13 results
Vertical Nystagmus and Ophthalmoplegia on Physical Exam in Wernicke Encephalopathy

Dr. Bruno Farnetano @bruno.farnetano

#Vertical #Nystagmus #Ophthalmoplegia #Wernicke
Vertical Nystagmus ... and Ophthalmoplegia ... #Ophthalmoplegia ... PhysicalExam #clinical #ophthalmology ... #neurology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Ocular Nystagmus ... BPPV after Dix Hallpike ... Posterior #Dix #Hallpike ... #physicalexam #ophthalmology ... #neurology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Ocular Nystagmus ... BPPV after Dix Hallpike ... 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 ... Varies • No neurologic ... vascular causes • Nystagmus ... findings BPPV • Short-lived ... Positive Hallpike
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
ABducting eye nystagmus ... evoked Upbeat nystagmus ... #internuclear #ophthalmoplegia ... #physicalexam #ophthalmology ... #neurology
Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
Dix-Hallpike Maneuver ... of BPPV The Dix–Hallpike ... , nystagmus starts ... indicate anterior ... Diagnosis #BPPV #neurology
Dix-Hallpike Maneuver for the Diagnosis of BPPV (Animated)

The Dix–Hallpike test (Nylen Barany test) is a diagnostic
Dix-Hallpike Maneuver ... Animated) The Dix–Hallpike ... , nystagmus starts ... indicate anterior ... Diagnosis #BPPV #neurology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... Supports the patient ... Nystagmus 2. ... affected ear #Dix #Hallpike ... Instructions #Diagnosis #neurology
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear Ophthalmoplegia ... Bilateral Internuclear ophthalmoplegia ... Abducting eye nystagmus ... clinical #video #neurology ... #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... an internuclear ophthalmoplegia ... abduction with nystagmus ... clinical #video #ophthalmology ... #neurology