21 results
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
• Changes in mental ... ophthalmoplegia and nystagmus ... Anorexia nervosa Treatment ... development of Korsakoff syndrome ... #neurology #nutrition
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
Diagnosis: Congenital ... achromatopsia, & formal ophthalmology ... Cooper Neurology ... ocular #clinical #video ... #neurology #ophthalmology
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
Clinical Diagnosis ... 4): - Altered mental ... abnormalities (eg nystagmus ... #diagnosis #criteria ... #neurology
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
Korsakoff Syndrome
Clinical Findings:
 • Confabulation: Usually initial phase of the disease
 • Anterograde amnesia: Memory impairment
Korsakoff Syndrome ... presentation of Thiamine deficiency ... Therefore, Korsakoff Syndrome ... Encephalopathy Treatment ... #neurology #diagnosis
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... formation) and MLF (medial ... the hospital, diagnosed ... #ophthalmology ... #neurology
One & a half syndrome with upbeat nystagmus due to a left pontine + bimedullary infarction

Dr.
One & a half syndrome ... with upbeat nystagmus ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... or induced by treatment ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
dysfunction • Nystagmus ... Encephalopathy #Syndrome ... #Triad #Diagnosis ... #Neurology #Thiamine ... #Deficiency
Convergence-Retraction Nystagmus on Physical Exam

Convergence-retraction nystagmus: irregular, jerky nystagmus, associated with convergence and retraction of both
discharge from the medial ... of Parinaud's syndrome ... mesencephalic syndrome ... clinical #ocular #video ... #neurology