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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Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-
Opsoclonus Myoclonus ... Aka- Opsoclonus myoclonus ... OMAS #Opsoclonus #Myoclonus ... PhysicalExam #clinical #video ... #neurology #ophthalmology
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 ... #clinical #video ... #physicalexam #neurology
Multifocal Myoclonus on Physical Exam

Post-COVID complication. Note the asymmetrical, arrhythmic, scattered distal >> proximal myoclonus. No
Multifocal Myoclonus ... distal >> proximal myoclonus ... #Multifocal #Myoclonus ... PhysicalExam #clinical #video ... #neurology
Myoclonus-Dystonia on Physical Exam

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

Myoclonus-dystonia: affects the neck, torso, and arms → myoclonus + dystonia. May improve
Myoclonus-Dystonia ... torso, and arms → myoclonus ... @bobvarkey #Myoclonus ... PhysicalExam #clinical #video ... #neurology #MD
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 ... #neurology #clinical ... #video #physicalexam
Opsoclonus Myoclonus Syndrome (OMS) on Physical Exam

Opsoclonus: Rapid, repetitive conjugate involuntary chaotic multidirectional (horizontal, vertical, and
Opsoclonus Myoclonus ... OMS #Opsoclonus #Myoclonus ... ocular #clinical #video ... #eyes #neurology
Epileptic Pupillary Hippus on Physical Exam

Epileptic pupillary Hippus- spasmodic or rhythmic contraction of the pupil of
contralateral eyelid myoclonus ... PhysicalExam #clinical #video ... #neurology #ocular
Post-Hypoxic Spinal Flutter on Physical Exam

Post hypoxic spinal flutter - spontaneous and sternal compression inducible rhythmic
diaphragmatic myoclonus ... Legs #clinical #video ... #neurology #quadriceps
Anterior Interosseous Peripheral Nerve Injury 

Manifested as the inability to make the OK sign.

by Dr. Boby
OKSign #clinical #video ... #neurology #physicalexam ... #msk #sports #neurology