76 results
Myasthenia Gravis - Ptosis, Diplopia, Blurred Vision

Acute Myasthenic Crisis 
• Triggered by infection, medication 
• Respiratory
Myasthenia Gravis ... - Ptosis, Diplopia ... Vision Acute Myasthenic ... ventilation #Myasthenia
Drugs associated with worsening of Myasthenia Gravis (MG):
•	D-penicillamine 
•	Botulinum toxin.
•	Telithromycin
•	Fluoroquinolones 
•	Quinine
•	Magnesium
•	Macrolide antibiotics 
•	Corticosteroids (may cause transient
with worsening of Myasthenia ... prevent prolonged myasthenic ... higher risk of myasthenic ... ocularmyasthenia #ptosis #diplopia
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes of Diplopia ... Vertebral dissection, Myasthenia ... Orbital apex mass #Diplopia
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Myasthenia Gravis ... Overview Myasthenia ... arthritis, SLE Myasthenia ... - 50%: Ptosis, diplopia ... Lambert Eaton myasthenia
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diplopia - Double ... Clinical Pearls: • Diplopia ... • Myasthenia ... Neuromuscular Junction • Myasthenia ... Hyperthyroidism #Diplopia
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
neuro-ophthalmologic finding of diplopia ... sclerosis • Myasthenia ... VI palsy) #Diplopia
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... elicit fatigable diplopia ... BrighamMedRes #Myasthenia
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Myasthenia gravis ... Seronegative ocular myasthenia ... subsequently improved the diplopia ... eyelid #Ocular #Myasthenia
Diplopia - Differential Diagnosis
Step 1: Consider Stroke
Step 2: Diplopia PLUS
 - Cavernous Sinus Syndrome
 - Infection
Diplopia - Differential ... Stroke Step 2: Diplopia ... Step 3: Isolated Diplopia ... to consider #Diplopia
Algorithm for the Evaluation and Localization of Diplopia #Diagnosis #EM #Ophtho #Diplopia #Localization #Cranial #Nerve #Algorithm
Localization of Diplopia ... Diagnosis #EM #Ophtho #Diplopia