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Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Nerve palsy • Medial ... One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Important Causes of Diplopia TIER 1-CRITICAL Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn TIER 2-EMERGENT: Vertebral dissection, Myasthenia gravis,
Important Causes ... syndrome, Cavernous ... Miller-Fisher syndrome ... mass #Diplopia #differential ... #diagnosis #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 ... #Diagnosis #Causes
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
Orbital Apex Syndrome ... acetate to help with ocular ... Orbital Apex Syndrome ... HZO #clinical #video ... #ophthalmology
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 Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm Insufficient Sleep • Poor Sleep Hygiene • Insomnia
Causes of Excessive ... Diagnosis Algorithm ... Medical/Psychiatric ... Disorders • Neurologic ... #Causes
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 ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
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 Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm Phoria: • Latent deviation • Symmetrical corneal light reflex,
Strabismus - Ocular ... Misalignment - Differential ... Diagnosis Algorithm ... #Strabismus #Ocular ... #Causes #Ophthalmology
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... Neurogenic Ptosis - Neurologic ... #Ptosis #neurology ... #Differential # ... Diagnosis #ophthalmology
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 ... #PhysicalExam #neurology ... #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • Neurologic ... depress when looking medially ... #DoubleVision #Differential ... #Causes #Ophthalmology
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