #video #ophthalmology ... #physicalexam #neurology ... #Anisocoria