Differential diagnoses for the neuro-ophthalmologic ...
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Description

Differential diagnoses for the neuro-ophthalmologic finding of diplopia.

Neoplastic: 

 • Intraorbital meningioma 

 • Pituitary adenoma (GH secreting, or apoplexy) 

 • Metastasis 

 • Carcinomatosis 

Vascular: 

 • Giant cell arteritis 

 • Giant intracranial aneurysm 

 • Microvascular disease 

Infectious: 

 • Meningitis 

 • Sphenoid sinusitis (CN VI palsy) 

 • Botulism 

Metabolic:  

 • Wernicke's encephalopathy 

Inflammatory:

 • Multiple sclerosis 

 • Myasthenia gravis 

 • GBS 

 • Miller-Fisher syndrome 

 • Orbital pseudotumor 

 • Orbital myositis 

Miscellaneous: 

 • Traumatic neuropathy (orbital apex fracture, blowout fracture of orbital wall) 

 • Increased intracranial pressure (CN Ill and VI palsy) 

 • INO (lesion of MLF) 

 • Graves' disease (thyroid orbitopathy) 

 • Corneal disease 

 • Cataracts 

 • Idiopathic intracranial hypertension (CN VI palsy) 



#Diplopia #Differential #Diagnosis #Causes #Ophthalmology
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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