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67 Possible Causes for Diplopia, Mydriasis, Unilateral Ptosis

  • Botulism

    Therefore, the classical diagnostic pentad of botulism (dry mouth, nausea, vomiting, dysphagia, diplopia, fixed dilated pupils) may be of limited sensitivity in single cases[ncbi.nlm.nih.gov] Over the next days she became increasingly weak, developed bilateral ptosis, the muscle stretch reflexes were lost, and mydriasis with slow pupillary responses was noted.[ncbi.nlm.nih.gov] […] interfere with the presynaptic release of acetylcholine at the neuromuscular junction; clinical features include abdominal pain, vomiting, acute paralysis, blurred vision and diplopia[icd9data.com]

  • Multiple Sclerosis

    The patient presented with progressive decrease of visual acuity, intermittent diplopia, paresthesia of the left arm and equilibrium disturbances.[ncbi.nlm.nih.gov] […] separated in time and space Symptoms symptoms of disease are based on the systems involved psych fatigue, depression, mood disorders central nervous system optic neuritis, diplopia[orthobullets.com] Eye problems : In addition to the optic neuritis that comes with CIS, MS can cause: Nystagmus : involuntary eye movements Diplopia: double vision Fatigue : You may feel very[webmd.com]

  • Ophthalmoplegic Migraine

    […] two occasions with diplopia lasting for 2-4 weeks.[webeye.ophth.uiowa.edu] Abstract We report a rare case ofophthalmoplegic migraine associated with isolated, recurrent unilateral eyelid ptosis in a 10-year-old girl.[ncbi.nlm.nih.gov] The administration of prednisolone led to the immediate improvement of her oculomotor palsy, but residual mydriasis remained.[ncbi.nlm.nih.gov]

  • Oculomotor Nerve Paralysis

    Third nerve palsy typically manifests as diplopia and ptosis.[aafp.org] A few key points once more: The oculomotor palsy is characterized by unilateral ptosis and an eye that is down and out.[eyes.gp-surgery.com] The affected individual will also have a ptosis, or drooping of the eyelid, and mydriasis (pupil dilation).[en.wikipedia.org]

  • Cavernous Sinus Thrombosis

    An allograft recipient is described who presented with diplopia and developed CST in the early post-transplant period likely caused by a filamentous fungus.[ncbi.nlm.nih.gov] : Ptosis, chemosis, cranial nerve palsies (III, IV, V, VI).[en.wikipedia.org] Patients with cavernous sinus thrombosis may also have anisocoria or mydriasis (3rd cranial nerve dysfunction), papilledema, and vision loss.[merckmanuals.com]

  • Orbital Cellulitis

    Abstract The authors describe the case of a 48 years old woman who presented with a one week history of a painful, swollen left eye with proptosis and diplopia.[ncbi.nlm.nih.gov] Ptosis, mydriasis, and eye muscle weakness from cranial nerve III dysfunction Manifestations of increased retrobulbar pressure follow: exophthalmos, ophthalmoplegia, sluggish[errolozdalga.com] Ptosis. Orbital cellulitis [ 2 ] Anterior features: Acute onset of unilateral swelling of conjunctiva and lids. Oedema, erythema, pain, chemosis.[patient.info]

  • Guillain-Barré Syndrome

    CASE REPORT: A 76-year-old woman was initially presented with diplopia, ophthalmoplegia, and ataxia, but she later developed weakness of limbs, respiratory failure, deterioration[ncbi.nlm.nih.gov] Paralytic mydriasis No NoBBE Ophthalmoplegia Yes YesAcute ataxic hypersomnolence No weakness Yes Yes*Localized subtypes of GBS.[vdocuments.net] The examination found no signs of pupillary defects, eyelid ptosis, or nystagmus. Bilateral hyporeflexia was detected throughout the patient's body.[jaoa.org]

  • Subarachnoid Hemorrhage

    Other manifestations include dizziness, visual impairment, diplopia, and orbital pain.[symptoma.com] […] classified according to 5 grades, as follows: Grade I: Mild headache with or without meningeal irritation Grade II: Severe headache and a nonfocal examination, with or without mydriasis[emedicine.com] […] consciousness, and elevated BP 160/100 Also consider the following signs: stroke‐like symptoms, seizure or 3rd cranial nerve palsy from mass effect, 6th cranial nerve palsy with diplopia[emergencymedicinecases.com]

  • Subdural Hematoma

    The symptoms gradually worsened, and on the day of presentation to an outside hospital emergency department, the patient complained of nausea, vomiting, and diplopia.[ajnr.org] […] mean age SD (yrs) 48.1 9.7 median age 51.0 females (n 8) mean age SD (yrs) 53.1 7.1 median age 55.5 leading symptoms (multiple) headache 15 somnolence 4 coma 1 seizure 2 mydriasis[doi.org] […] gas-powered BB or pellet guns, 10 of the children required surgery, and 6 were left with permanent neurologic injuries, including epilepsy, cognitive deficits, hydrocephalus, diplopia[emedicine.medscape.com]

  • Primary Progressive Multiple Sclerosis

    […] in moving; difficulties with coordination and balance (ataxia); problems in speech (dysarthria) or swallowing (dysphagia), visual problems (nystagmus, optic neuritis, or diplopia[disabled-world.com] Examples of common clinical features include 23,24 : brainstem and cranial nerve involvement: optic neuritis internuclear ophthalmoplegia (often bilateral) trigeminal neuralgia diplopia[radiopaedia.org]

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