I see double! Searching for the abnormal cranial nerve in diplopia



Título del documento: I see double! Searching for the abnormal cranial nerve in diplopia
Revista: Journal of the Mexican Federation of Radiology and Imaging
Base de datos:
Número de sistema: 000606786
ISSN: 2696-8444
Autores: 1
2
Instituciones: 1Hospital Universitario Fundación Santa Fe de Bogotá, División de Neurorradiología, Bogotá. Colombia
2The Ottawa Hospital, Department of Medical Imaging, Ottawa, Ontario. Canadá
Año:
Periodo: Ene-Mar
Volumen: 3
Número: 4
Paginación: 208-220
País: México
Idioma: Inglés
Tipo de documento: Artículo
Resumen en inglés Diplopia or double vision is a common symptom that can be caused by various neurological or ophthalmologic pathologies. Diplopia can be monocular or binocular. In monocular diplopia, the patient sees double with only one eye open. In binocular diplopia, the patient sees double with both eyes open with subsequent resolution of the symptom when one of the eyes is closed. Binocular diplopia is the main manifestation caused by involvement of cranial nerves III, IV and VI. Infections, inflammatory, vascular, degenerative, traumatic, iatrogenic and malignant pathologies can cause diplopia. The combination of medical history, physical examination and imaging is crucial for an accurate diagnosis. Magnetic resonance imaging (MRI) of the brain and orbits with contrast is the modality of choice for the evaluation of patients with diplopia. Computed tomography (CT) of the head without contrast is useful to rule out lesions of the bones and skull base. Imaging of the brain and orbits allows assessment of the normal anatomy of cranial nerves III, IV and VI, and is useful to identify and characterize the various pathologies causing diplopia.
Disciplinas: Medicina,
Medicina,
Medicina
Palabras clave: Neurología,
Diagnóstico,
Oftalmología
Keyword: Neurology,
Diagnosis,
Ophthalmology
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