Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Parkinson's Plus Syndromes - Atypical Parkinsonism
Main motor symptoms:
 β€’ Tremors
 β€’ Limb rigidity
 β€’ Bradykinesia
Other symptoms
Parkinson's Plus Syndromes ... system atrophy (MSA ... parkinsonism β€’ Vascular ... #Parkinsonism #diagnosis ... #neurology
Simultagnosia on Physical Exam (Balint Syndrome)

The patient can recognize objects one at a time but cannot
Physical Exam (Balint Syndrome ... Simultagnosia #Balint #Syndrome ... PhysicalExam #clinical #video ... #neurology #ophthalmology
β–Ί
Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
Parinaud's Syndrome ... setting sun sign" - Vascular ... gabifpucci #Parinauds #Syndrome ... #diagnosis #pineal ... #neurology
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
Diagnosis: Congenital ... achromatopsia, & formal ophthalmology ... Cooper Neurology ... ocular #clinical #video ... #neurology #ophthalmology
β–Ί
Parkinson Plus Syndromes

#Diagnosis #Neurology #Parkinsons #Plus #Syndromes #Comparison #Table #PSP #LewyBodyDementia #Progressive #SupraNuclearPalsy #MSA #MultipleSystemAtrophy
Parkinson Plus Syndromes ... #Diagnosis #Neurology ... Parkinsons #Plus #Syndromes ... SupraNuclearPalsy #MSA
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 β€’ Focal: Simple, Complex
 β€’ Generalized: Absence,
- Differential Diagnosis ... thrombosis, Congenital vascular ... vasoconstriction syndrome ... #Differential #Diagnosis ... Algorithm #Causes #neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, MΓ©niΓ©re disease,
Uncommon): - Vascular ... Wallenberg syndrome ... hemorrhage - Non-vascular ... #differential #diagnosis ... #neurology
Parinaud's syndrome
What?
 β€’ Light-near dissociation (tectal pupils)
 β€’ Convergence retraction nystagmus
 β€’ Eyelid retraction (Collier's sign)
Parinaud's syndrome ... setting sun" sign β€’ Vascular ... neudrawlogy #Parinauds #syndrome ... #neurology #diagnosis
Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Causes of Neuromuscular Weakness
 β€’ Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Demyelinating Disease (MS ... Guillain-Barre syndrome ... Lambert Eaton Syndrome ... #differential #diagnosis ... #neurology