Round the Houses Sign of PSP on Physical Exam Round the house sign in Progressive Supranuclear Palsy. Due to dysfunction of the riMLF (the vertical saccade manager), the eyes take a round about route going up and down instead of the shortest straight routes. Dr. Boby Varkey Maramattom @bobvarkey #Round #Houses #RoundTheHouses #Sign #PSP #PhysicalExam #clinical #video #ocular #neurology #Progressive #Supranuclear #Palsy
