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differential clinical management ocular parinauds physicalexam bee causes gravis half hearing loss multiple myasthenia myelitis neuromuscular noninflammatory one oneandahalf otolaryngology
Parinaud's Syndrome What? - Impaired upgaze - Light-near dissociation - Convergence retraction nystagmus - Eyelid retraction (Collier's
Convergence retraction nystagmus ... - Eyelid retraction ... sign" - Vascular disease ... #diagnosis #pineal ... #neurology
Parinaud's syndrome What? • Light-near dissociation (tectal pupils) • Convergence retraction nystagmus • Eyelid retraction (Collier's sign)
Convergence retraction nystagmus ... • Eyelid retraction ... Hydrocephalus -> "setting ... sign • Vascular disease ... #neurology #diagnosis
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Demyelinating Disease ... (MS), Epidural ... Myelitis, Trauma, Tumor ... #differential #diagnosis ... #neurology
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Multiple Sclerosis (MS ... neurodegenerative disease ... nearly 3:1 • MS ... • Or brainstem syndromes ... Incontinence • VISUAL: Nystagmus
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
- Differential Diagnosis ... Neurogenic Ptosis - Neurologic ... disease affecting ... #Ptosis #neurology ... #ophthalmology
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
EOM testing displayed ... the hospital, diagnosed ... with MS, and started ... #ophthalmology ... #neurology
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 BEE Syndromes - Non-inflammatory Causes Immune-mediated conditions affecting the Brain, Eye, and Ear Visual or auditory symptoms in
and less common diseases ... important, as early diagnosis ... sensorineural hearing ... consistent with MS ... #neurology #noninflammatory
Ocular Myasthenia Gravis on Physical Exam A 41yo female was referred by her neurologist for double vision.
, and always ask ... anterior_seg_rocks #eyelid ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology
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 Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
Diagnosis Framework ... include a: • Neurologic ... II ○ Susac’s syndrome ... Noise trauma ○ MS ... ○ HIV ○ Lyme disease
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
10-33% develop MS ... swollen, while in MS ... Predictive of MS ... Multiple sclerosis (MS ... #management #neurology
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