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

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
with a left 6th nerve ... palsy Caused ... #physicalexam # ... clinical #video #neurology ... #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Palsy • CN IV ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... Diagnosis: • CN Ill Palsy ... dissociation • Other causes ... #PhysicalExam # ... neurology #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• CN VI palsy ... ptosis with CN Ill palsy ... • Neurologic ... large/unreactive pupil ... #Causes #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... suggest oculomotor nerve ... palsy. ... #physicalexam # ... neurology
Left oculomotor paralysis probably of ischemic cause.

via @neurologiabr

#oculomotor #nerve #paralysis #palsy #CNIII #CN3 #clinical #video #neurology
probably of ischemic cause ... #oculomotor #nerve ... #paralysis #palsy ... #ophthalmology ... #PhysicalExam
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... acetate to help with ocular ... clinical #video #ophthalmology ... #physicalexam # ... neurology
Cover - Uncover Test Revealing CNVI Palsy

Here the Cover-Uncover test unmasks subtle right CN VI palsy.
Revealing CNVI Palsy ... CN6 #Abducens #Nerve ... clinical #video #neurology ... #ophthalmology ... #ocular #physicalexam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
threat Cranial Nerves ... • Vestibulo-ocular ... Cough reflex Pupils ... caseyalbin #PhysicalExam ... #neurology #comatose