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170 Possible Causes for Diplopia, Exotropia, Sleep Disturbance

  • Narcolepsy

    Occasionally there will be introductions of blurred vision or diplopia due to their sleepiness.[] Narcolepsy, a sleep disturbance that is characterized by sudden, uncontrollable spells of sleep during the day, with disturbances of sleep at night.[] Slurred speech and visual symptoms such as blurred vision or diplopia may be experienced. Hearing, awareness and consciousness are intact.[]

  • Esophoria

    Patient reported dizziness and diplopia worse with left gaze.[] ; walks on toes; sleep disturbances; self destructive behavior: foreign bodies in nose and vagina; motor and speech delay; hoarse voice; hearing loss; hyperactive; on Ritalin[] People with exotropia often experience crossed diplopia. Intermittent exotropia is a fairly common condition. "Sensory exotropia" occurs in the presence of poor vision.[]

  • Chronic Progressive External Ophthalmoplegia

    The most common strabismus findings were large angle exotropias (mean 47 prism diopters), half of which had associated vertical deviations.[] To report midterm outcomes of strabismus strategy for management of diplopia in chronic progressive external ophthalmoplegia and specific surgical planning rationale.[] CONCLUSION: Several specific sleep disturbances are part of the phenotype of CPEO.[]

  • Ophthalmoplegia

    The V-pattern exotropia did resolve, but the gaze palsies persisted.[] The aim of this study was to report a case of a 40-year patient, male showing diplopia and ophthalmoplegia due to the orbital fracture.[] Chronic pain, sleep disturbances, impaired mental functioning, and memory deficits are often present and some authors have labelled these as indicative of dementia.[]

  • Machado-Joseph Disease

    The diplopia in SCA3/MJD cases is, therefore, attributed, at least in part, to the impairment of the vergence eye movements.[] In addition to sleep disturbances, in particular RBD, psychiatric symptoms may be important clinical features in both heterozygous and homozygous MJD.[] Near point of convergence was normal in two out of three patients with exotropia. Gaze holding deficits were also common.[]

  • Meningovascular Syphilis

    Luxon et al describe patients presenting with diplopia due to sixth nerve palsy, deterioration of vision due to optic neuritis, primary optic atrophy or choroidoretinitis,[] Later, common psychiatric symptoms include sleep disturbances, distractibility, irritability, disorientation, confusion as well as delusional or hypochondrical worries.[] The exotropia was noticeably more evident on the attempted upgaze. On horizontal gaze, the abducting eye deviated fully, but the adducting eye did not cross the midline.[]

  • Benign Abducens Nerve Palsy

    Third Cranial Nerve Palsies Third cranial nerve palsies can result in drooping of the eyelid (ptosis) and an outward drifting of the eye ( exotropia ). ).[] Diplopia can be psychosomatic.[] Seizures can also result from sleep deprivation, poisoning, certain metabolic disturbances, and withdrawal from drugs or alcohol.[]

  • Progressive Supranuclear Palsy

    We report the case of a 75-year-old ex-professional boxer who developed diplopia and eye movement abnormalities in his 60's followed by memory impairment, low mood and recurrent[] Sleep disturbance is common. Autonomic failure is less common than in Parkinson's disease with the exception of incontinence.[] These photographs show his progressive eyeball deviations toward complete exotropia.[]

  • Myasthenia Gravis

    By contrast, control EOM from a patient undergoing strabismus surgery for a sensory exotropia in a nonseeing eye and a similar duration of deviation, showed normal muscle[] A46-year male presented with unilateral ptosis and diplopia.[] A growing literature also suggests that there may be an association of MG and sleep disturbance (both obstructive sleep apnea and sleep cycle dysfunction).[]

  • Cataplexy

    Slurred speech and visual symptoms such as blurred vision or diplopia may be experienced. Hearing, awareness and consciousness are intact.[] Although cataplexy is one of its characteristic symptoms, particularly in the late infantile and juvenile form, sleep disturbances are described only exceptionally.[] “If these data are confirmed in long-term studies, this drug could be useful for narcolepsy patients with or without cataplexy and those with less severe sleep disturbances[]

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