18 results
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 TIER ... Vertebral dissection, Myasthenia ... #differential #diagnosis ... #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... symptoms suggest ... a mass as the cause ... • Myasthenia ... #Ophthalmology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... finding of diplopia ... sclerosis • Myasthenia ... Miller-Fisher syndrome ... #Causes #Ophthalmology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Myasthenia Gravis ... - 50%: Ptosis, diplopia ... Diagnosis - ... #Gravis #diagnosis ... #management #neurology
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... elicit fatigable diplopia ... ptotic eyelid will cause ... #Gravis #PhysicalExam ... #neurology
Causes of Peripheral Weakness without Sensory Changes - Differential Diagnosis Algorithm
No Objective Weakness
 • Cardio-pulmonary disease
Causes of Peripheral ... - Differential Diagnosis ... Gravis • Lambert-Eaton ... Myasthenic Syndrome ... Peripheral #Weakness #Neurology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Myasthenia gravis ... subsequently improved the diplopia ... #Gravis #PhysicalExam ... clinical #video #ophthalmology ... #neurology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Guillain-Barre syndrome ... , Myasthenia Gravis ... #differential #diagnosis ... #neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Myasthenia gravis ... Neurogenic Ptosis - Neurologic ... • Myasthenia gravis ... #Ptosis #neurology ... #ophthalmology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
involvement: Intractable nausea ... Other brainstem syndromes ... , Myasthenia gravis ... Manifestations #diagnosis ... #neurology #symptoms