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 neurology hypoglossal nystagmus ophthalmoplegia antiiglon5 atrophy bino cn12 convergence dbn dengue deviation downbeat encephalitis fasciculations globe haemolacria 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 ... #hypoglossal #CNXII ... CN12 #clinical #video
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 Bilateral Internuclear Ophthalmoplegia (BINO) Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear ... #Internuclear # ... Ophthalmoplegia #BINO #ocular ... physicalexam #clinical #video ... #neurology #ophthalmology
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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 ... internuclear ophthalmoplegia ... #clinical #video ... #physicalexam #ophthalmology
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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
left 6th nerve palsy ... 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 ... #video #hypoglossal
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 Anti-IgLON5 Encephalitis - Ocular Examination Female with 6 months h/o excessive daytime sleepiness, abnormal movements, dysarthria. On
Encephalitis - Ocular ... progressive supranuclear palsy ... #Encephalitis #Ocular ... PhysicalExam #clinical #video ... #neurology #ophthalmology
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 Downbeat Nystagmus on Physical Exam 65 year old female with new walking difficulty and dizziness. Why downbeat
as it points to bilateral ... PhysicalExam #clinical #video ... #ocular #ophthalmology
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