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
Haemolacria and ... and I detected haemolacria ... both eyes to find bilateral ... globe #rupture #ophthalmology ... #dengue #hemolacria
Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
Bilateral LMN palsy ... with tongue weakness ... this from an UMN palsy ... #atrophy #fasciculations ... #hypoglossal #CNXII
Left Tongue Deviation caused by UMN XII palsy

Looks can be deceiving. The UMN innervation of most
Left Tongue Deviation ... caused by UMN XII palsy ... cranial nerves is bilateral ... #Tongue #Deviation ... #UMN #CNXII #palsy