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One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with

One and a Half Syndrome ... (no horizontal movement ... causes of this are tumors ... #PhysicalExam # ... ophthalmology #neurology

Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-

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

Locked-In Syndrome on Physical Exam

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

Locked-In Syndrome ... Look at the eye movement ... #PhysicalExam # ... clinical #video ... #neurology

Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro

in Wonderland Syndrome ... macropsia), color, movement ... (e.g. stroke, tumor ... Alice #Wonderland #Syndrome ... #diagnosis #neurology

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

Holmes-Adie Syndrome ... abnormal extraocular movements ... trauma/orbital tumor ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology

Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular

Illusion of Rotary Movement ... Dysfunction - Imbalance, neurologic ... Infratentorial Tumors ... • Glomus Tumors ... Dizziness #Vertigo #Neurology

Parkinsonian Gait

Parkinson's gait is very characteristic: Standing, the patient tends to tilt the trunk forward,

perform compensatory movements ... starting the gait movement ... Parkinsons #Gait #Neurology ... #PhysicalExam # ... clinical #video

Belly Dancer's Syndrome (Belly Dancer's Dyskinesia)

#Belly #Dancers #Syndrome #Dyskinesia #clinical #video #neurology #physicalexam

Belly Dancer's Syndrome ... Belly #Dancers #Syndrome ... #Dyskinesia #clinical ... #video #neurology ... #physicalexam

Characteristic eye movements found in congenital nystagmus

Video by Kathleen B. Digre, M.D. - Moran Eye Center

#Congenital

Characteristic eye movements ... Ophthalmology #Neurology ... #Clinical #Video ... #Ocular #PhysicalExam

Localizing Extraocular Movement Disorders
• CN Ill (Oculomotor) Nerve Palsy
• CN IV (Trochlear) Nerve

Localizing Extraocular Movement ... One-and-a-half Syndrome ... #Extraocular #Movement ... ophthalmology #neurology

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