18 results
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
sclerosis • Myasthenia ... gravis • GBS ... Miller-Fisher syndrome ... neuropathy (orbital apex ... Differential #Diagnosis #Causes
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... Vertebral dissection, Myasthenia ... gravis, Wernicke's ... syndrome, Cavernous ... differential #diagnosis #ophthalmology
Curtain Sign in Myasthenia Gravis on Physical Exam

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

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

Because of bilateral eyelid innervation, when
Curtain Sign in Myasthenia ... Gravis on Physical ... #clinical #video ... #neurology #ophthalmology ... #ocular #Ptosis
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• CN VI palsy ... ptosis with CN Ill palsy ... • Neurologic ... • Myasthenia ... #Ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
CN III palsy 2. ... Myasthenia gravis ... • Myasthenia gravis ... gravisOcular ... Differential #Diagnosis #ophthalmology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Myasthenia Gravis ... Ocular- 50%: Ptosis ... crises”. ... Crises - Severe ... #management #neurology
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 ... #neurology
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
left 6th nerve palsy ... Caused by a ... retraction #nystagmus #ocular ... physicalexam #clinical #video ... #neurology #ophthalmology