12 results
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 ... #ocular #physicalexam ... clinical #video #neurology ... #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN Ill Palsy ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... (no horizontal movement ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology
Traumatic Lateral Rectus Palsy on Ocular Examination

Impaired left lateral eye movement with left gaze after MVA.
Rectus Palsy on ... eye movement with ... #CN6 #Ocular #physicalexam ... clinical #video #neurology ... #ophthalmology
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Abducting eye nystagmus ... during some of the movements ... #BINO #ocular #physicalexam ... clinical #video #neurology ... #ophthalmology
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
causes downbeat ... as it points to bilateral ... #PhysicalExam # ... video #ocular #ophthalmology ... #neurology
Anti-IgLON5 Encephalitis - Ocular Examination

Female with 6 months h/o excessive daytime sleepiness, abnormal movements, dysarthria. On
progressive supranuclear palsy ... (PSP like) syndrome ... Encephalitis #Ocular #PhysicalExam ... clinical #video #neurology ... #ophthalmology
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
Characteristic eye movements ... downgaze and also by lateral-down ... #Vertical #Ophthalmology ... #Neurology #Clinical ... Video #Ocular #PhysicalExam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... dysfunction to the bilateral ... Casey Albin MD @ ... caseyalbin #PhysicalExam ... #neurology #comatose