12 results
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Unilateral Facial Nerve ... - Atypical Clinical ... , tumor, parotid ... LP (if suspect GBS ... Management #Treatment #Neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... : • CN Ill Palsy ... trauma/orbital tumor ... #PhysicalExam #neurology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Myelitis, Trauma, Tumor ... • Motor Nerves ... Poliomyelitis, Guillain-Barre ... #differential #diagnosis ... #neurology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... cases/100,000 per year ... Clinical Features ... Diagnosis: • ... #treatment #neurology
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... per 100,000 per year ... #Guillain #Barre ... #Syndrome #diagnosis ... #management #neurology
Ramsay Hunt Syndrome (Herpes zoster oticus) wit Facial Nerve Palsy
Triad: 
 - Ipsilateral facial paralysis
 -
Ramsay Hunt Syndrome ... paralysis - ear ... #video #neurology ... #clinical #video ... #physicalexam #CN7
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... Algorithm Clinical ... • CN VI palsy ... • Neurologic ... large/unreactive pupil
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
- Differential Diagnosis ... include a: • Neurologic ... (CN 8) ... II ○ Susac’s syndrome ... #Differential #Diagnosis
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... skin injury) • Neurologic ... (Clinical Dx). ... Giant retinal tears ... interferon alfa, or tumor
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
threat Cranial Nerves ... Cough reflex Pupils ... myoclonic movements, tremors ... If ok with ICU team ... #PhysicalExam #neurology