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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Locked-in Syndrome (LiS) in ALS

What happens when ALS patients opt for mechanical ventilation? They can become
Locked-in Syndrome ... #LockedIin #Syndrome ... #physicalexam #ocular
Opsoclonus Myoclonus Syndrome (OMS) on Physical Exam

Opsoclonus: Rapid, repetitive conjugate involuntary chaotic multidirectional (horizontal, vertical, and
Opsoclonus Myoclonus Syndrome ... Opsoclonus #Myoclonus #Syndrome ... #PhysicalExam #ocular
Anti-IgLON5 Encephalitis - Ocular Examination

Female with 6 months h/o excessive daytime sleepiness, abnormal movements, dysarthria. On
Encephalitis - Ocular ... difficulty), bulbar syndrome ... palsy (PSP like) syndrome ... #Encephalitis #Ocular
Convergence-Retraction Nystagmus on Physical Exam

Convergence-retraction nystagmus: irregular, jerky nystagmus, associated with convergence and retraction of both
of Parinaud's syndrome ... mesencephalic syndrome ... PhysicalExam #clinical #ocular
Left Abducens Spasm on Physical Exam

A 50 yr male with left facial spasm and diplopia, with
paroxysmal brainstem syndrome ... PhysicalExam #clinical #ocular
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
retraction #nystagmus #ocular
Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-
Myoclonus Ataxia Syndrome ... myoclonus ataxia syndrome ... Myoclonus #Ataxia #Syndrome
Haemolacria and Spontaneous Globe Rupture on Physical Exam

One of the most horrendous complications of Dengue hemorrhagic
#PhysicalExam #ocular
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
Primary Downbeat Nystagmus on Ocular Examination

Primary downbeat nystagmus, most evident on looking down and out .
Downbeat Nystagmus on Ocular ... Downbeat #Nystagmus #Ocular