70 results
Seesaw Nystagmus 

Sawtooth or seesaw nystagmus is an unusual but characteristic type of nystagmus. Typically there
Seesaw Nystagmus ... Sawtooth or seesaw ... Nystagmus can be pendulum ... The pendular shape ... neurologiabr #seesaw
Seesaw nystagmus 
-> eye move in an opposed vertical fashion (one goes up while the other
Seesaw nystagmus ... can be either pendular ... (seesaw) or jerk ... (semi seesaw). ... Seesaw nystagmus
Left Sided Hemifacial Spasm on Physical Exam

Typically treated with botulinum toxin (Botox)

#Hemifacial #Spasm #PhysicalExam #clinical #video
Sided Hemifacial Spasm ... #Hemifacial #Spasm
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
or Esophageal Spasm ... Esophagus #Esophageal #Spasm
Infantile Spasms 
Associated with Tuberous Sclerosis 
1) Flexor spasms: Sudden flexion of neck, trunk, arms, and
Infantile Spasms ... Sclerosis 1) Flexor spasms ... 2) Extensor spasms ... flexor-extensor spasms ... year of age • Spasms
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
stiffness, rigidity, spasm ... emotional upset • Spasms ... death - diaphragm spasm ... of superimposed spasms
Hydrophobia on Physical Examination

Seen in the late stages of rabies.  Caused by painful paroxysmal contractions
contractions and spasms
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Distal Esophageal Spasm
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Pathophysiology: • Diffuse spasm ... may precipitate spasm
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Diffuse Esophageal Spasm