16 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... : • CN Ill Palsy ... dissociation • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
PalsyCN IV ... palsyCN VI ... One-and-a-half Syndrome ... #neurology #differential ... #diagnosis #ocular
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 ... retraction #nystagmus #ocular ... physicalexam #clinical #video ... #neurology #ophthalmology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... axillary nerve ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
- Horner's Syndrome ... III Palsy - Pharmacologic ... Dilatation - Adie's ... Anisocoria #Evaluation #Algorithm ... #Ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
CN VI palsy ... Ill palsy ... • Neurologic ... #Algorithm #Causes ... #Ophthalmology
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 ... #video #neurology ... #ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
CN III palsy 2. ... junction, cranial nerve ... eyelid: • Third nerve ... palsy • Horner ... #ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
• Oculomotor Nerve ... Fascicle (Other CN ... pilocarpine • Tonic (Adie's ... #Algorithm #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. ... #ophthalmology ... #physicalexam #neurology