11 results
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction Nystagmus ... left 6th nerve palsy ... Convergence #retraction #nystagmus ... clinical #video #neurology ... #ophthalmology
Primary Downbeat Nystagmus on Ocular Examination

Primary downbeat nystagmus, most evident on looking down and out .
Primary Downbeat ... Nystagmus on Ocular ... nystagmus, most ... #physicalexam #neurology ... #ophthalmology
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
dysfunction • Nystagmus ... Lateral rectus palsy ... Ataxia • Gait ... Triad #Diagnosis #Neurology
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
movements found in Downbeat ... Nystagmus Downbeat ... Eye Center #Downbeat ... #Ophthalmology ... #Neurology #Clinical
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
Downbeat Nystagmus ... Why downbeat nystagmus ... #Nystagmus #PhysicalExam ... video #ocular #ophthalmology ... #neurology
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
DYSFUNCTION (29%) Nystagmus ... Lateral Rectus Palsy ... Conjugate Gaze Palsy ... GAIT ATAXIA (23% ... diagnosis #triad #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
maintained the ability ... A nystagmus in far ... abduction with nystagmus ... clinical #video #ophthalmology ... #neurology
Acquired Downbeat Nystagmus

This 62 yo AA female reported to clinic for retinal evaluation of diabetic PDR.
Acquired Downbeat ... A downbeat nystagmus ... anterior_seg_rocks #Downbeat ... #video #ophthalmology ... #physicalexam #neurology
DANISH Mnemonic for Cerebellar Signs of Disease

D - Dysdiadochokinesia / Dysmetria - Impaired ability to perform
Dysmetria - Impaired ability ... movements); Impaired ability ... A - Ataxia - Gait ... N - Nystagmus (horizontal ... Signs #Diagnosis #Neurology
Periodic Alternating Gaze (PAG) on Physical Exam

Periodic Alternating Gaze (PAG) is an involuntary continuous cyclic horizontal
Periodic alternating nystagmus ... spontaneous horizontal nystagmus ... pathological mechanism (instability ... Alternating #Gaze #neurology ... physicalexam #ocular #ophthalmology