15 results
Vertical Nystagmus and Ophthalmoplegia on Physical Exam in Wernicke Encephalopathy

Dr. Bruno Farnetano @bruno.farnetano

#Vertical #Nystagmus #Ophthalmoplegia #Wernicke
Vertical Nystagmus ... and Ophthalmoplegia ... #Ophthalmoplegia ... Encephalopathy #PhysicalExam ... #clinical #ophthalmology
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
to Orbital Apex Syndrome ... Orbital #Apex #Syndrome ... #Clinical #Video ... #Ophthalmology ... #PhysicalExam #NEJM
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
ABducting eye nystagmus ... evoked Upbeat nystagmus ... #Ocular #clinical ... #video #physicalexam ... #ophthalmology
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Diplopia TIER 1-CRITICAL ... , Orbital apex syndrome ... URGENT: Brainstem tumor ... Graves disease), Ophthalmoplegic ... differential #diagnosis #ophthalmology
Characteristic eye movements found in Spasmus Nutans

Spasmus Nutans is an acquired form of nystagmus that occurs
Spasmus Nutans ... presents as a clinical ... #Ophthalmology ... #Neurology #Clinical ... Video #Ocular #PhysicalExam
Characteristic eye movements found in spasmus nutans

Spasmus nutans is an acquired form of nystagmus that occurs
Spasmus nutans ... presents as a clinical ... #Nystagmus #Ophthalmology ... #Neurology #Clinical ... Video #Ocular #PhysicalExam
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear Ophthalmoplegia ... Abducting eye nystagmus ... #BINO #ocular #physicalexam ... #clinical #video ... #neurology #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... an internuclear ophthalmoplegia ... abduction with nystagmus ... #PhysicalExam # ... #ophthalmology #
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case) right eye. 
Note that
Horner's Syndrome ... case was due to tumor ... #Ophthalmology ... #Photo #Horners ... #Syndrome #Ptosis
Spasmus Nutans on Ocular Examination

At first I thought it was Pendular But a closer look reveals
presents as a clinical ... triad of 1) nystagmus ... #Ocular #PhysicalExam ... #clinical #video ... #ophthalmology