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The Clinical Problem Solvers

Episode 379: Neurology VMR – Double Vision for One Day

Feb 14, 2025
Aye Chan Moe Thant, a physician from Myanmar focused on global neurology, and Valeria Roldan, a recent medical graduate passionate about LGBTQ+ health, dive into the complexities of diagnosing double vision. They tackle a case involving a 73-year-old man with sudden-onset diplopia, exploring differential diagnoses like myasthenia gravis. The conversation also covers the intricacies of one and a half syndrome and the significance of precise clinical observations in neurology. Their insights illuminate the critical connection between eye movements and neurological health.
56:52

Podcast summary created with Snipd AI

Quick takeaways

  • Understanding the difference between monocular and binocular diplopia is crucial for accurate diagnosis and management of underlying neurological issues.
  • Comprehensive patient history, including vascular risk factors and prior symptoms, enhances diagnostic accuracy and informs potential treatment paths for diplopia.

Deep dives

Introduction to Diplopia

The podcast discusses the case of a 73-year-old male presenting with sudden onset of diplopia, or double vision, which raises important diagnostic considerations. Initial assessment differentiates between monocular and binocular diplopia, narrowing down potential causes. Binocular diplopia indicates eye misalignment, potentially due to neurological factors affecting eye movement coordination, often involving cranial nerves three, four, and six. Understanding these distinctions is crucial for directing further investigation and appropriate management.

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