We also got taught the mnemonic: 'Vanish DDT' which stands for vertigo, ataxia, nystagmus, intention tremor, staccato speech, hypotonia, dysmetria, dysdiadochokinesia and titubation.
Scanning speech, nystagmus (fast phase towards lesion), dysmetria (index to nose and finger to nose test), arm rebound test, dysdiadochokinesia, pendular knee jerk, titubation, cerebellar gait (broad stand, staggering, towards lesion). Romberg unrelated (just proprioception altered).
I would like to thank this great Dr .. for sure he is great in teaching aswell ,, tomoroow am taking an osce exam just wanna refresh just I came across it first time to get all of cerebellar sign and symtpoms this way although I used to master it when I was student very will done he is so confident and relax and takes things by reasoning I look around he is Dr Verghees ,, thank u so much
Reminds me of good old days during the Internal medicine rotation at Trichur Medical College, India where our brilliant but unassuming teachers demonstrated physical exam skills to us at the bedside every single day. Thank you so much, Dr. Verghese for bringing this art back to medicine. Is there a way we can extend this to pediatric practice?
I really like this doctor's presentation. On the other hand . . . does every video like this need a musical soundtrack? Now I have to process not only speech, sights, the sounds of some of the movements, the implications and connections of what's being described, and some new relevant information-but also music? This is what my brain needs?
This doctor nailed it , first watch without expensive and time consuming office visits! Saw 7 different "professional " doctors ( in France!), totally missed diagnosis!! Well...?
Our baby at 2 years old is diagnosed of Cerebellar Ataxia. We found it very difficult to do the therapy considering his age. He used to be a very happy and energetic kid. Hope you can help us in his condition. A little advise and prayers will do.
Very thankful for quality resources like this. Thank you for helping me to understand the clinical picture that I will one day have to construct once I manage to make it past the first two years of nothing but books.
The cerebellar atropy gets more and more worse with time. My dad is suffering from it since last eight years. Could you please suggest any medicine or treatment therapy to control it? Video on it would be very helpful for such patients worldwide.
is he at stanford at palo alto clinics i would love to seek an appointment with him ...im constantly dizzy and lightheaded i have seen dr verabaghu at stanford but would like to see him for a diagnosis? any help
Very informative! My nursing assessment text says a positive Romberg test is seen with vestibular dysfunction and cerebellar disorders. It does not go into detail unfortunately.
thank you for sharing you knowledge.....I would love your review of Dr. Titus Chiu's book and how you feel about post concussion syndromes. I had a head injury before I was married. It was not considered a problem until I began exhibiting acute mood changes and experienced seizure type acitivity.
Ataxia can too often be linked only to the cerebellum and so the confusion is made. It is SENSORY ataxia (peripheral neuropathy) which can be indicate with a positive Romberg test... nice mention :)
Nice video, thanks. I think it is better to change the depth of your finger in relation to the patient (near then far from the patient) when testing for dysmetria rather than changing the direction of your finger. The idea of finger-nose testing is to see if the patient is judging well the distance (depth) of the object (your finger), so in case of cerebellar disease, the patient will past-point, meaning he/she will past point the depth of your finger.
This may be a bit off topic, but nevertheless has to do with neuroligical tests. I was diagnosed with moderate to severe cervical spinal stenosis based on MRI, I also have disc herniations, degenerative disc disease, and bone spurs. I went for a 2 cd opinion and when the neurologist did a series of tests, found that I have pronator drift - stroke was ruled out ( I have no symptoms, my BP is fine, etc.) but this scares me - could it be from the stenosis? I also have cervical instability. I am also being sent for a CT scan because the Dr. is very thourough. Should I be very worried? I am 59, in otherwise good health, very active, exercise, and eat nutritiously.
The Romberg test went from having nothing to do with the cerebellum to having very little to do with the cerebellum in less than a minute. 4:00-4:36. Which is it? ;)
Sir my mother is suffering from this disease We brought her trtmnt in so many hospitals but she hadnot been getting well Plz recommend some tips n trtmnt
What a pleasant doctor. He appears gentel, aware & communicative. Thanks for sharing brilliant.
Very pleasant Doctor, like his accent as well. Like a cross between English & American.
@@whatonearth9809 almost sounds like a nice Southern Irish accent, like an educated Dubliner:-:-)
Lee Warner he’s Egyptian
@@whatonearth9809 g igi ig Ihre Cz h ja ja
@@Mr2legit2quitt you forget we have Google !! He is American and originally from Ethiopia ..Stop lying for fæn
We also got taught the mnemonic: 'Vanish DDT' which stands for vertigo, ataxia, nystagmus, intention tremor, staccato speech, hypotonia, dysmetria, dysdiadochokinesia and titubation.
It's good
Thanks
Thengsuu bhaaa
🤣🤣🤣
Thankss aLot!
I love the instructional videos given by Dr. Abraham Verghese. Such a great teacher, and very relaxing to listen to.
One of the best medical videos I've seen.
I have seen a lot of people do that rapid alternating movement test, and this guy is, by a longshot, the fastest.
2:43 I've trained for this my entire life
Drummer? Lol
I'm weak! lol
I envy your students for having such a great teacher ! This video is perfect thank you very much
You're beautiful too
Scanning speech, nystagmus (fast phase towards lesion), dysmetria (index to nose and finger to nose test), arm rebound test, dysdiadochokinesia, pendular knee jerk, titubation, cerebellar gait (broad stand, staggering, towards lesion). Romberg unrelated (just proprioception altered).
This Doctor exudes wisdom. I've not seen anything like it before.
Such a pleasant Doctor, I could listen to him speak for hours!
Thank you so much Stanford for even posting great material like this. I love watching it!
I would like to thank this great Dr .. for sure he is great in teaching aswell ,, tomoroow am taking an osce exam just wanna refresh just I came across it
first time to get all of cerebellar sign and symtpoms this way although I used to master it when I was student
very will done
he is so confident and relax and takes things by reasoning
I look around he is Dr Verghees ,, thank u so much
Thanks Dr. Verghese! I’ m in love with physical exam after your youtube classes.
Thank you very much Doctor. Indeed it is a very useful video about the signs and symptoms of Cerebellar lesion.
thank you!!!
Reminds me of good old days during the Internal medicine rotation at Trichur Medical College, India where our brilliant but unassuming teachers demonstrated physical exam skills to us at the bedside every single day. Thank you so much, Dr. Verghese for bringing this art back to medicine. Is there a way we can extend this to pediatric practice?
Great to hear.. I studied eng in Trichur .. 😊
by doing it
There's no words to thank you for this lesson. It's easy, complete and awesome. It's really helping me with my studies. Thank you!
Zzz da
WoW. 5 millions times worth of information in just 5 minutes. Thank you sir.
very informative ,simple, illustrative... thank you for this
Thank you for the comment!
Ancient
VERY SIMPLE EASY TO UNDERSTAND , more illustrative and easy to remember thank you stan
ford
Really helpful video, especially regarding clarification of the Rhomberg test and explanation of abnormal signs. Thank you Dr Verghese.
Wow👌👌👌 the smoothness and precision of the doc !!
I really like this doctor's presentation.
On the other hand . . . does every video like this need a musical soundtrack? Now I have to process not only speech, sights, the sounds of some of the movements, the implications and connections of what's being described, and some new relevant information-but also music? This is what my brain needs?
Got a CNS case and did quite well thanks to these videos. Very informative. Thanks a ton. :D
very excellent thank you doctor!!! it s very usefull for my studies
This doctor nailed it , first watch without expensive and time consuming office visits! Saw 7 different "professional " doctors ( in France!), totally
missed diagnosis!! Well...?
Thank you so much, you saved my life, I'm now a better medical student
Dr. Verghese's story is inspiring! What an awesome guy!
Thank you so much for sharing with the rest of med students and doctors in the world.
Our baby at 2 years old is diagnosed of Cerebellar Ataxia. We found it very difficult to do the therapy considering his age. He used to be a very happy and energetic kid. Hope you can help us in his condition. A little advise and prayers will do.
Beautiful presentation of ataxic gait, thank you 😊
I believe the romberg test also checks the vestibular system and not only the posterior columns.
DocHemulin hey
Very thankful for quality resources like this. Thank you for helping me to understand the clinical picture that I will one day have to construct once I manage to make it past the first two years of nothing but books.
The cerebellar atropy gets more and more worse with time. My dad is suffering from it since last eight years. Could you please suggest any medicine or treatment therapy to control it? Video on it would be very helpful for such patients worldwide.
Too good and excellent for students to learn.Precise and very authentic too.
much agree, very excellence, such profession
What a beautiful video and explanation! Really loved it. Very informative
Wow would love to be taught by him. His students are so lucky!
Great teacher with execellent commond on his profession..
You are so talented and a fantastic teacher!! Thank you so much :) I have subscribed and am looking forward to more videos!
Thank you for the video. Watching from Brazil!!!
Doctor you are doing great job.God bless you
Isn't this author-doctor Abraham Verghese??
yes it is! thanks for commenting.
is he at stanford at palo alto clinics i would love to seek an appointment with him ...im constantly dizzy and lightheaded i have seen dr verabaghu at stanford but would like to see him for a diagnosis? any help
im sure typing out a comment on youtube is going to get you an appointment !
Very informative! My nursing assessment text says a positive Romberg test is seen with vestibular dysfunction and cerebellar disorders. It does not go into detail unfortunately.
Very nicely explained in a logic order. Thank you!
These videos are fantastic. Thank you
Very clear explanation and demonstration
Thank you for the mention of the differiantial test technique.
Another great video. Thank you so much.
thank you for sharing you knowledge.....I would love your review of Dr. Titus Chiu's book and how you feel about post concussion syndromes. I had a head injury before I was married. It was not considered a problem until I began exhibiting acute mood changes and experienced seizure type acitivity.
This doctor is very thorough. 🤘🏻
Thanks for the clarity ! Also thanks that Romberg is meaningless for Cerebellar examination.
the best channel, love all your content
Very informative, thanks to Dr Abraham Verghese 🙏🙏
Thank you so much! It helped a lot for my Biology test!
What a beautiful artistic presentation 💕 thank you
Wonderful video. What an amazing teacher. May I ask what the background music is?
You are a very good Doctor and teacher👍👍
Ataxia can too often be linked only to the cerebellum and so the confusion is made. It is SENSORY ataxia (peripheral neuropathy) which can be indicate with a positive Romberg test... nice mention :)
Excellent video! Will go through all the uploads now
Great video. My exam is tomorrow. This helped a lot
Sir, u r a real professor
Legendary explanation. One of the best I’ve seen!
Love the end soundtrack too!!
Very informative! Brilliant!!
wonderful presentation
Nice video, thanks. I think it is better to change the depth of your finger in relation to the patient (near then far from the patient) when testing for dysmetria rather than changing the direction of your finger. The idea of finger-nose testing is to see if the patient is judging well the distance (depth) of the object (your finger), so in case of cerebellar disease, the patient will past-point, meaning he/she will past point the depth of your finger.
thank you for this wonderful instructional video!
This is a very good Doctor 👍
You are great doctor 👍👍👍👍👍
I thought the fast beating of nystagmus is usually pointing toward non involved side, and slow beating phase is the side of lesion.
clear explanation and on point 👍 thank you sir. this video is such a huge help
Hello, does the Romberg test with eyes open not test posture and balance? Which are linked to the cerebellum?
How beautifully explained❤️
This may be a bit off topic, but nevertheless has to do with neuroligical tests. I was diagnosed with moderate to severe cervical spinal stenosis based on MRI, I also have disc herniations, degenerative disc disease, and bone spurs. I went for a 2 cd opinion and when the neurologist did a series of tests, found that I have pronator drift - stroke was ruled out ( I have no symptoms, my BP is fine, etc.) but this scares me - could it be from the stenosis? I also have cervical instability. I am also being sent for a CT scan because the Dr. is very thourough. Should I be very worried? I am 59, in otherwise good health, very active, exercise, and eat nutritiously.
I take my good health for granted. I never knew so many things could go wrong in this old human body.
Do people with cerebellar ataxia has muscle weakness upong testing their muscle strength?
OMG, I wish my professor was as good as you, sir!
very nice explanation doc...hand salute..
Like in Friedreich's Ataxia. Thank yo very much Dr, very informative.
I could do all the cerebellar tests except the romberg test so do i have ataxia
Just one word..thank you
This is amazing!
Many thanks Doctor. It is wonderful.
I love this guy.
That was a really good demonstrative video. Thanks!
Simple and clear class
Best demonstration. Thank you for sharing.
excellent video but the heel shin test was not shown.
So great dr. , Thanks so much
The best video to understand cerebellar syndrome !
Very well explained, thank you.
Very useful.Carry on Stanford, best wishes from russian doctors ))
Thank you doctor.
Thank you dear prof .
The Romberg test went from having nothing to do with the cerebellum to having very little to do with the cerebellum in less than a minute. 4:00-4:36. Which is it? ;)
Aren't reflexes diminished if there is hypotonia?
Great video but would be helpful to see examination of a patient with a condition so can see pathology / clinical signs
Very much useful, sir. Thanks a lot :)
very easy and informative ..thank you doctor
Could you get me out of my mal de debarquement syndrome disorder? Please!
sir excellent video, what a way to discuss the cubersome xamination into simplified manner
Sir my mother is suffering from this disease
We brought her trtmnt in so many hospitals but she hadnot been getting well
Plz recommend some tips n trtmnt
My son also what treatment is now going
ok ser
Thank you! Very helpful!