Sir your lessons are just amazing. Pub med/internet/books reaserch was driving me mad but when I found your videos everything got simple.Halleluja! Thanks!!!!
Awesome explanation ! I did not find the reason in usual med ophthalmology books, for sunsetting sign in hydrocephalus, and correct explanation of vertical gaze center, which most book so far I have seen writes it to be within the superior colliculus, rather than thalamo-mesencephalic junction. Awesome sir, thank you
Thank you, for sparing your time to explain this pathology, it is really an interesting "syndrome". It can be seen in pineal gland masses in the pediatric age group. But any problem affecting the midbrain can present with Parinaud Syndrome.
If I need the best explanation of neuro-opthomology signs and pathways, I go to this channel. Honestly no need to supplement (except for examples in real patients)
Question: since the rostral midbrain is being compressed, why is there overexcitation of CN-3 and causing convergence-retraction nystagmoid symptoms? I guess what I am asking is can someone please reexplain this. Thanks.
TBH, it's not a very good explanation of why convergence and retraction occurs with upgaze attempts. Why would the medial rectus pull, unopposed, when you try to look up?
Had a pineal cyst removed earlier this year, was curious what role the mid brain plays in chronic photophobia, if any. In my context, photophobia to me is irritation by light which causes eye pain, headaches moving front to back, sometimes ear and head pressure, and nausea.
In pineal gland tumors or cyst, there are abnormalities in upgaze and pupillary responses, especially inability of the pupils to constrict to bright light . this can explain the photophobia if your pupils are constricting enough to avoid bright light
thank you sir .. i ve just seen 1 case of parinaud syndrome today and thinking where shud i learn it so that i can get clear picture of what parinaud syndrome is. and i ve found it here. thanks again..
![Noob To Max With DRAGON REWORK In Blox Fruits [FULL MOVIE]](http://i.ytimg.com/vi/LnBMOinoOvA/mqdefault.jpg)
Fantastic! Clearly one of the best teachers I have ever seen! Hope to see more videos. Thank you Sir.
Such a terrific teacher. Not even in my neuro block anymore but I still watch his videos because he's awesome
You are the best teacher of neuro-ophthalmology known to me. God bless you! Thank you for inspiring!!!
Sir your lessons are just amazing. Pub med/internet/books reaserch was driving me mad but when I found your videos everything got simple.Halleluja!
Thanks!!!!
I can hear you 24×7. Such a brilliant teacher
What a legend! Thank you so much.
Thank you Dr. Lee for these videos. You make the pathways very enjoyable to learn about. Can't wait for the next video(s). Thanks again.
Saw a patient who was textbook classic for Parinaud's syndrome. Amazing! Thank you for so clearly explaining.
Fantastically explained!!
He has extraordinary approach, he is different level,the GOAT of neuro, op
The best explanation that i v ever heard. Thank u!
Amazing! You are the best teacher!
what a legend !
thank you 1000 times from syria 🌹
Wow, I have the feeling you're gonna make my neuro rotation a lot easier
Awesome explanation ! I did not find the reason in usual med ophthalmology books, for sunsetting sign in hydrocephalus, and correct explanation of vertical gaze center, which most book so far I have seen writes it to be within the superior colliculus, rather than thalamo-mesencephalic junction. Awesome sir, thank you
Thank you, for sparing your time to explain this pathology, it is really an interesting "syndrome". It can be seen in pineal gland masses in the pediatric age group. But any problem affecting the midbrain can present with Parinaud Syndrome.
Thanks sir for clearing the concepts🙏🏻
فديته احسن شرح يشرح 🤩
Thank you so much for these awesome lecture, it really helped me alot in undestanding this.
Brilliant!! more power to you professor.
excellent, fantastic teaching - thanks for posting
Excellent video ! Thank you.
Legendary explanation 🙏🏻
Thank you very much for your nice explanation. Hope to be an ophthalmologist near future!!
If I need the best explanation of neuro-opthomology signs and pathways, I go to this channel. Honestly no need to supplement (except for examples in real patients)
Bloody brilliant
Crystal clear!!!^^ Thank you Dr!
dude is incredible. what a teacher
Wow. So helpful - thank you!
Thank you very much!
You're great dr ... thank you
Stunning
WOW, EXCELLENT!!!
One of the dopest humans.
Amazing 💯
Amazing, THANK YOU!
Well explained ! Appreciate it
Thank you very much!!! Great explanation
Amazing!
Спасибо, лучшие лекции
Deeply appreciate
Amazing thank you
Thank you sir 🙏
Thanks! That’s really help me a lot!
thank you, super Explaination
Why some of the videos are private? How can i watch them? They are really awesome. Please help
Love your Videos! Quick & Dirty!
So no 3rd nerve palsy as such?
timeless
Question: since the rostral midbrain is being compressed, why is there overexcitation of CN-3 and causing convergence-retraction nystagmoid symptoms? I guess what I am asking is can someone please reexplain this. Thanks.
There is loss of supranuclear normal inhibitory response.
what about firing of the inferior oblique muscle? does it show any clinical sign in the Parinaud syndrome?
TBH, it's not a very good explanation of why convergence and retraction occurs with upgaze attempts. Why would the medial rectus pull, unopposed, when you try to look up?
thank you
Awesomeness!!!
Can a unilateral lesion (eg in MS) also nip the trochlear fibres leading to contralateral superior oblique palsy - i.e contralateral hypertropia?
Lesion is there hpe can 3 rd nerve fire
Had a pineal cyst removed earlier this year, was curious what role the mid brain plays in chronic photophobia, if any. In my context, photophobia to me is irritation by light which causes eye pain, headaches moving front to back, sometimes ear and head pressure, and nausea.
Not migraine?
@@TheDoc4kids You could classify it as that, but its 24/7 unless I wear digital block glasses non stop.
In pineal gland tumors or cyst, there are abnormalities in upgaze and pupillary responses, especially inability of the pupils to constrict to bright light . this can explain the photophobia if your pupils are constricting enough to avoid bright light
Dear dr.Lee, what the best treatment for this ? Is there any exercise? Im suffered from this parinaud syndrome , please your advice🙏
salute you , sir!!!!!!!!!!!!!!!!!!
Is horizontal gaze affected ?
Horizontal gaze center does not reside in the dorsal midbrain.
Thank you
Hello Sir. Thank you for all your amazing lectures . I am having a little difficulty understanding the vertical gaze pathway . Can you explain that.
Harkarandeep Singh Even I din’t understand that! I googled it and I’m even more confused now!
Nice Video :)
thank you sir .. i ve just seen 1 case of parinaud syndrome today and thinking where shud i learn it so that i can get clear picture of what parinaud syndrome is. and i ve found it here. thanks again..
Something is wrong with playing this video..
Hay no nevert nevert
Uoo
Sooooooooooooooooooooooooooo.
wow, finally some Chinese face, 希望您了解中国文化