Tandem Gait Ataxia in Atypical Parkinsonism Tandem ataxia is more common in atypical

Tandem Gait Ataxia in Atypical Parkinsonism How to differentiate Parkinson’s disease from atypical Parkinsonism in a jiffy? PD patients are able to maintain tandem walking even late into their course. The ATP patient has early tandem ataxia ( PSP, MSA etc ➡️ PD pt 5 yrs after onset) Dr. Boby Varkey Maramattom @bobvarkey #Tandem #Gait #Ataxia #Atypical #Parkinsonism #clinical #video #physicalexam #neurology

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Purposeless Groaning in Parkinson's Disease (Audio) Purposeless groaning in Parkinsonism. Due to frontal subcortical dysfunction → Perseveration & Disinhibition. No Rx as of now, except Reassurance Dr. Boby Varkey Maramattom @bobvarkey #Purposeless #Groaning #Parkinsons #Parkinsonism #PD #Disease #Audio #clinical #video #physicalexam #neurology

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Gait with Right Sided Foot Drop on Physical Exam Gait is spatic, circumductory and foot goes into inversion with big toe going up when the foot is lifted up. Dr. Boby Varkey Maramattom @bobvarkey #Foot #Drop #gait #PhysicalExam #clinical #video #neurology

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Stiff Person Syndrome Gait Dr. Boby Varkey Maramattom @bobvarkey #Stiff #Person #Syndrome #Stiffman #Gait #clinical #video #neurology

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Unsteady Gait in CIDP Another cause of frequent falls and unsteady gait. Ankle instability due to ankle muscle weakness (plantar:/ dorsi flexors & inversion/ eversion) with distal sensory impairment in CIDP Dr. Boby Varkey Maramattom @bobvarkey #Unsteady #Gait #CIDP #clinical #video #neurology #physicalexam

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Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam Dancing eyes and dancing feet in an adult [Aka- Opsoclonus myoclonus ataxia syndrome (OMAS)]- multidirectional fast eye movements, post vaccine with complete resolution with IVMP and Rituximab Dr. Boby Varkey Maramattom @bobvarkey #OMAS #Opsoclonus #Myoclonus #Ataxia #Syndrome #PhysicalExam #clinical #video #neurology #ophthalmology

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Acute Cerebellar Ataxia and Myoclonus (ACAM) Acute Cerebellar Ataxia and Myoclonus (ACAM), Post COVID-19, with dramatic FDG-PET-CT findings (multifocal cortical FDG avidity), resembling a solar storm. Dr. Boby Varkey Maramattom @bobvarkey #ACAM #Acute #Cerebellar #Ataxia #Myoclonus #neurology #clinical #video #physicalexam

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Parkinson's Plus Syndromes - Atypical Parkinsonism Main motor symptoms: • Tremors • Limb rigidity • Bradykinesia Other symptoms occur, not generally present in PD, and vary based on the specific form of the Parkinson's plus syndrome. The 6 most common forms are: • Multiple system atrophy (MSA) • Progressive supranuclear palsy (PSP) • Corticobasal syndrome (CBS) • Dementia with Lewy bodies (DLB) • Drug-induced parkinsonism • Vascular parkinsonism (VP) #Parkinsons #Plus #Syndromes #Atypical #Parkinsonism #diagnosis #neurology

Tongue Fasciculations in ALS Dr. Boby Varkey Maramattom @bobvarkey #Tongue #Fasciculations #ALS #clinical #video #physicalexam #neurology

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Orofacial and limb dyskinesias in NMDAR encephalitis. Note the lip mutilation. Pt is tracheostomized & off Ventilator. NMDAR encephalitis is a striking unmistakable autoimmune encephalitis, more common in young women. Dr. Boby Varkey Maramattom @bobvarkey #Orofacial #limb #dyskinesia #NMDAR #encephalitis #clinical #video #neurology #physicalexam #movement

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