Neurology/Neurosurgery

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Sudden Hearing Loss

A 64 year old male is sent into the Emergency Department by an audiologist with a sudden, greater...

Risk Stratification of Sudden Headache

This week we try something different. I interview the lead author of a recent paper on a proposed...

Idiopathic Intracranial Hypertension

A 28 year old woman presents to the emergency department with one week of headaches. The headache is...

Can you diagnose the cause of DIPLOPIA? Take the test.

/8
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Created by Dr Peter Kas

Can you Diagnose the Cause of DIPLOPIA?

A 58 yo male presents to the emergency department with a complaint of "Doc I'm seeing double"
Try these 8 questions.

1 / 8

If you think that the patient has MONOCULAR DIPLOPIA

2 / 8

In terms of BINOCULAR DIPLOPIA, which of the following is correct?

3 / 8

Which cranial nerve is affected here?

Source: October 2011Case Reports in Neurology 3(3):248-51

4 / 8

Which cranial nerve is affected here?

Source: September 2006Comprehensive ophthalmology update 7(5):215-21; discussion 223-4

5 / 8

Look at the following image. Which Cranial Nerve is involved?

Source: Oman J Ophthalmol. 2014 May-Aug; 7(2): 103–104

6 / 8

In the following image, when would you expect diplopia to occur?

Source: September 2006Comprehensive ophthalmology update 7(5):215-21; discussion 223-4

7 / 8

Multiple cranial nerve abnormalities and any headache require an urgent CT brain looking for:( 2 correct answers)

8 / 8

Cranial Nerve III paralysis can be complete or incomplete.
In terms of clinical findings in CN III paralysis, which of the following is true?(3 correct answers)

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Read the Blog on Diplopia.

Bell’s Palsy

What is Bell's Palsy? It is an ipsilateral Cranial Nerve VII (lower motor neurone) palsy. There is usually a...

Trigeminal Neuralgia

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Transient Ischaemic Attack

A recent clinical practice article in the NEJM(1) on Transient Ischaemic Attack (TIA) gave a nice summary of...

Diplopia

A patient presenting to the Emergency Department with diplopia can be a diagnostic challenge. Which patients need urgent...

Phenytoin and Levetiracetam: EcLIPSE and ConSEPT trials

There has been a longstanding discussion over which is the best second-line agent to use in paediatric seizures...