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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Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
Bilateral LMN palsy ... with tongue weakness ... @bobvarkey #tongue ... #CNXII #CN12 #clinical ... #video #neurology
Haemolacria and Spontaneous Globe Rupture on Physical Exam

One of the most horrendous complications of Dengue hemorrhagic
complications of Dengue ... encountered during a neurology ... both eyes to find bilateral ... PhysicalExam #ocular #clinical ... globe #rupture #ophthalmology
Tongue Fasciculations in ALS

Dr. Boby Varkey Maramattom @bobvarkey

#Tongue #Fasciculations #ALS #clinical #video #physicalexam #neurology
Tongue Fasciculations ... @bobvarkey #Tongue ... Fasciculations #ALS #clinical ... #physicalexam #neurology
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
#physicalexam #clinical ... #video #neurology ... #ophthalmology
Left Abducens Spasm on Physical Exam

A 50 yr male with left facial spasm and diplopia, with
Left Abducens Spasm ... with left facial spasm ... #PhysicalExam #clinical ... #ocular #ophthalmology ... #neurology #video
Hemimasticatory Spasm on Physical Exam

Hemimasticatory spasm is a disorder of the trigeminal nerve → involuntary jaw
Hemimasticatory Spasm ... Hemimasticatory spasm ... due to spasmodic unilateral ... #PhysicalExam #clinical ... cheek #CN5 #video #neurology
Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-
#PhysicalExam #clinical ... #video #neurology ... #ophthalmology
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Bilateral Internuclear ... @bobvarkey #Bilateral ... #physicalexam #clinical ... #video #neurology ... #ophthalmology
Unilateral Asterixis on Neurological Examination

Unilateral asterixis is almost always associated with a structural contralateral cerebral or
Unilateral Asterixis ... Examination Unilateral ... Bilateral asterixis ... #Asterixis #clinical ... #video #neurology
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
WEBINO = Wall-eyed bilateral ... ophthalmoplegia #Ocular #clinical ... #physicalexam #ophthalmology ... #neurology