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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Haemolacria and Spontaneous Globe Rupture on Physical Exam

One of the most horrendous complications of Dengue hemorrhagic
encountered during a neurology ... both eyes to find bilateral ... globe #rupture #ophthalmology
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear ... Ophthalmoplegia (BINO) Bilateral ... @bobvarkey #Bilateral ... clinical #video #neurology ... #ophthalmology
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
WEBINO = Wall-eyed bilateral ... #physicalexam #ophthalmology ... #neurology
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
as it points to bilateral ... video #ocular #ophthalmology ... #neurology
Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
Bilateral LMN palsy ... clinical #video #neurology
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
clinical #video #neurology ... #ophthalmology
Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-
clinical #video #neurology ... #ophthalmology
Anterior Interosseous Peripheral Nerve Injury 

Manifested as the inability to make the OK sign.

by Dr. Boby
clinical #video #neurology ... #msk #sports #neurology
Unilateral Asterixis on Neurological Examination

Unilateral asterixis is almost always associated with a structural contralateral cerebral or
Unilateral Asterixis ... Examination Unilateral ... Bilateral asterixis ... @bobvarkey #Unilateral ... clinical #video #neurology
Unilateral Dancing Dorsal Quadrilaterals

A unilateral dancing dorsal quadrilaterals phenomenon. Usually seen after spinal surgery and bilateral.
Unilateral Dancing ... Quadrilaterals A unilateral ... spinal surgery and bilateral ... @bobvarkey #Unilateral ... #physicalexam #neurology