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

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
left 6th nerve palsy ... Caused by a ... #physicalexam #clinical ... #video #neurology ... #ophthalmology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... patient with vertigo symptoms ... cause of vertigo ... #PhysicalExam #Clinical ... Video #Positive #Neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Differential Diagnosis Algorithm ... unidirectonal nystagmus ... Bone Fracture Central ... symptoms/signs, ... #Causes
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... may be present Central ... with vascular causes ... • Nystagmus: ... Hallpike test (posterior
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Artery occlusion) Clinical ... Findings: • Nausea ... vomiting/vertigo/nystagmus ... Palatal myoclonus - Central ... #Wallenbergs #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
forehead) in classic posterior ... with vascular causes ... , such as with posterior ... findings #signs #symptoms ... #comparison #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Clinical Pearls ... • CN VI palsy ... • Neurologic ... symptoms suggest ... #Causes #Ophthalmology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Ocular Nystagmus ... Maneuver This is a case ... Hallpike #Maneuver #clinical ... #physicalexam #ophthalmology ... #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... fasciculus), which causes ... The most common causes ... #video #ophthalmology ... #neurology
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
head-impulse, nystagmus ... peripheral or central ... peripheral or central ... The approach uses ... into one of three clinical