SIH Score vs Eyemo

This easy to use, predictive scoring system is based on the six most relevant brain MRI findings and allows to assess the likelihood of a spinal cerebrospinal fluid (CSF) leak in patients with spontaneous intracranial hypotension (SIH). The scoring system may help headache specialists objectively predict the probability of an underling spinal cerebrspinal fluid leak. It is useful to triage patients who may benefit from more invasive myleographic examinations. Spontaneous intracranial hypotension Spontaneous intracranial hypotension (SIH) is an increasingly recognized disorder usually presenting with disabling orthostatic headache, which manifests within minutes after assuming the upright position, and subsides after lying down. According to the common doctrine SIH is triggered by CSF leakage from the intrathecal into the epidural compartment, which is usually due to an osteodiscogenic microspur (calcified disc protrusion or spondylophyte) penetrating the dura, or a leaky spinal nerve root diverticulum. Imaging plays a crucial role in the diagnostic work-up of SIH patients, but many challenges remain, particularly with respect to finding evidence of intracranial hypotension on brain MRI, and identifying and localizing a cerebrospinal fluid (CSF) leak.

Eyemo is a comprehensive neuro-ophthalmology learning application, featuring more than 75 precision-crafted animations and over 200 animated quiz questions covering 50 afferent and efferent disorders; it is designed to strengthen diagnostic reasoning. Created by a Consultant Neurologist subspecialising in neuro-ophthalmology and neuro-otology, and peer-reviewed by international experts, Eyemo explains complex eye movement disorders clearly. It helps learners recognise each sign accurately and understand the underlying mechanism. LEARN THROUGH THREE FOCUSED MODES • Teaching Mode: slowed, fullscreen, blink-free animations, suitable for group teaching. • Identify Mode: continuous, randomised playback for training rapid pattern recognition. • Quiz Mode: challenging single best answer questions that test higher order diagnostic reasoning, alongside detailed explanations. WHAT IS INCLUDED • More than 75 clinically accurate, vector based animations. • More than 200 quiz questions with detailed, referenced explanations. • 50 conditions spanning cranial nerve palsies and variants (third, fourth and sixth nerve), the internuclear ophthalmoplegia spectrum (including INO plus), nystagmus, saccadic dyskinesias, vertical gaze palsies, myokymia, light near dissociation and anisocoria. • Content based on Leigh and Zee, Liu, Volpe and Galetta, Brazis, Walsh and Hoyt, and the NOVEL library. VALIDATED BY LEARNERS In pre launch testing with medical students, residents, fellows and neuro-ophthalmologists, Eyemo received the following ratings: • 5.0 out of 5 for accurately depicting eye movement abnormalities. • 4.9 out of 5 for likelihood of recommendation to novice learners. • 4.8 out of 5 for simplifying difficult neuro-ophthalmic concepts. These findings were presented at the North American Neuro-Ophthalmology Society (NANOS) Annual Meeting in Arizona, 2025. WHO IT IS FOR Medical students, orthoptists, optometrists and clinical educators, neurology and ophthalmology residents, practicing neurologists and ophthalmologists, and anyone seeking to build diagnostic confidence in eye movement and pupillary disorders. HOW IT WORKS The application is free to download and includes beginner level content. A one time purchase unlocks the full animation library, expert level topics, Teaching Mode and the complete question bank, providing lifetime access with no subscriptions and no advertisements. An internet connection is required. Eyemo is designed for a global, English speaking audience.