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Round the Houses Sign of PSP on Physical Exam



Round the house sign in Progressive Supranuclear Palsy. Due to dysfunction of the riMLF (the vertical saccade manager), the eyes take a round about route going up and down instead of the shortest straight routes.



Dr. Boby Varkey Maramattom @bobvarkey



#Round #Houses #RoundTheHouses #Sign #PSP #PhysicalExam #clinical #video #ocular #neurology #Progressive #Supranuclear #Palsy
Contributed by

Boby Varkey Maramattom
@bobvarkey
Lead consultant Neurologist, Aster Medcity, Kochi, India. 
Internal medicine faculty Royal college of UK
https://twitter.com/bobvarkey
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