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.
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Diplopia Basics
- Diplopia, or double vision, indicates eye misalignment.
- This misalignment can stem from neurological or ophthalmological issues.
Diagnosing Diplopia
- Determine diplopia type by covering one eye.
- If double vision persists in the covered eye, it's likely an ophthalmological issue.
Diplopia Causes
- Diplopia can originate anywhere from brainstem to orbit.
- Causes include brainstem lesions, cranial nerve issues, neuromuscular problems, and orbital masses.
