14 results
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
This 28 year old ... (no horizontal movement ... There was also high ... MRI was ordered ... #neurology
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
- Causes progressive ... MRI: Brain, cervical ... conditions listed in differential ... #Sclerosis #neurology ... #diagnosis #management
Hemimasticatory Spasm on Physical Exam

Hemimasticatory spasm is a disorder of the trigeminal nerve → involuntary jaw
patient had a normal MRI ... Myokimia will cause ... such gross movement ... #cheek #CN5 #video ... #neurology
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
impairment • Mild ... Depressive symptoms • Movement ... show symmetric bilateral ... reversible • HAND is also ... dementia #AIDS #Neurology
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Transverse Myelitis - Clinical ... cord lesion • Bilateral ... - Pleocytosis: Mild ... Myelitis #diagnosis #management ... #neurology #differential
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
causes downbeat ... it points to bilateral ... #PhysicalExam #clinical ... #video #ocular ... ophthalmology #neurology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Powassan, louping ill ... • Common clinical ... or bilateral. ... /l is regarded as ... #diagnosis #neurology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
• Weakness: mild ... Guillain-Barre Clinical ... axonal form • MRI ... Syndrome #diagnosis #management ... #treatment #neurology
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
in HIV / AIDS - Differential ... should be based on clinical ... • Suspect in movement ... Imaging: - MRI ... Demyelinating disease caused
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Incidence: 1 to 2 cases ... can vary from mild ... - Spinal MRI may ... Syndrome #diagnosis #management ... #neurology