54 year old man with diplopia
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Abstract
A 54 year old right handed male presented with a chief complaint of intermittent double vision. Two weeks prior, the patient awoke with horizontal diplopia in primary gaze. Later that day his diplopia changed to diplopia in lateral gazes and fusion in primary gaze. The patient reported that a similar pattern followed over the next two weeks daily. He denied eye pain, headache, neurologic symptoms, lid drooping, dysphagia, recent trauma, or viral infection. The patient was evaluated by an outside ophthalmolgist who noted a normal ocular exam and referred the patient for neuroophthalmic evaluation.
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