10 results
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction Nystagmus ... left 6th nerve palsy ... #ocular #physicalexam ... #clinical #video ... #neurology #ophthalmology
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
Diagnosis: Congenital ... Cooper Neurology ... #PhysicalExam # ... ocular #clinical ... #ophthalmology
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
dysfunction • Nystagmus ... Lateral rectus palsy ... Ataxia • Gait ... #Triad #Diagnosis ... #Neurology #Thiamine
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... the hospital, diagnosed ... #PhysicalExam # ... #ophthalmology # ... neurology
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
Encephalopathy CLINICAL ... is often under diagnosed ... DYSFUNCTION (29%) Nystagmus ... GAIT ATAXIA (23% ... #triad #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... : • CN Ill Palsy ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
One & a half syndrome with upbeat nystagmus due to a left pontine + bimedullary infarction

Dr.
with upbeat nystagmus ... #PhysicalExam # ... clinical #video ... #ophthalmology # ... neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
think about three clinical ... CN III palsy 2. ... • Third nerve palsy ... #Ptosis #neurology ... #ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
Anti-IgLON5 Encephalitis - Ocular Examination

Female with 6 months h/o excessive daytime sleepiness, abnormal movements, dysarthria. On
Clinical pentad ... progressive supranuclear palsy ... Encephalitis #Ocular #PhysicalExam ... #clinical #video ... #neurology #ophthalmology