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diagnosis clinical differential physicalexam bilateral bino causes half hearing internuclear loss management neuromuscular ocular one oneandahalf ophthalmoplegia otolaryngology otology pineal
Parinaud's Syndrome What? - Impaired upgaze - Light-near dissociation - Convergence retraction nystagmus - Eyelid retraction (Collier's
Parinaud's Syndrome ... Convergence retraction nystagmus ... region tumors - Multiple ... sign" - Vascular disease ... #pineal #neurology
Parinaud's syndrome What? • Light-near dissociation (tectal pupils) • Convergence retraction nystagmus • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... Convergence retraction nystagmus ... region tumors • Multiple ... sign • Vascular disease ... #syndrome #neurology
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Sclerosis (MS) ... neurodegenerative disease ... nearly 3:1 • MS ... • Or brainstem syndromes ... Incontinence • VISUAL: Nystagmus
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Demyelinating Disease ... (MS), Epidural ... Myelitis, Trauma, Tumor ... , Mononeuritis multiplex ... differential #diagnosis #neurology
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
EOM testing displayed ... , strokes, and multiple ... diagnosed with MS ... #ophthalmology ... #neurology
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 Bilateral Internuclear Ophthalmoplegia (BINO) Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
ophthalmoplegia in chronic Multiple ... Abducting eye nystagmus ... long standing MS ... physicalexam #clinical #video ... #neurology #ophthalmology
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 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
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