15 results
Right Oculomotor (CNIII) Palsy caused by Stroke

Dr. Bruno Farnetano @bruno.farnetano

#Oculomotor #CNIII #Palsy #clinical #video #CN3 #clinical
Oculomotor (CNIII) Palsy ... caused by Stroke ... #clinical #video ... #neurology #physicalexam ... #ophthalmology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... for the neuro-ophthalmologic ... Miller-Fisher syndrome ... neuropathy (orbital apex ... #Causes #Ophthalmology
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
left 6th nerve palsy ... Caused by a ... nystagmus #ocular #physicalexam ... #clinical #video ... #neurology #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... tumors along the apex ... experience, the cause ... #ophthalmology ... #physicalexam #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... : • CN Ill Palsy ... dissociation • Other causes ... #neurology #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Algorithm Clinical ... • CN VI palsy ... • Neurologic ... #Algorithm #Causes ... #Ophthalmology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... Orbital Apex Syndrome ... HZO #clinical #video ... #ophthalmology ... #physicalexam #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the follow up video ... the hospital, diagnosed ... #PhysicalExam # ... #ophthalmology # ... neurology