42 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
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
, Orbital apex syndrome ... Miller-Fisher syndrome ... Graves disease), Ophthalmoplegic ... mass #Diplopia #differential ... #diagnosis #ophthalmology
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
Causes of Anterior Uveitis - Differential Diagnosis
Anterior Uveitis - 90% of cases of Uveitis
 • Inflammation
Uveitis - Differential ... Posner-Schlossman Syndrome ... HIA B27-related syndrome ... #Uveitis #Differential ... Diagnosis #Causes #ophthalmology
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
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 ... Vertigo #Algorithm #differential
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