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Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-

Ataxia Syndrome ... multidirectional fast eye movements ... #PhysicalExam # ... clinical #video ... #neurology #ophthalmology

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

Palatal Myoclonus on Physical Exam

Rhythmic jerky movements of the soft palate are seen, most often caused

Rhythmic jerky movements ... seen, most often caused ... #PhysicalExam # ... clinical #video ... #neurology #palate

Locked-In Syndrome on Physical Exam

56 year-old male with acute onset altered sensorium. Suffered a cardiac arrest

Now quadriplegic ... Look at the eye movement ... #PhysicalExam # ... clinical #video ... #neurology

Opsoclonus Myoclonus Syndrome (OMS) on Physical Exam

Opsoclonus: Rapid, repetitive conjugate involuntary chaotic multidirectional (horizontal, vertical, and

Syndrome (OMS) ... components) eye movements ... #Syndrome #PhysicalExam ... ocular #clinical #video ... #eyes #neurology

Adie's Pupil
What? Unknown nature & benign
• Regular and mildly dilated pupil (4-6mm);
• Light-near dissociaton;

Holmes-Adie Syndrome ... abnormal extraocular movements ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology

The Neurological Evaluation of a Comatose Patient

Definition:
• Coma: a state of unresponsiveness; the absence of

• Locked-in syndrome ... (i.e. myoclonic ... Casey Albin MD @ ... caseyalbin #PhysicalExam ... #neurology #comatose

Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1

experience, the cause ... how the right pupil ... #clinical #video ... ophthalmology #physicalexam ... #neurology #Anisocoria

One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with

the follow up video ... (no horizontal movement ... #PhysicalExam # ... clinical #video ... ophthalmology #neurology

Alien Limb Syndrome on Physical Exam

Elderly lady with Parkinsonism (PSP) c/o left leg rising up spontaneously

Alien Limb Syndrome ... controlling it 2 )Posterior ... #PhysicalExam # ... clinical #video ... #leg #neurology

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