29 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• CN VI palsy ... ptosis with CN Ill palsy ... • Myasthenia ... Orbital Floor Fracture ... Diagnosis #Algorithm #Causes
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
sclerosis • Myasthenia ... gravis • GBS ... (orbital apex fracture ... , blowout fracture ... Differential #Diagnosis #Causes
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Myasthenia Gravis ... Ocular- 50%: Ptosis ... Brain stem/Cranial nerve ... - Repetitive nerve ... #management #neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
CN III palsy 2. ... Myasthenia gravis ... palsy • Horner ... gravisOcular ... orbital rooftop fracture
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
with a left 6th nerve ... palsy Caused ... retraction #nystagmus #ocular ... #physicalexam # ... clinical #video #neurology
Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when the more affected
Curtain Sign in Myasthenia ... Gravis on Physical ... #Gravis #PhysicalExam ... clinical #video #neurology ... ophthalmology #ocular
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
Curtain Sign in Myasthenia ... Gravis on Physical ... #Gravis #PhysicalExam ... clinical #video #neurology ... ophthalmology #ocular
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
Curtain Sign in Myasthenia ... Gravis on Physical ... #Gravis #PhysicalExam ... clinical #video #neurology ... ophthalmology #ocular
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Palsy • CN IV ... palsy • CN VI ... Skew Deviation Casey ... ophthalmology #neurology ... differential #diagnosis #ocular
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Myasthenia gravis ... myasthenia gravis ... #Myasthenia #Gravis ... #PhysicalExam #