10 results
Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
Convergence retraction nystagmus ... tumors - Multiple Sclerosis ... Hydrocephalus → "setting ... sign" - Vascular disease ... diagnosis #pineal #neurology
One & a half syndrome with upbeat nystagmus due to a left pontine + bimedullary infarction

Dr.
with upbeat nystagmus ... @bobvarkey #OneAndAHalf ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
Convergence retraction nystagmus ... tumors • Multiple sclerosis ... Hydrocephalus -> "setting ... sign • Vascular disease ... #neurology #diagnosis
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
, and multiple sclerosis ... diagnosed with MS ... anterior_seg_rocks #OneAndAHalf ... #ophthalmology ... #neurology
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
neurodegenerative disease ... • Or brainstem syndromes ... : • Tumor-like ... Incontinence • VISUAL: Nystagmus ... objective evidence of neurologic
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
chronic Multiple sclerosis ... Abducting eye nystagmus ... long standing MS ... physicalexam #clinical #video ... #neurology #ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Neurogenic Ptosis - Neurologic ... disease affecting ... toxin • Multiple sclerosis ... #Ptosis #neurology ... Differential #Diagnosis #ophthalmology
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
include a: • Neurologic ... Onset ○ Meniere disease ... II ○ Susac’s syndrome ... Noise trauma ○ MS ... ○ HIV ○ Lyme disease
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
have a thymic tumor ... , and always ask ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology
Causes of Constipation in Adults
Most common
 - Inadequate fiber or fluid intake
 - Poor bowel habits
Systemic
porphyria - Neurologic ... , multiple sclerosis ... pelvic surgery, tumor ... Psychogenic - Eating ... Irritable bowel syndrome