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differential management syndrome multiple ophthalmology rheumatology sclerosis treatment bee clinical comparison criteria half headaches hearing loss mcdonald myelitis neuritis noninflammatory
Parinaud's Syndrome What? - Impaired upgaze - Light-near dissociation - Convergence retraction nystagmus - Eyelid retraction (Collier's
Parinaud's Syndrome ... upgaze - Light-near ... " - Vascular disease ... #Syndrome #diagnosis ... #pineal #neurology
Parinaud's syndrome What? • Light-near dissociation (tectal pupils) • Convergence retraction nystagmus • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... • Light-near dissociation ... • Vascular disease ... #syndrome #neurology ... #diagnosis
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Multiple Sclerosis (MS ... neurodegenerative disease ... nearly 3:1 • MS ... resonance imaging [MRI ... criteria for MS
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
10-33% develop MS ... • Bilateral signs ... swollen, while in MS ... Predictive of MS ... Multiple sclerosis (MS
McDonald Criteria for Diagnosis of Multiple Sclerosis • 2 or more attacks, 2 or more lesions
McDonald Criteria for Diagnosis ... from onset - One year ... of disease progression ... Multiple #Sclerosis #MS ... #neurology
BEE Syndromes - Non-inflammatory Causes Immune-mediated conditions affecting the Brain, Eye, and Ear Visual or auditory symptoms in
Brain, Eye, and Ear ... and less common diseases ... neuropathy (LHON) plus MRI ... consistent with MS ... BEE #Syndromes #neurology
Optic Neuritis - Diagnosis and Management • Epidemiology: Female (75%), 18-50 years, caucasian • Symptoms: Moderate visual
Optic Neuritis - Diagnosis ... Unilateral • Signs ... R-G or B-Y • MRI ... - Typical MS-like ... other auto-immune diseases
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
- Differential Diagnosis ... include a: • Neurologic ... Onset ○ Meniere disease ... Noise trauma ○ MS ... ○ HIV ○ Lyme disease
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
Exam This 28 year ... MRI was ordered ... the hospital, diagnosed ... with MS, and started ... ophthalmology #neurology
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 Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... purpura: Strong sign ... affects the skin, neurologic ... cognitive impairment, neurologic ... oligoclonal bands • MRI
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