15 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... minutes to days • Nystagmus ... vascular causes • Nystagmus ... findings BPPV • Short-lived ... #differential #diagnosis
Vertical Nystagmus and Ophthalmoplegia on Physical Exam in Wernicke Encephalopathy

Dr. Bruno Farnetano @bruno.farnetano

#Vertical #Nystagmus #Ophthalmoplegia #Wernicke
Vertical Nystagmus ... and Ophthalmoplegia ... Encephalopathy #PhysicalExam ... #clinical #ophthalmology ... #neurology
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
Diagnosis: Congenital ... Cooper Neurology ... #PhysicalExam # ... clinical #video #neurology ... #ophthalmology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... Nausea/vomiting/vertigo ... /nystagmus - Vestibular ... #Wallenbergs #neurology ... #diagnosis
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... Central #Peripheral #Vertigo ... #diagnosis #neurology
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
ABducting eye nystagmus ... evoked Upbeat nystagmus ... clinical #video #physicalexam ... #ophthalmology ... #neurology
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear Ophthalmoplegia ... Abducting eye nystagmus ... #BINO #ocular #physicalexam ... clinical #video #neurology ... #ophthalmology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... Occlusion of posterior inferior ... with significant neurologic ... #differential #diagnosis ... #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
an internuclear ophthalmoplegia ... the hospital, diagnosed ... Half #Syndrome #PhysicalExam ... clinical #video #ophthalmology ... #neurology
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
as internuclear ophthalmoplegia ... • Internuclear ophthalmoplegia ... Incontinence • VISUAL: Nystagmus ... taper 3-7 days - Short ... #management #neurology