11 results
Vertical Nystagmus and Ophthalmoplegia on Physical Exam in Wernicke Encephalopathy

Dr. Bruno Farnetano @bruno.farnetano

#Vertical #Nystagmus #Ophthalmoplegia #Wernicke
Vertical Nystagmus ... and Ophthalmoplegia ... Encephalopathy #PhysicalExam ... #clinical #ophthalmology ... #neurology
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
B1 (Thiamine) Deficiency ... dysfunctions ( e.g. ophthalmoplegia ... and nystagmus) ... development of Korsakoff syndrome ... Diagnosis #Management #neurology
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
ABducting eye nystagmus ... evoked Upbeat nystagmus ... clinical #video #physicalexam ... #ophthalmology ... #neurology
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear Ophthalmoplegia ... Abducting eye nystagmus ... #BINO #ocular #physicalexam ... clinical #video #neurology ... #ophthalmology
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
Thiamine Deficiency ... Causes of Thiamine Deficiency ... HF • Moderate pulmonary ... condition: - Nystagmus ... - Ophthalmoplegia
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
cirrhosis, nephrotic syndrome ... Stress, Nausea, ... Pulmonary Diseases ... Glucocorticoid Deficiency ... Algorithm #diagnosis #nephrology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... an internuclear ophthalmoplegia ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology
One & a half syndrome with upbeat nystagmus due to a left pontine + bimedullary infarction

Dr.
One & a half syndrome ... with upbeat nystagmus ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... ptosis, severe ophthalmoplegia ... clinical #video #ophthalmology ... #physicalexam # ... neurology
Anti-IgLON5 Encephalitis - Ocular Examination

Female with 6 months h/o excessive daytime sleepiness, abnormal movements, dysarthria. On
phenotype (vertical ophthalmoplegia ... palsy (PSP like) syndrome ... Encephalitis #Ocular #PhysicalExam ... clinical #video #neurology ... #ophthalmology