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 ... this from an UMN palsy ... fasciculations #LMN #hypoglossal ... #CNXII #CN12 #clinical
Left Tongue Deviation caused by UMN XII palsy

Looks can be deceiving. The UMN innervation of most
caused by UMN XII palsy ... left LMN XII n palsy ... Deviation #UMN #CNXII ... #palsy #clinical ... #video #hypoglossal
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
left 6th nerve palsy
Synkinetic Wrist Extension Maneuver demonstrating Radial Nerve Palsy as cause for Wrist Drop

Up up, down down.
demonstrating Radial Nerve Palsy ... lower radial nerve palsy ... - Radial nerve palsy ... Radial #Nerve #Palsy
Scapular winging on Physical Exam - Bilateral trapezius palsy with lateral scapular displacement.

A young man with
Bilateral trapezius palsy ... video #trapezius #palsy
Round the Houses Sign of PSP on Physical Exam

Round the house sign in Progressive Supranuclear Palsy.
Progressive Supranuclear Palsy ... #Supranuclear #Palsy
Anti-IgLON5 Encephalitis - Ocular Examination

Female with 6 months h/o excessive daytime sleepiness, abnormal movements, dysarthria. On
progressive supranuclear palsy