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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Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
Bilateral LMN palsy ... with tongue weakness ... Note the wrinkled tongue ... @bobvarkey #tongue ... clinical #video #neurology
Haemolacria and Spontaneous Globe Rupture on Physical Exam

One of the most horrendous complications of Dengue hemorrhagic
complications of Dengue ... encountered during a neurology ... both eyes to find bilateral ... ophthalmology #dengue
Bilateral Foot Drop secondary to Nonaka Myopathy

48 yr old lady, difficulty in climbing stairs x 8
Bilateral Foot Drop ... examination with bilateral ... characteristic bilateral ... #physicalexam #gait ... #neurology
Left Tongue Deviation caused by UMN XII palsy

Looks can be deceiving. The UMN innervation of most
Left Tongue Deviation ... cranial nerves is bilateral ... bobvarkey #Left #Tongue ... #physicalexam #neurology