9 results
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
BPPV after Dix Hallpike ... beating to left ear ... Posterior #Dix #Hallpike ... #physicalexam #ophthalmology ... #neurology #Frenzel
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... vascular causes • Nystagmus ... Positive Hallpike ... Vertigo #Algorithm #differential ... #diagnosis #neurology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... 45° towards the test ... throughout the test ... #Dix #Hallpike ... Instructions #Diagnosis #neurology
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
The test is positive ... is rotational nystagmus ... toward the affected ear ... #Maneuver #neurology ... vertigo #bppv #management
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
skin injury) • Neurologic ... Behcet disease) Differential ... Giant retinal tears ... inhibitors • Uveitis- Ophthalmology ... Syndrome #diagnosis #management
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
affected right ear ... Allow any nystagmus ... Again, allow any nystagmus ... positional #vertigo #neurology ... #physicalexam #management
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
affected right ear ... Allow any nystagmus ... Again, allow any nystagmus ... positional #vertigo #neurology ... #physicalexam #management
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
in the US each year ... negative, MOG-IgG test ... Herpes zoster, West ... Myelitis #diagnosis #management ... #neurology #differential
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... very remarkable w/differential ... the “Chewing gum test ... required +/- prompt ophthalmology ... Symptoms #Diagnosis #Management