21 results
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Vertebral dissection, Myasthenia ... gravis, Wernicke's ... Thyroid myopathy (Graves ... Ophthalmoplegic migraine ... 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
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 ... clinical #video #ophthalmology
Pharmacotherapy for Migraine Prophylaxis 

Who is indicated for migraine prophylaxis? Patients who experience more than 3
Prophylaxis ... indicated for migraine ... prophylaxis? ... #Prophylaxis #Medications ... Pharmacology #Management #Neurology
Prophylactic Migraine Medications

Established Efficacy: 
 • Metoprolol, Propranolol, Timolol, Divalproex, Valproate, Topiramate, Frovatriptan
Probably Effective: 
 •
Prophylactic Migraine ... Medications ... Cyproheptadine #Migraine ... #prophylaxis #Medications ... pharmacology #EBM #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Myasthenia Gravis ... Gravis is an autoimmune ... Ocular- 50%: Ptosis ... Gravis Treatment ... #management #neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Myasthenia gravis ... Ophthalmoplegia migraine ... gravisOcular ... Syndrome #Ptosis #neurology ... Differential #Diagnosis #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Myasthenia ... Gravis is fatiguable ... • Migraine is ... Neuromuscular Junction • Myasthenia ... Algorithm #Causes #Ophthalmology