diplopia Teaching VideoImages Neurology Resident and Fellow Section 2015 American Academy of Neurology Vignette 63yearold patient Admitted for acute ataxia and binocular oblique ID: 784661
Download The PPT/PDF document "A sudden binocular oblique" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
A sudden binocular oblique diplopia
Teaching VideoImagesNeurologyResident and Fellow Section
©
2015
American Academy of Neurology
Slide2Vignette63-year-old patient Admitted for acute ataxia and binocular oblique
diplopiaNeuro-ophthalmological examination revealed abducting hypertropia on lateral gaze, better seen during upgazeThere was no ocular cyclotorsion.
Biotti et al.
©
2015
American Academy of Neurology
Slide3IMAGINGBiotti
et al.
©
2015
American Academy of Neurology
Slide4IMAGINGBiotti
et al.
©
2015
American Academy of Neurology
Slide5Alternating skew-deviation with abducting hypertropia following superior colliculus infarction
Typical presentation of alternating abducting hypertropic skew deviationRare subtype of skew deviation related to central otolithic dysfunctionSimilar cases have been described with cerebellar,
pretectal or cervico-medullary junction lesions (1,2)Orthoptic management can help and patients can slowly improve over months.Biotti et al.
©
2015
American Academy of Neurology