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management algorithm causes ophthalmology spinal spinalcord adies behcet comatose disease disorders gravis hemiplegia horners lesions ms multiple myasthenia neuromuscular pupil
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 ... no light-near dissociation ... • Physiologic Anisocoria
Causes of Hemiplegia - Differential Diagnosis Algorithm Cerebral Hemisphere (Contralateral motor cortex) • Aphasia • Apraxia •
Contralateral motor cortex ... Brain Stem • Diplopia ... Unilateral Spinal Cord ... Brown-Sequard Syndrome ... #Hemiplegia #Neurology
Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... of Horner's syndrome ... #Syndrome #clinical ... #neurology #Anisocoria
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 Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... Brown-Séquard Syndrome ... Syndrome: • Etiology ... #syndromes #lesions ... diagnosis #neurology
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Weakness • Spinal Cord ... Guillain-Barre syndrome ... Lambert Eaton Syndrome ... Weakness #Causes #differential ... #diagnosis #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential ... Diagnosis Framework ... neurological lesion: Clinical ... MCTD, Sjogren syndrome ... #neurology #differential
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
Behçet's Syndrome ... occlusion, Budd-Chiari syndrome ... tests in Behcet syndrome ... adenopathy (PFAPA) syndrome ... hyperimmunoglobulin D syndrome
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
• Or brainstem syndromes ... Optic neuritis, Diplopia ... stimulation Clinical ... (Spinal cord predominant ... #management #neurology
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
thyroid, Sjogren syndrome ... - 50%: Ptosis, diplopia ... “dropping head syndrome ... - Kearns-Sayre syndrome ... Eaton myasthenia syndrome
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... Pupils: • Anisocoria ... #neurology #comatose
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