30 results
Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-
Opsoclonus Myoclonus ... Ataxia Syndrome ... multidirectional fast eye movements ... PhysicalExam #clinical #video ... #neurology #ophthalmology
Opsoclonus-Myoclonus Ataxia Syndrome (OMAS) -Dancing eyes - dancing feet syndrome
 • Opsoclonus: ocular spontaneous, arrhythmic, conjugate
conjugate saccades movements ... shock-like, involuntary movements ... caused by muscular ... #clinical #video ... #neurology #gait
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... macropsia), color, movement ... (Many causes!) ... #diagnosis #neurology ... #differential
Causes of Hyperkinetic Movement Disorders - Differential Diagnosis Algorithm
Tics:
 • Tourette's Syndrome
 • Attention Deficit Hyperactivity
Causes of Hyperkinetic ... Movement Disorders ... - Differential ... • Tourette's Syndrome ... Stereotypies Myoclonus
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... - Differential ... Generalized: Absence, Myoclonic ... vasoconstriction syndrome ... #neurology
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Causes of Excessive ... Daytime Sleepiness - Differential ... Restless Legs Syndrome ... Periodic Limb Movement ... Parkinson's, MS)
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... abnormal extraocular movements ... dissociation • Other causes ... #ophthalmology
Palatal Myoclonus on Physical Exam

Rhythmic jerky movements of the soft palate are seen, most often caused
Palatal Myoclonus ... Rhythmic jerky movements ... seen, most often caused ... PhysicalExam #clinical #video ... #neurology #palate
Ataxic gait (Spino-cerebellar ataxia)

#Ataxic #gait disorders occur due to dysfunction of the #cerebellum, the part of
coordination of movements ... Typical causes of ... cerebellar type (MSA-C ... #clinical #video ... #neurology #Spinocerebellar