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Neuro-ophthalmology

Last Updated: September 27, 2018

 

Table 1: Diplopia
​Differential list for diplopia
Neoplastic
  • Intraorbital meningioma
  • Pituitary adenoma (GH secreting, or apoplexy)
  • Metastasis
  • Carcinomatosis
Vascular
  • Giant cell arteritis
  • Giant intracranial aneurysm
  • Microvascular disease 
Infectious
  • Meningitis
  • Sphenoid sinusitis (CN VI palsy)
  • Botulism
Metabolic
  • Wernicke’s encephalopathy
Inflammatory
  • Multiple sclerosis
  • Myasthenia gravis
  • GBS
  • Miller-Fisher syndrome
  • Orbital pseudotumor
  • Orbital myositis
Miscellaneous
  • Traumatic neuropathy (orbital apex fracture, blowout fracture of orbital wall)
  • Increased intracranial pressure (CN III and VI palsy)
  • INO (lesion of MLF)
  • Graves’ disease (thyroid orbitopathy)
  • Corneal disease
  • ...