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84 Possible Causes for Diplopia, Hypertension, Variable Hypoglycemia

  • Hypoglycemia

    On hospital day 8 the patient developed hypertensive emergency and was taken to the operating room for exploratory laparotomy.[] Glycemic variability portends increased risk for hypoglycemia and should be a focus of further research.[] It may also present with transient hemiplegia, hypothermia or hyperthermia, convulsions, diplopia and strabismus [ 9 ].[]

  • Hypertensive Encephalopathy

    The definition of hypertension has continuously evolved over the last 50 years. Hypertension is currently defined as a blood pressure greater than 140/90mmHg.[] This highly variable prognosis is exemplified by patients that get encephalopathy from hypoglycemia.[] Other symptoms may include increased irritability, vomiting, diplopia, seizures, twitching and myoclonus of the limbs.[]

  • Islet Cell Tumor

    A 22-year-old woman presented with lump in the left hypochondrium, refractory high-protein ascites and evidence of left-sided portal hypertension.[] PNETs are functional or non-functional tumors and represent a heterogeneous group of neoplasms with extremely variable clinical behavior.[] ., diplopia, confusion, dizziness), and each of these can be caused by many other disorders.[]

  • Insulinoma

    The possible etiology of hypertension induced by an insulinoma is catecholamine release in response to hypoglycemia, which may cause acute hypertension through activation[] A somatostatin analog, octreotide (100 to 500 mcg sc bid to tid), is variably effective and should be considered for patients with continuing hypoglycemia refractory to diazoxide[] This includes tiredness, weakness, tremors, recurrent headache, diplopia (when a single object is perceived as two images), and blurred vision.[]

  • Lead Encephalopathy

    […] encephalopathy a complex of cerebral phenomena such as headache, convulsions, and coma that occur in the course of malignant hypertension. hypoxic encephalopathy encephalopathy[] This highly variable prognosis is exemplified by patients that get encephalopathy from hypoglycemia.[] Caution is needed in children with renal impairment, hypertension, or G6PD deficiency.[]

  • Cerebellar Hemorrhage

    The records of 69 patients with hypertensive cerebral hemorrhage were retrospectively reviewed.[] […] to delivery also have variable etiology including trauma, congenital clotting disorders, alloimmune thrombocytopenia, infection and drug abuse 2, 19.[] The patient, in an effort to obviate the diplopia caused by the gaze dissociations and extraocular motor palsies, has only the option to close the eye on the noninvolved side[]

  • Diabetic Neuropathy

    Importantly, hyperglycemia, hypertension, dyslipidemia, obesity, and smoking are modifiable.[] ., insulin dose or other antidiabetes agents) and may be a cause of glucose variability and unexplained hypoglycemia due to the dissociation between food absorption and the[] The onset of a diabetic third nerve palsy is usually abrupt, beginning with frontal or periorbital pain and then diplopia.[]

  • Glycogen Storage Disease Type 9

    ., cirrhosis, liver failure, portal hypertension) are managed symptomatically. Muscle PhK deficiency.[] Fast-induced hypoglycemia and hyperlipidemia are variable and, if present, are generally mild. Adults are generally asymptomatic.[] Aorta: Stiff Cerebral atherosclerotic angiopathy Mutations: Ala237Val; Gly293Arg 13 Dolichoectasia: Basilar & Internal carotid arteries Stroke Other Eye: Unilateral ptosis; Diplopia[]

  • Metabolic Encephalopathy

    […] encephalopathy 2016 2017 2018 2019 Non-Billable/Non-Specific Code Type 1 Excludes alcoholic encephalopathy ( G31.2 ) encephalopathy in diseases classified elsewhere ( G94 ) hypertensive[] This highly variable prognosis is exemplified by patients that get encephalopathy from hypoglycemia.[] Infarction of the nerve with vascular insufficiency and causes diplopia, pain, ocular muscle weakness (6th or 3rd cranial nerve) 4.[]

  • Diabetes Mellitus

    Prevalence of hypertension and DM were 55.9% and 23.3% respectively.[] Associated Complications: CNS : retinopathy, peripheral neuropathies , and autonomic neuropathy (decreased heart rate variability, orthostatic hypotension, gastroparesis,[] Cranial neuropathies cause diplopia, ptosis, and anisocoria when they affect the 3rd cranial nerve or motor palsies when they affect the 4th or 6th cranial nerve.[]

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