Abstract
Diplopia is frequently encountered in neurological practice and may occur as part of the clinical spectrum of 3rd cranial nerve palsy. Correct localization of the underlying problem is the first step in making an accurate diagnosis. Pathologies affecting the supranuclear structures, cranial nerves and nuclei, extraocular muscles and the neuromuscular junction may cause or simulate 3rd nerve palsy. We report a case of a patient with longstanding quiescent SLE who presented with sudden onset of diplopia and discuss possible aetiologies including ischemia, demyelination, neuromuscular conditions and medication-induced.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Adrenal Cortex Hormones / therapeutic use
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Aged
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Azathioprine / therapeutic use
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Diagnosis, Differential
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Diplopia / diagnosis*
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Diplopia / drug therapy
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Diplopia / etiology
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Female
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Humans
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Immunoglobulins, Intravenous / therapeutic use
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Immunosuppressive Agents / therapeutic use
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Lupus Erythematosus, Systemic / complications*
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Myasthenia Gravis / diagnosis*
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Myasthenia Gravis / etiology
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Oculomotor Nerve / physiopathology
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Oculomotor Nerve Diseases / diagnosis*
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Oculomotor Nerve Diseases / drug therapy
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Oculomotor Nerve Diseases / etiology
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Treatment Outcome
Substances
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Adrenal Cortex Hormones
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Immunoglobulins, Intravenous
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Immunosuppressive Agents
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Azathioprine