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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clinical physicalexam video neurology ocular fasciculations nystagmus cnxii downbeat flutter hypoglossal internuclear nutans ophthalmoplegia palsy scapula spasm spasmus syndrome trapezius
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
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 Haemolacria and Spontaneous Globe Rupture on Physical Exam One of the most horrendous complications of Dengue hemorrhagic
complications of Dengue ... both eyes to find bilateral ... globe #rupture #ophthalmology ... #dengue #hemolacria
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 Tongue Fasciculations in ALS Dr. Boby Varkey Maramattom @bobvarkey #Tongue #Fasciculations #ALS #clinical #video #physicalexam #neurology
Tongue Fasciculations ... @bobvarkey #Tongue
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 Convergence Retraction Nystagmus with a left 6th nerve palsy Caused by a Midbrain hemorrhage Dr. Boby Varkey Maramattom
video #neurology #ophthalmology
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 Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam Dancing eyes and dancing feet in an adult [Aka-
video #neurology #ophthalmology
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 Bilateral Internuclear Ophthalmoplegia (BINO) Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear ... Ophthalmoplegia (BINO) Bilateral ... @bobvarkey #Bilateral ... video #neurology #ophthalmology
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 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
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 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
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 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 ... upper back, and is unilateral ... @bobvarkey #Unilateral
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 Scapular winging on Physical Exam - Bilateral trapezius palsy with lateral scapular displacement. A young man with
Physical Exam - Bilateral ... trapezius palsy with lateral ... ) and possibly bilateral
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