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
Spontaneous Globe ... both eyes to find bilateral ... #PhysicalExam #ocular ... #rupture #ophthalmology ... #dengue #hemolacria
Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
Bilateral LMN palsy ... with tongue weakness ... @bobvarkey #tongue ... #atrophy #fasciculations ... #hypoglossal #CNXII