21 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
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
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
- Wallenberg's Syndrome ... usually Posterior Inferior ... vomiting/vertigo/nystagmus ... Ipsilateral ataxia - Inferior ... #Wallenbergs #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
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
dysfunctions ( e.g. ophthalmoplegia ... and nystagmus) ... development of Korsakoff syndrome ... Diagnosis #Management #neurology
Acquired Immunodeficiency Syndrome (AIDS): Summary of Causes and Ocular Manifestations
 • Molluscum lesions
 • Eyelid Kaposi
Immunodeficiency Syndrome ... B-cell lymphoma • Anterior ... • Cotton wool spots ... Complications #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
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
• Or brainstem syndromes ... as internuclear ophthalmoplegia ... • Internuclear ophthalmoplegia ... Incontinence • VISUAL: Nystagmus ... taper 3-7 days - Short
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
- Refeeding syndrome ... condition: - Nystagmus ... - Ophthalmoplegia ... • Korsakoff Syndrome ... : - Impaired short-term
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Horner’s syndrome ... Neurogenic Ptosis - Neurologic ... Supranuclear lesions • Ophthalmoplegia ... #Ptosis #neurology ... Differential #Diagnosis #ophthalmology