Канал: Dr. Arpan Mitra

A true seizure video. U can see eye deviation to left side with angle of mouth deviates to left side

A true seizure video. U can see eye deviation to left side with angle of mouth deviates to left side

Right focal seizure with impaired awareness.

Right focal seizure with impaired awareness.

Drug induced dyskinesia.

Drug induced dyskinesia.

Pseudoseizure. Continuous abnormal movement of right hand which abolish during sleep.

Pseudoseizure. Continuous abnormal movement of right hand which abolish during sleep.

Grip myotonia and percussion myotonia in a patient of myotonic dystrophy.

Grip myotonia and percussion myotonia in a patient of myotonic dystrophy.

Myotonic dystrophy: description of various signs.

Myotonic dystrophy: description of various signs.

Hyperphagia (over eating) in a patient of herpes simplex virus( HSV) encephalitis.

Hyperphagia (over eating) in a patient of herpes simplex virus( HSV) encephalitis.

Dive bomber sound in EMG.classically seen during EMG needle insertion in myotonic dystrophy patients

Dive bomber sound in EMG.classically seen during EMG needle insertion in myotonic dystrophy patients

Percussion myotonia demonstration in tongue. Seen in myotonic dystrophy.

Percussion myotonia demonstration in tongue. Seen in myotonic dystrophy.

Wing beating tremor. Classically seen in Wilson’s disease.

Wing beating tremor. Classically seen in Wilson’s disease.

Movement perseveration & applause sign.Seen in frontal lobe dysfunction in neurodegenerative disease

Movement perseveration & applause sign.Seen in frontal lobe dysfunction in neurodegenerative disease

Inverted supinator reflex. Seen in spinal cord lesion at C5C6 level. Finger flexion can be seen.

Inverted supinator reflex. Seen in spinal cord lesion at C5C6 level. Finger flexion can be seen.

Myoclonic jerks in a patient of CJD (creutzfeldt Jakob disease).

Myoclonic jerks in a patient of CJD (creutzfeldt Jakob disease).

Cheyne-Stokes Respiration

Cheyne-Stokes Respiration

Rocket sign. Due to motor impulsivity seen in progressive supranuclear Pulsy (PSP)

Rocket sign. Due to motor impulsivity seen in progressive supranuclear Pulsy (PSP)

Essential tremor. These are high frequency, distal, postural tremor. Increased by anxiety & stress.

Essential tremor. These are high frequency, distal, postural tremor. Increased by anxiety & stress.

OPSOCLONUS: Arrhythmic, multidirection conjugate saccadic eye movemnt without intersaccadic interval

OPSOCLONUS: Arrhythmic, multidirection conjugate saccadic eye movemnt without intersaccadic interval

Soft, monotonous speech and expressionless, mask like face typically seen in Parkinson’s ds patient

Soft, monotonous speech and expressionless, mask like face typically seen in Parkinson’s ds patient

Functional myoclonus. These are not true myoclonus. These are part of dissociative disorder

Functional myoclonus. These are not true myoclonus. These are part of dissociative disorder

Eyelid apraxia in a PSP(progressive supranuclear palsy) patient. Pt can’t open eyelid spontaneously.

Eyelid apraxia in a PSP(progressive supranuclear palsy) patient. Pt can’t open eyelid spontaneously.

Gelastic seizure. It is a type of focal seizure when patient presents with laughing episodes.

Gelastic seizure. It is a type of focal seizure when patient presents with laughing episodes.

Tremor or focal seizure?? Difficult to say clinically. EEG shows no epileptic discharge s/o tremor.

Tremor or focal seizure?? Difficult to say clinically. EEG shows no epileptic discharge s/o tremor.

Right focal seizure. Eye deviation to right side/ twitching of right angle of mouth suggest true Sz

Right focal seizure. Eye deviation to right side/ twitching of right angle of mouth suggest true Sz

Fasciculation in a patient of MND (motor neuron disease)

Fasciculation in a patient of MND (motor neuron disease)

Pseudo seizure. Backward arching of neck and back (opisthotonus) and pelvic thrusting can be seen.

Pseudo seizure. Backward arching of neck and back (opisthotonus) and pelvic thrusting can be seen.

Polyminimyoclonus in a patient of Hirayama disease.

Polyminimyoclonus in a patient of Hirayama disease.

Planter fasciitis treatment: local steroid injection

Planter fasciitis treatment: local steroid injection

Tremor in PD vs ET. Expression less face, bradykinesia, rigidity and asymmetric tremor suggests PD

Tremor in PD vs ET. Expression less face, bradykinesia, rigidity and asymmetric tremor suggests PD

Titubation (no no): a feature of Cerebellar lesion

Titubation (no no): a feature of Cerebellar lesion

Clonus(patellar/ ankle) suggests UMN lesion and spasticity. Helps to differentiate UMN vs LMN lesion

Clonus(patellar/ ankle) suggests UMN lesion and spasticity. Helps to differentiate UMN vs LMN lesion

Frontal release signs: palmomental and snout reflex. Seen in disorders that effect frontal lobe.

Frontal release signs: palmomental and snout reflex. Seen in disorders that effect frontal lobe.

Pseudo tremor vs true tremor

Pseudo tremor vs true tremor

Scanning type of speech in a spinocerebellar ataxia pt.Scanning speech suggests Cerebellar pathology

Scanning type of speech in a spinocerebellar ataxia pt.Scanning speech suggests Cerebellar pathology

Hemifacial spasm left side.

Hemifacial spasm left side.

Myoclonus dystonia. Starts in teenage years. It effects head, arm and upper body. Ethanol sensitive

Myoclonus dystonia. Starts in teenage years. It effects head, arm and upper body. Ethanol sensitive

Carphologia or floccillation.

Carphologia or floccillation.

Parkinsonian gait: Slow and short steps, stooped forward posture, reduced arm swing and tremor

Parkinsonian gait: Slow and short steps, stooped forward posture, reduced arm swing and tremor

Hyperkinetic choreiform gait in a patient of hungtington’s disease. As if he is dancing or prancing

Hyperkinetic choreiform gait in a patient of hungtington’s disease. As if he is dancing or prancing

Examination of muscles of thumb #neurology #medicine

Examination of muscles of thumb #neurology #medicine

Crouch gait. Seen in cerebral palsy (diplegia). Spastic gait with flexed knee throughout the gait.

Crouch gait. Seen in cerebral palsy (diplegia). Spastic gait with flexed knee throughout the gait.

Nystagmus. It is an involuntary biphasic rhythmic ocular oscillation, slow phase is pathological

Nystagmus. It is an involuntary biphasic rhythmic ocular oscillation, slow phase is pathological

Raised intracranial pressure in a patient of IIH (Idiopathic intracranial hypertension)

Raised intracranial pressure in a patient of IIH (Idiopathic intracranial hypertension)

Functional movement disorder part 2

Functional movement disorder part 2

Focal seizure in left upper limb with intact awareness.

Focal seizure in left upper limb with intact awareness.

Central line insertion (subclavian) : A complete guidance.

Central line insertion (subclavian) : A complete guidance.

Pseudoseizure, known as PNES is a very common disease in our society mostly seen among young female

Pseudoseizure, known as PNES is a very common disease in our society mostly seen among young female

Sural nerve biopsy

Sural nerve biopsy

Hemiballismus. It is flinging/flailing movements that are non patterned, involving proximal muscles

Hemiballismus. It is flinging/flailing movements that are non patterned, involving proximal muscles

Tongue dystonia in a patient of Wilson’s disease

Tongue dystonia in a patient of Wilson’s disease

Athetosis of hands

Athetosis of hands

Focal seizure. This kind of subtle changes are nothing but seizure and should be recognised readily

Focal seizure. This kind of subtle changes are nothing but seizure and should be recognised readily

Progressive supranuclear palsy (PSP)- various signs are described

Progressive supranuclear palsy (PSP)- various signs are described

Trousseau’s sign

Trousseau’s sign

Myoclonic jerks

Myoclonic jerks

Pill rolling tremor. It is classically seen In Parkinson’s disease. As if patient is rolling a pill.

Pill rolling tremor. It is classically seen In Parkinson’s disease. As if patient is rolling a pill.

Tongue fasciculation. Seen in LMN diseases like ALS, hypoglossal neuropathy, brain stem lesion etc.

Tongue fasciculation. Seen in LMN diseases like ALS, hypoglossal neuropathy, brain stem lesion etc.

Pronator drift (right upper limb)

Pronator drift (right upper limb)

Jaw tremor and right hand postural tremor in a patient of Parkinson’s disease

Jaw tremor and right hand postural tremor in a patient of Parkinson’s disease

Left focal seizure in a old lady, started suddenly after an acute stroke ( post stroke seizure)

Left focal seizure in a old lady, started suddenly after an acute stroke ( post stroke seizure)

Risus sardonicus, a pathological smile in a patient of Wilson’s disease. It Also seen in tetanus.

Risus sardonicus, a pathological smile in a patient of Wilson’s disease. It Also seen in tetanus.

Chorea. These are dance like involuntary, irregular, purposeless, random, brief and jerky movements

Chorea. These are dance like involuntary, irregular, purposeless, random, brief and jerky movements

Functional movement disorder

Functional movement disorder

Pseudo seizure vs true seizure. Abnormal movement of the lady is not true seizure. Also called PNES

Pseudo seizure vs true seizure. Abnormal movement of the lady is not true seizure. Also called PNES

Intrathecal interferon injection in a SSPE patient

Intrathecal interferon injection in a SSPE patient

Spastic gait, scissoring seen in spastic legs.Patient walks in narrow base with stiff shuffling gait

Spastic gait, scissoring seen in spastic legs.Patient walks in narrow base with stiff shuffling gait

Myopathic (waddling gait) seen in weakness of hip girdle muscles causing exaggerated pelvic swing

Myopathic (waddling gait) seen in weakness of hip girdle muscles causing exaggerated pelvic swing

Broad based spastic gait in a patient of PLS (primary lateral sclerosis)

Broad based spastic gait in a patient of PLS (primary lateral sclerosis)

Clubbing (grade 3) in a patient of bronchogenic carcinoma who came in our opd with acute stroke

Clubbing (grade 3) in a patient of bronchogenic carcinoma who came in our opd with acute stroke

ALS patient having clinically visible fasciculation that also can be seen in EMG

ALS patient having clinically visible fasciculation that also can be seen in EMG

Erythema multiforme major. S/E of phenytoin. Many antibiotics and analgesics also can cause this.

Erythema multiforme major. S/E of phenytoin. Many antibiotics and analgesics also can cause this.

Chest physiotherapy

Chest physiotherapy

Steppage gait. Patient lifts his legs high while walking to prevent tripping. Seen in foot drop

Steppage gait. Patient lifts his legs high while walking to prevent tripping. Seen in foot drop

NPH (normal pressure hydrocephalus) and it’s gait

NPH (normal pressure hydrocephalus) and it’s gait

Drug induced dyskinesia. developed after taking 1 month of Rabicip L ( rabeprazole + levosulpiride)

Drug induced dyskinesia. developed after taking 1 month of Rabicip L ( rabeprazole + levosulpiride)

Neuromyotonia in a patient of Morvan syndrome

Neuromyotonia in a patient of Morvan syndrome

CSF opening pressure… how to check with CSF manometer

CSF opening pressure… how to check with CSF manometer

Dopa induced dyskinesia in young Parkinson’s patient

Dopa induced dyskinesia in young Parkinson’s patient

Myoclonus in a patient of SSPE

Myoclonus in a patient of SSPE

Percussion myotonia

Percussion myotonia

Titubation (yes yes): a feature of Cerebellar lesion

Titubation (yes yes): a feature of Cerebellar lesion

clonus (ankle and patellar)

clonus (ankle and patellar)

focal seizure with eye deviation

focal seizure with eye deviation

Jaw tremor following inake of dopamine antagonist

Jaw tremor following inake of dopamine antagonist

figure of four posturing

figure of four posturing

covid prevention

covid prevention