1391 results
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
secondary to Orbital Apex ... Syndrome A 61 ... Ophthalmoplegia #Orbital #Apex ... #Syndrome #Clinical
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
encephalopathy, Orbital apex ... syndrome, Cavernous ... Miller-Fisher syndrome ... pseudotumor, Orbital apex
Diplopia - Differential Diagnosis
Step 1: Consider Stroke
Step 2: Diplopia PLUS
 - Cavernous Sinus Syndrome
 - Infection
Cavernous Sinus Syndrome ... HA - Orbital Apex ... Syndrome Step
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... at the orbital apex ... Syndrome secondary ... Orbital Apex Syndrome ... #Syndrome #Herpes
Takotsubo Cardiomyopathy - Right Ventricular Involvement 

In up to 1/4 of cases of stress cardiomyopathy (takotsubo),
right ventricular apex ... #BrokenHeart #Syndrome
Brugada syndrome Types 1, 2 and 3

There are three types of ECG presentations, referred to as
Brugada syndrome ... type 3 Brugada syndrome ... type 1 Brugada syndrome ... starts at the apex ... type 3 Brugada syndrome
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... diagnosis of Horner's syndrome ... tumors along the apex ... anterior_seg_rocks #Horners #Syndrome
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Miller-Fisher syndrome ... neuropathy (orbital apex
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case)left eye. 
Note that left
Horner's Syndrome ... occurring at the apex ... Photo #Horners #Syndrome
Vascular Stent Migration and Embolization on POCUS Echocardiogram (S4C)

40 year old female with bilateral lower extremity
suspected May-Thurner Syndrome ... was stuck in RV apex