7 results
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Ophthalmoplegia (BINO ... Abducting eye nystagmus ... long standing MS ... physicalexam #clinical #video ... #neurology #ophthalmology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Demyelinating Disease ... (MS), Epidural ... Myelitis, Trauma, Tumor ... Guillain-Barre syndrome ... 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
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... the follow up video ... diagnosed with MS ... #ophthalmology ... #neurology
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
Hippus on Physical Exam
Hippus: alternating dilation and constriction of pupils independent of illumination, convergence or psychic
encephalopathies, MS ... dysfunction, and every disease ... such as parkinson disease ... PhysicalExam #clinical #video ... #neurology #ophthalmology
Hippus on Physical Exam

Hippus: alternating dilation and constriction of pupils independent of illumination, convergence or psychic
encephalopathies, MS ... dysfunction, and every disease ... such as parkinson disease ... PhysicalExam #clinical #video ... #neurology #ophthalmology