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 cnxii hypoglossal internuclear ophthalmoplegia abducens atrophy bino cheek cn12 cn5 cn6 cnvi dbn dengue deviation
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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 Hemimasticatory Spasm on Physical Exam Hemimasticatory spasm is a disorder of the trigeminal nerve → involuntary jaw
Hemimasticatory Spasm ... Hemimasticatory spasm ... due to spasmodic unilateral ... to hemifacial spasm ... for Hemifacial spasm
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 Left Abducens Spasm on Physical Exam A 50 yr male with left facial spasm and diplopia, with
Left Abducens Spasm ... with left facial spasm ... left abducens spasm ... #Abducens #Spasm ... clinical #ocular #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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 WEBINO on Ocular Examination WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia, b/l ADduction impairment,
WEBINO = Wall-eyed bilateral ... #physicalexam #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 ... video #ocular #ophthalmology
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