Diagnosaurus
Diplopia or ophthalmoplegia
Diplopia or ophthalmoplegia is a topic covered in the Diagnosaurus.
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DDx
- Microvascular infarction, eg, diabetes, hypertension
- Wernicke’s encephalopathy
- Multiple sclerosis
- Myasthenia gravis
- Graves’ ophthalmopathy
- Botulism
- Internal carotid aneurysm or dissection
- Posterior inferior cerebellar artery (PICA) aneurysm
- Other mass compressing nerves to extraocular muscles
- Brainstem infarct
- Neurosyphilis
- Systemic lupus erythematosus
- Sarcoidosis
- Pseudotumor cerebri
- Muscle entrapment from orbital blowout fracture
- Orbital cellulitis
- Sphenoid sinusitis
- Cavernous sinus thrombosis
- Ophthalmoplegic migraine
- Temporal (giant cell) arteritis
- Tuberculous meningitis
- Diphtheria
- Progressive supranuclear palsy
- Progressive external ophthalmoplegia (mitochondrial myopathy)
- Other causes of cranial nerve palsy
- Refractive error
- Early cataract
- Lens dislocation, eg, Marfan syndrome, homocystinuria
- Corneal opacity, eg, scar, pterygium
-- To view the remaining sections of this topic, please log in or purchase a subscription --
DDx
- Microvascular infarction, eg, diabetes, hypertension
- Wernicke’s encephalopathy
- Multiple sclerosis
- Myasthenia gravis
- Graves’ ophthalmopathy
- Botulism
- Internal carotid aneurysm or dissection
- Posterior inferior cerebellar artery (PICA) aneurysm
- Other mass compressing nerves to extraocular muscles
- Brainstem infarct
- Neurosyphilis
- Systemic lupus erythematosus
- Sarcoidosis
- Pseudotumor cerebri
- Muscle entrapment from orbital blowout fracture
- Orbital cellulitis
- Sphenoid sinusitis
- Cavernous sinus thrombosis
- Ophthalmoplegic migraine
- Temporal (giant cell) arteritis
- Tuberculous meningitis
- Diphtheria
- Progressive supranuclear palsy
- Progressive external ophthalmoplegia (mitochondrial myopathy)
- Other causes of cranial nerve palsy
- Refractive error
- Early cataract
- Lens dislocation, eg, Marfan syndrome, homocystinuria
- Corneal opacity, eg, scar, pterygium
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Citation
Zeiger, Roni F.. "Diplopia or Ophthalmoplegia." Diagnosaurus, 4th ed., McGraw-Hill Education, 2015. 5-Minute Clinical Consult, www.unboundmedicine.com/5minute/view/Diagnosaurus/114386/0/Diplopia_or_ophthalmoplegia.
Zeiger RFR. Diplopia or ophthalmoplegia. Diagnosaurus. McGraw-Hill Education; 2015. https://www.unboundmedicine.com/5minute/view/Diagnosaurus/114386/0/Diplopia_or_ophthalmoplegia. Accessed April 1, 2023.
Zeiger, R. F. (2015). Diplopia or ophthalmoplegia. In Diagnosaurus (4th ed.). McGraw-Hill Education. https://www.unboundmedicine.com/5minute/view/Diagnosaurus/114386/0/Diplopia_or_ophthalmoplegia
Zeiger RFR. Diplopia or Ophthalmoplegia [Internet]. In: Diagnosaurus. McGraw-Hill Education; 2015. [cited 2023 April 01]. Available from: https://www.unboundmedicine.com/5minute/view/Diagnosaurus/114386/0/Diplopia_or_ophthalmoplegia.
* Article titles in AMA citation format should be in sentence-case
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