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

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction Nystagmus ... left 6th nerve palsy ... Convergence #retraction #nystagmus ... #ocular #physicalexam ... clinical #video #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Oculomotor) Nerve Palsy ... One-and-a-half Syndrome ... ophthalmology #neurology ... #differential # ... diagnosis #ocular
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
Inattentiveness Ocular ... dysfunction • Nystagmus ... Lateral rectus palsy ... Encephalopathy #Syndrome ... Triad #Diagnosis #Neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... abduction with nystagmus ... diagnosed with MS ... #PhysicalExam # ... ophthalmology #neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... CN III palsy 2. ... • Third nerve palsy ... #Ptosis #neurology ... #Differential #
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN Ill Palsy ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
Downbeat nystagmus ... The differential ... Ophthalmology #Neurology ... Clinical #Video #Ocular ... #PhysicalExam
Convergence-Retraction Nystagmus on Physical Exam

Convergence-retraction nystagmus: irregular, jerky nystagmus, associated with convergence and retraction of both
of Parinaud's syndrome ... mesencephalic syndrome ... #PhysicalExam # ... clinical #ocular ... #video #neurology
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Abducting eye nystagmus ... long standing MS ... Ophthalmoplegia #BINO #ocular ... #physicalexam # ... clinical #video #neurology
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