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

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 wi...

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Main Authors: Angela Guarnizo, Carlos Torres
Format: Article
Language:English
Published: Permanyer 2024-10-01
Series:Journal of the Mexican Federation of Radiology and Imaging
Online Access:https://www.jmexfri.com/frame_eng.php?id=117
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author Angela Guarnizo
Carlos Torres
author_facet Angela Guarnizo
Carlos Torres
author_sort Angela Guarnizo
collection DOAJ
description 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.
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spelling doaj-art-40e4eea9e5644d54b6caab6e0b4f62a92025-01-06T22:22:42ZengPermanyerJournal of the Mexican Federation of Radiology and Imaging2938-12152696-84442024-10-013410.24875/JMEXFRI.M24000084I see double! Searching for the abnormal cranial nerve in diplopiaAngela Guarnizo0Carlos Torres1Department of Radiology, Division of Neuroradiology, Hospital Universitario Fundacion Santa Fe de Bogota, Bogota, ColombiaDepartment of Medical Imaging, The Ottawa Hospital; Civic Campus, Ottawa, Ontario, Canada; Department of Radiology, Radiation Oncology and Medical Physics, University of Ottawa, Ottawa, Ontario, CanadaDiplopia 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. https://www.jmexfri.com/frame_eng.php?id=117
spellingShingle Angela Guarnizo
Carlos Torres
I see double! Searching for the abnormal cranial nerve in diplopia
Journal of the Mexican Federation of Radiology and Imaging
title I see double! Searching for the abnormal cranial nerve in diplopia
title_full I see double! Searching for the abnormal cranial nerve in diplopia
title_fullStr I see double! Searching for the abnormal cranial nerve in diplopia
title_full_unstemmed I see double! Searching for the abnormal cranial nerve in diplopia
title_short I see double! Searching for the abnormal cranial nerve in diplopia
title_sort i see double searching for the abnormal cranial nerve in diplopia
url https://www.jmexfri.com/frame_eng.php?id=117
work_keys_str_mv AT angelaguarnizo iseedoublesearchingfortheabnormalcranialnerveindiplopia
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