10 results
Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
- Light-near dissociation ... retraction nystagmus - Eyelid ... → "setting sun sign ... Parinauds #Syndrome #diagnosis ... #pineal #neurology
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
- Light-near dissociation ... intact) - Usually bilateral ... Robertson #Pupil #neurology ... #diagnosis #ophthalmology ... #physicalexam
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
• Light-near dissociation ... retraction nystagmus • Eyelid ... "setting sun" sign ... Parinauds #syndrome #neurology ... #diagnosis
Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when the more affected
Because of bilateral ... eyelid innervation ... Myasthenia #Gravis #PhysicalExam ... clinical #video #neurology ... ophthalmology #ocular
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
Because of bilateral ... eyelid innervation ... Myasthenia #Gravis #PhysicalExam ... clinical #video #neurology ... ophthalmology #ocular
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
Because of bilateral ... eyelid innervation ... Myasthenia #Gravis #PhysicalExam ... clinical #video #neurology ... ophthalmology #ocular
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
; • Usually unilateral ... females Differential Diagnosis ... no light-near dissociation ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
EOM weakness and bilateral ... such as cogan sign ... anterior_seg_rocks #eyelid ... #Gravis #PhysicalExam ... ophthalmology #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... with light near dissociation ... in those rare bilateral ... ophthalmology #physicalexam ... #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
dysfunction to the bilateral ... • Vestibulo-ocular ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose