88 results
Left Abducens Spasm on Physical Exam

A 50 yr male with left facial spasm and diplopia, with
Left Abducens Spasm ... paroxysmal brainstem syndrome ... #CNVI #CN6 #PhysicalExam ... #clinical #ocular ... ophthalmology #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Nerve Palsy • CN ... Nerve palsy • CN ... One-and-a-half Syndrome ... ophthalmology #neurology ... differential #diagnosis #ocular
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Myasthenia Gravis • CNS ... • Esophageal Spasm ... Progressive Symptoms • Reflux
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
Sensory Motor Reflex ... Flexion Biceps Reflex ... C6 Dorsal Thumb ... Brachioradialis Reflex ... differential #diagnosis #Neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... • Vestibulo-ocular ... reflex • Gag ... #PhysicalExam #neurology
BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear

Visual or auditory symptoms in conjunction
BEE Syndromes - ... nervous system (CNS ... causes: • Susac syndrome ... • Sjögren syndrome ... #neurology #inflammatory
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 ... Management #treatment #neurology
CN III Palsy - Oculomotor Nerve
 • Ptosis: Loss of innervation of the levator palpebrae superior.
CN III Palsy - Oculomotor ... comparison to Horner's syndrome ... neudrawlogy #CNIII #CN3 ... Nerve #Cranial #neurology
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Light Reflex, Accommodation ... Ocular Movements ... (CN 3, 4, 6) ... Blood Vessels #Ocular
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... Other brainstem syndromes ... pain • Extra-CNS ... erythematosus, Sjögren syndrome ... Manifestations #diagnosis #neurology