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
LMN palsy with tongue ... weakness, wasting and ... Note the wrinkled tongue ... @bobvarkey #tongue ... clinical #video #neurology
Tongue Fasciculations in ALS

Dr. Boby Varkey Maramattom @bobvarkey

#Tongue #Fasciculations #ALS #clinical #video #physicalexam #neurology
Tongue Fasciculations ... @bobvarkey #Tongue ... #physicalexam #neurology
Haemolacria and Spontaneous Globe Rupture on Physical Exam

One of the most horrendous complications of Dengue hemorrhagic
Haemolacria and ... complications of Dengue ... encountered during a neurology ... paralyzed and I ... ophthalmology #dengue
Anterior Interosseous Peripheral Nerve Injury 

Manifested as the inability to make the OK sign.

by Dr. Boby
clinical #video #neurology ... #msk #sports #neurology ... #orthopedics #Hand
1 Minute Neuro Hand Examination - "Check your Six" Mnemonic

A simple way to test the peripheral
1 Minute Neuro Hand ... function of the hand ... bobvarkey #Minute #Neurology ... #innervation #Hand
Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-
Dancing eyes and ... resolution with IVMP and ... clinical #video #neurology
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
clinical #video #neurology
Tongue Fasciculations in Kennedy's Disease

A man in his 40’s with progressive nasal twang, dysphagia and weakness
Tongue Fasciculations ... twang, dysphagia and ... supportive, and ... @bobvarkey #Tongue ... #physicalexam #neurology
Left Tongue Deviation caused by UMN XII palsy

Looks can be deceiving. The UMN innervation of most
Left Tongue Deviation ... from the left and ... bobvarkey #Left #Tongue ... #physicalexam #neurology
Acute Dystonic Tremor after CVA

Acute dystonic tremor is an exceedingly rare manifestation of a stroke. This
This patient had ... flexion at MCP jts and ... with mild right hand ... #physicalexam #neurology ... #dystonia #hand