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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physicalexam video neurology nystagmus downbeat hypoglossal internuclear nutans ophthalmoplegia spasmus abducens alternating antiiglon5 apraxia atrophy bino cn12 cn6 cnvi convergence
Bilateral LMN palsy with tongue weakness, wasting and fasciculations. → Bulbar motor Neuron disease Note
Bilateral LMN palsy ... with tongue weakness ... @bobvarkey #tongue ... #hypoglossal #CNXII ... #CN12 #clinical
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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 ... #PhysicalExam #ocular ... #clinical #video ... globe #rupture #ophthalmology
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 Convergence Retraction Nystagmus with a left 6th nerve palsy Caused by a Midbrain hemorrhage Dr. Boby Varkey Maramattom
retraction #nystagmus #ocular ... #physicalexam #clinical ... 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 ... Deviation #UMN #CNXII ... #palsy #clinical
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 WEBINO on Ocular Examination WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia, b/l ADduction impairment,
WEBINO on Ocular ... WEBINO = Wall-eyed bilateral ... ophthalmoplegia #Ocular ... #clinical #video ... #physicalexam #ophthalmology
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 Bilateral Internuclear Ophthalmoplegia (BINO) Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear ... @bobvarkey #Bilateral ... Ophthalmoplegia #BINO #ocular ... #physicalexam #clinical ... video #neurology #ophthalmology
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 Ocular Flutter on Examination Encephalitis and Ocular Flutter Due to an Undifferentiated Connective Tissue Disorder Dr. Boby Varkey
Ocular Flutter on ... Encephalitis and Ocular ... @bobvarkey #Ocular ... #Flutter #clinical ... physicalexam #neurology #ophthalmology
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 Primary Downbeat Nystagmus on Ocular Examination Primary downbeat nystagmus, most evident on looking down and out .
Downbeat Nystagmus on Ocular ... Downbeat #Nystagmus #Ocular ... #clinical #video ... physicalexam #neurology #ophthalmology
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 Saccadic Intrusions on Ocular Physical Exam Saccadic intrusions (involuntary conjugate saccades that interrupt fixation)- brief jerks that
Intrusions on Ocular ... Saccadic #Intrusions #Ocular ... #PhysicalExam #clinical ... video #neurology #ophthalmology
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 Oculomotor apraxia (OMA) on Ocular Examination A defect or absence of the ability to perform voluntary eye
apraxia (OMA) on Ocular ... #apraxia #OMA #Ocular ... #PhysicalExam #clinical ... video #neurology #ophthalmology
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