Internuclear Ophthalmoplegia EXPLAINED

Internuclear Ophthalmoplegia - hard to spell and even harder to understand. With the help of former president and famous MS patient Jed Barltlet, we'll be taking you through this tricky topic, one step at a time.
Conjugate horizontal gaze depends on the medial longitudinal fasciculus to ensure the oculomotor and abducens nerves remain on speaking terms.
But what if this heavily myelinated tract is blighted by a demyelinating disease such as multiple sclerosis? If the tract is damage, it can lead to failure of adduction, diplopia and the kind of gaze palsy just destined to show up in a postgraduate examination.
So let's get started!
MUSIC
1. Lobby Time
2. Upbeat Forever
Both courtesy of Incompetech.com
We don't own the rights to the West Wing but we wish we did. That show is great.
1. Longmore M, Wilkinson IB, Davidson EH Foulkes A, Mafi AR (2010). Neurology. In: Oxford Handbook of Clinical Medicine (Eight Edition). Oxford Press. pp 86 - 153
2. Ballinger A (2012). Neurology. In: Essentials of Kumar & Clark's Clinical Medicine (Fifth Edition). Saunders Elsevier. pp 407 - 504
3. Davies JER, Nijjer S (2014). Neurology. In: Kalra, PA. Essential Revision Notes for MRCP (Fourth Edition). PasTest. pp 1 - 64
4. Life in the Fast lane (2017). Internuclear Ophthalmoplegia

[@rayhanpitigala9297]

this was the greatest explanation i've ever heard. It was so easy to passivley learn and understand. thank you sir, form canada

[@arielmandelblum]

Absolutely agree!!

[@pariwhoop4935]

It's really amazing how you made such a seemingly difficult topic so incredibly easy to understand.

[@PedroHenrique-io6mj]

Welcome back, Zack :) Cheers from Brazil 😀

[@Jesse-pk2ue]

This video is the best thing that's happened to me during my opthalmology rotation - thanks!!

[@nikobiniaris1086]

it was sooo easy, I had no idea ! thanks so much !! You are the best

[@stevenshih191]

Thank you from a PT student. This was a very clear explanation. The visual helped a lot!

[@weelingkoh9098]

Best explanation ever thank you! - Saw an MS patient on the ward and I was trying to understand the concept. Really helped!

[@claireabailey]

Hands down best video I've seen today after 4.5 hours of study.

[@streemerz1]

Excellent work, keep doing these incredible videos!!!

[@Mustafa_KA]

You are amazing man .. welcome back and keep going 👍🏻👍🏻👍🏻

[@Got2beboss]

Finally understanding INO! Great and easy explanation, Thanks and greetings from Germany :)

[@dralvinjames]

Beautifully explained!!! Great effort.

[@michaelbens8677]

Ive been trying to understand this concept, finally it makes sense. Much love

[@anilhari007]

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[@ayak.abdalani484]

the amazing, gorgeous, speechless explanation I've ever found ☕

[@poojamehta9471]

Wonderful video

[@meenali6682]

by far the best explanation on the topic

[@miraclemelody9205]

The best explanation ever (over some 12 years as a medico)

[@DrTheDarkNight]

This is amazing, great animation that's very well explained!

[@akankshatiwari2060]

Awesome video brother.

[@christiandanielcastillomed206]

Oh man! I really had need this video. Thanks

[@bogusdingus6634]

awesome explanation!

[@maysoonattar2746]

Amazing explanation!!!!

[@rozzarozza3250]

only you can make such a complicated concept so easy to understand, thanks a lot :)

[@aang7505]

absolutely incredible explanation! thank you for your time and effort creating this video!!!

[@josy4767]

This made such a tricky topic to understand so clear

[@proceedingg3502]

you literally made such a complicated concept so simple!!! thank you, more vids please :)

[@lumiahtisaari148]

My god, this was brilliantly done!! 👏👏

[@Mrluckyjo]

this guy is a legend! and a looker too!

[@sameersami9304]

Excellent !

[@yomiimasogie4722]

Bravo. Been trying to understand INO but reads then forget but watching these wow I will never forget it. 👍👍👍

[@vxp999]

The best damn explantion fo INO!
I struglled for years trying understanding it, finaly its crystal clear!
Thank you so damn much!

[@ZohaibHassanQ47]

it is a brilliant take, Thank You.

[@pinapplekitty]

bless this instructor. makes so much sense. and definitely will be checking out the west wing

[@marialupu9015]

Thia was great! I FINALLY get it!🎉 Thank you!

[@TheLeChannel]

Great job!

[@mattiashartmann4203]

Amazing video, so easy to understand, thank you!!!

[@angelaroxas7919]

Excellent! Thank you!

[@charlesaugustine3695]

So easily explained 🙏

[@exa-med5526]

great animations and explainations !!! excellent job guys

[@suprateekat5338]

Thanks so much! Understand this topic so much better because of your video

[@kobilove]

u did ur big one explaining this. thank you

[@hm-eo2gy]

Great explanation 🫡🫡🫡❤️❤️❤️❤️

[@dr.naveedullahkhan811]

I simply love the way you explained it😄😄

[@SA-lr6tj]

Thank you so much, you have oversimplified it !

[@user-yg1dj8os3t]

Awesome explanation 😊

[@shkokurda2098]

Dude i love your presentation style

[@laibaabid7448]

WOAH! THUMBS UP. YOU MADE THIS SO EASY

[@tusharghosh644]

Awesome!

[@alankrita2010856]

If there were a wow react option available I would definitely click that. Lovely animation. Couldn't have understood better than this. Thanks.

[@melindiepretorius4632]

Such a great explanation, thank you!

[@SmartFetus]

lol bro that was smoothly explained. you have a natural talent for this. hats off, my paces exam is in a month

[@raghadtv]

Amazing explanation!! ❤ thank you 

[@annatouskova3242]

Very good video, thank you.

[@shewomanbabe]

Excellent!!

[@evapianista2835]

You are truley amazing

[@ruhammacristinapayano5374]

Uff this took me a while, thanks man. I GOT IT. SO fun and great animations!

[@scullyplt]

Brilliant !

[@Pxrdunk]

Love you ! Great Video man !! Thanks 🙏🏻♥️

[@Zahra-Mousavi01]

Thank you!

OMG THIS VIDEO IS AMAZING! THANK YOU SO MUCH!

[@vishnukanilkumar3849]

Perfect one

[@idim9248]

excellent animation and explanation. thanks

[@tiptoe609]

I enjoyed it while learning from it

[@studysarah156]

i barely leave comments but this is simply amazing! helped a lot, thank you!!!

[@dcmhsotaeh]

Barely or rarely?

[@nim6419]

Brilliance at its very best!! 😉 thank you

[@AirAnatomy_Doris]

Good description

[@M1ntt806]

Legendary explanation my man. Absolutely loved it xD

[@v_ronyca3244]

This is a great explanation! I needed the review! Thank you! :-)

[@gilliang.691]

such a great video!

[@hafsashehzad6708]

This was so helpful!!!!!

[@DrBrandonBeaber]

Excellent video. I was planning to do my own version of this, but this video would be touch to beat.

[@Gr4ceful4life]

thank you for your video

[@arielmandelblum]

(currently 2nd semester medical student) -> I've been spending at least an hour getting nowhere trying to understand this, and other visual deficits. I found myself able to grasp the concept strongly on the first pass based on your explanation. Thank you!! Subscribed!

[@kshamajain3602]

U made it so easy dude!

[@digitalbeatz8016]

Thanks a lot ! Was struggling to understand it!

[@halaalabboud480]

You’re the best, thanks 💗

[@moizazahid8970]

this is such a wonderful explanation. thank you so very much dude

[@Thechirimbola]

your animations are amazing. Keep going pls

[@roree.m7397]

Oh lord, a great explanation

[@dingdong436.]

Thank you very much!!❤

[@onadipeoluwatoyin7826]

brilliant bro ...thank you!!

[@natalieweller6286]

Brilliant I finally understand that!

[@nuratas3284]

Finally understanding INO😍 thanks from İstanbul

[@draliciapoyser3081]

thank you so much its so clear now ,great video and explanation

[@HJSZ7]

Thanks, this was very helpful.

[@pauljaison2046]

Thank you,it was perfect clear

[@afnantalat9262]

Please make more videos like these!

[@dr_ksparejiya]

This really helped man... Thanks 🙌

[@kokocipher]

thanks so much for explaining such a insanely complicated topic seem so easy

[@abrahambashaija5405]

I just watched this before my exam, and all I can say is thank you Sir! 😁

[@akandondaelly6205]

He explained it so well 🙏🏿😅

[@rawan7215]

Thanks for the explanation, it was very helpful

[@mabellin6258]

I'm in love with your explanation with cute animation. 🥰

[@indefat]

Thank you for the video. You've explained it very well.
At one point of the video you looked so much like Moriarty from Sherlock!

[@AllesGehritzt]

So damn good explained and illustrated. thank you very much

[@iSchoolGHTV]

Very creative.. You really good

[@pinkyfighter9834]

Wow! Great

[@hrickayan8257]

Thanks a lot.

[@victorpena7450]

Thank you so much I finally get this

[@parthibanp635]

Wow man. Really wow

[@ratkanitdamrong7120]

Thank you for your vdo. It’s easy to watch and understand.