149 results
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Anisocoria - Pupillary ... Physiological - Simple Anisocoria ... ( Anisocoria ... pilocarpine • Oculomotor ... Idiopathic #Anisocoria
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Anisocoria Evaluation ... If anisocoria iS ... - Horner's Syndrome ... - Physiologic Anisocoria ... Iris Damage #Anisocoria
Right Oculomotor (CNIII) Palsy caused by Stroke

Dr. Bruno Farnetano @bruno.farnetano

#Oculomotor #CNIII #Palsy #clinical #video #CN3 #clinical
Right Oculomotor ... bruno.farnetano #Oculomotor ... video #neurology #physicalexam
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
a sudden onset anisocoria ... the exception of anisocoria ... evaluation of anisocoria ... would suggest oculomotor ... ophthalmology #physicalexam
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
Unequal Pupils (anisocoria ... - Homer's Syndrome ... Differential #Types #Anisocoria
CN III Palsy - Oculomotor Nerve
 • Ptosis: Loss of innervation of the levator palpebrae superior.
CN III Palsy - Oculomotor ... comparison to Horner's syndrome ... CNIII #CN3 #Palsy #Oculomotor
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... • Physiologic Anisocoria ... #Adies #Pupil #PhysicalExam
Horner's Syndrome
 • Anhidrosis: Diminished sweating of ipsilateral face and neck
 • Miosis: Loss of sympathetic
Horner's Syndrome ... comparison to oculomotor ... neudrawlogy #Horners #Syndrome
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... diagnosis of Horner's syndrome ... anterior_seg_rocks #Horners #Syndrome ... ophthalmology #physicalexam ... #neurology #Anisocoria
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Disorders • CN Ill (Oculomotor ... One-and-a-half Syndrome