21 results
Locked-In Syndrome on Physical Exam

56 year-old male with acute onset altered sensorium. Suffered a cardiac arrest
Exam 56 year-old ... Look at the eye movement ... infarct seen on MRI ... #PhysicalExam #clinical ... #video #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Disorders • CN Ill ... One-and-a-half Syndrome ... Skew Deviation Casey ... ophthalmology #neurology ... #differential #
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
manifestations- Pneumonitis ... Diagnosis- Compatible syndrome ... + MRI lesions + ... #diagnosis #causes ... #radiology #neurology
Opsoclonus-Myoclonus Ataxia Syndrome (OMAS) -Dancing eyes - dancing feet syndrome
 • Opsoclonus: ocular spontaneous, arrhythmic, conjugate
conjugate saccades movements ... shock-like, involuntary movements ... caused by muscular ... #clinical #video ... #neurology #gait
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... abnormal extraocular movements ... dissociation • Other causes ... #PhysicalExam #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
This 28 year old ... the follow up video ... (no horizontal movement ... MRI was ordered ... #neurology
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes ... Clinical: Dyspnea ... Echocardiography, Cardiac MRI ... Hyper-eosinophilc Syndrome ... #differential #
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
Optica (NMO) - Clinical ... , ranging from mild ... /pain upon eye movement ... involvement: Intractable nausea ... Manifestations #diagnosis #neurology
BEE Syndromes - Non-inflammatory Causes

Immune-mediated conditions affecting the Brain, Eye, and Ear

Visual or auditory symptoms in
Non-inflammatory Causes ... neuropathy (LHON) plus MRI ... lesions and clinical ... #neurology #noninflammatory ... #differential #
Anti-IgLON5 Encephalitis - Ocular Examination

Female with 6 months h/o excessive daytime sleepiness, abnormal movements, dysarthria. On
MRI normal. ... Clinical pentad ... palsy (PSP like) syndrome ... #PhysicalExam #clinical ... #video #neurology