Boby Varkey Maramattom @bobvarkey
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Lead consultant Neurologist, Aster Medcity, Kochi, India. Internal medicine faculty Royal college of UK https://twitter.com/bobvarkey
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Epileptic Pupillary Hippus on Physical Exam

Epileptic pupillary Hippus- spasmodic or rhythmic contraction of the pupil of
Epileptic Pupillary Hippus ... Epileptic pupillary Hippus ... the pupil of the eye ... contralateral eyelid myoclonus ... Epileptic #Pupillary #Hippus
Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-
Opsoclonus Myoclonus ... Exam Dancing eyes ... Aka- Opsoclonus myoclonus ... multidirectional fast eye ... OMAS #Opsoclonus #Myoclonus
Opsoclonus Myoclonus Syndrome (OMS) on Physical Exam

Opsoclonus: Rapid, repetitive conjugate involuntary chaotic multidirectional (horizontal, vertical, and
Opsoclonus Myoclonus ... torsional components) eye ... OMS #Opsoclonus #Myoclonus ... clinical #video #eyes
Multifocal Myoclonus on Physical Exam

Post-COVID complication. Note the asymmetrical, arrhythmic, scattered distal >> proximal myoclonus. No
Multifocal Myoclonus ... distal >> proximal myoclonus ... WITHOUT dancing eyes ... #Multifocal #Myoclonus
Haemolacria and Spontaneous Globe Rupture on Physical Exam

One of the most horrendous complications of Dengue hemorrhagic
Opened both eyes
Myoclonus-Dystonia on Physical Exam

Myoclonus-dystonia: affects the neck, torso, and arms → myoclonus + dystonia. May improve
Myoclonus-Dystonia ... Physical Exam Myoclonus-dystonia ... torso, and arms → myoclonus ... @bobvarkey #Myoclonus
Myoclonus-Dystonia on Physical Exam

Myoclonus-dystonia: affects the neck, torso, and arms → myoclonus + dystonia. May improve
Myoclonus-Dystonia ... Physical Exam Myoclonus-dystonia ... torso, and arms → myoclonus ... @bobvarkey #Myoclonus
Action Myoclonus on Neurological Examination

Left UL rhythmic Action Myoclonus simulating tremor due to a strategic cortical
Action Myoclonus ... rhythmic Action Myoclonus ... bobvarkey #Action #Myoclonus
Acute Cerebellar Ataxia and Myoclonus (ACAM)

Acute Cerebellar Ataxia and Myoclonus (ACAM), Post COVID-19, with dramatic FDG-PET-CT
Cerebellar Ataxia and Myoclonus ... Cerebellar Ataxia and Myoclonus ... Cerebellar #Ataxia #Myoclonus
Ocular Pulsion

Ocular pulsion- Eye deviation to the right in this case, on closing eyes (removal of
Ocular pulsion- Eye ... case, on closing eyes ... on opening the eyes ... on closing the eyes