12 results
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
disorder (Cardiac, pulmonary ... • Acute stroke syndromes ... Paraneoplastic syndrome ... EMG) studies • MRI ... Differential #Diagnosis #neurology
Locked-In Syndrome on Physical Exam

56 year-old male with acute onset altered sensorium. Suffered a cardiac arrest
Locked-In Syndrome ... infarct seen on MRI ... #LockedIn #Syndrome ... PhysicalExam #clinical #video ... #neurology
Asymmetric Umbilicus Reflex on Physical Exam

An asymmetric umbilicus reflex in a patient with scoliosis warrants an
Asymmetric Umbilicus ... Physical Exam An asymmetric ... scoliosis warrants an MRI ... umbilical #clinical #video ... #neurology #PhysicalExam
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... Manifestations: • Fairly symmetric ... Miller Fisher Syndrome ... axonal form • MRI ... management #treatment #neurology
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
will show symmetric ... which are usually asymmetric ... Diagnosis: MRI ... The clinical syndrome ... dementia #AIDS #Neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... the follow up video ... MRI was ordered ... PhysicalExam #clinical #video ... ophthalmology #neurology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
vascular bruits, asymmetric ... affects the skin, neurologic ... cognitive impairment, neurologic ... oligoclonal bands • MRI ... vasculitis • Cogan syndrome
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... progressive, fairly symmetric ... - Spinal MRI may ... Guillain #Barre #Syndrome ... diagnosis #management #neurology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome ... Torsemide) • Acute pulmonary ... and nephrotic syndrome ... Inhibitors of Na+CI ... Excretion #Diuresis #Nephrology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... The MRI findings ... Orbital Apex Syndrome ... HZO #clinical #video ... #physicalexam #neurology