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Skewed Diagnosis

HomeNeuro-Ophthalmology / Evaluation of Diplopia

Title: Skewed Diagnosis
Author: Don Rafael Wynn
Date: 09/02/2015
Keywords/Main Subjects: Convergence; hypertropia; Exotropia; Rotary nystagmus; Vertigo; Stroke; Upbeat nystagmus; INO; Pontomedullary junction
Secondary CORE Category: Neuro-Ophthalmology/Evaluation of Diplopia/Supranuclear Causes of Diplopia
Diagnosis: Skew deviation, INO
Brief Description: This is a case presentation of an elderly male with sudden onset of constant, binocular diplopia and vertigo. Exam showed a left hypertropia and exotropia with rotary nystagmus. He was diagnosed with skew deviation and internuclear ophthalmoplegia (INO) due to a small stroke in the medial longitudinal fasiculus (MLF). 
Format: video
Series: Moran Eye Center Grand Rounds
Identifier: Moran_CORE_20843
Copyright statement: Copyright 2015. Please see terms of use page for more information.