84 results
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
, Orbital apex syndrome ... URGENT: Brainstem tumor ... Miller-Fisher syndrome ... Thyroid myopathy (Graves ... differential #diagnosis #ophthalmology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Myasthenia Gravis ... thyroid, Sjogren syndrome ... “dropping head syndrome ... - Kearns-Sayre syndrome ... diagnosis #management #neurology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Myelitis, Trauma, Tumor ... Guillain-Barre syndrome ... Lambert Eaton Syndrome ... , Myasthenia Gravis ... differential #diagnosis #neurology
Curtain Sign in Myasthenia Gravis on Physical Exam

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

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

Because of bilateral eyelid innervation, when
in Myasthenia Gravis ... Sign #Myasthenia #Gravis ... clinical #video #neurology ... #ophthalmology
Simultagnosia on Physical Exam (Balint Syndrome)

The patient can recognize objects one at a time but cannot
Physical Exam (Balint Syndrome ... Simultagnosia #Balint #Syndrome ... clinical #video #neurology ... #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... • Myasthenia Gravis ... • Myasthenia Gravis ... • Aneurysm • Tumor ... Algorithm #Causes #Ophthalmology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia Gravis ... Myasthenia gravis ... have a thymic tumor ... clinical #video #ophthalmology ... #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 ... Differential #Diagnosis #ophthalmology