39 results
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
left 6th nerve palsy ... Caused by a ... #ocular #physicalexam ... #clinical #video ... #neurology #ophthalmology
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
Inattentiveness Ocular ... dysfunction • Nystagmus ... Lateral rectus palsy ... Ataxia • Gait ... Triad #Diagnosis #Neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Oculomotor) Nerve Palsy ... One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... differential #diagnosis #ocular
Opsoclonus-Myoclonus Ataxia Syndrome (OMAS) -Dancing eyes - dancing feet syndrome
 • Opsoclonus: ocular spontaneous, arrhythmic, conjugate
- dancing feet syndrome ... • Opsoclonus: ocular ... involuntary movements caused ... #clinical #video ... #neurology #gait
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... fasciculus), which causes ... abduction with nystagmus ... The most common causes ... ophthalmology #neurology
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
Diagnosis and Management ... ophthalmoplegia and nystagmus ... dysfunction (e.g. gait ... development of Korsakoff syndrome ... #neurology #nutrition
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
- Wallenberg's Syndrome ... Artery occlusion) Clinical ... Findings: • Nausea ... vomiting/vertigo/nystagmus ... #Wallenbergs #neurology
Scissor Gait on Physical Exam

A scissoring gait is characterized by the thighs and knees crossing each
Scissor Gait on ... Caused by spastic ... seen in cerebral palsy ... #PhysicalExam #clinical ... #video #neurology
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
Encephalopathy CLINICAL ... DYSFUNCTION (29%) Nystagmus ... Lateral Rectus Palsy ... GAIT ATAXIA (23% ... diagnosis #triad #neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
think about three clinical ... CN III palsy 2. ... Neurogenic Ptosis - Neurologic ... • Third nerve palsy ... #Ptosis #neurology