Causes of diplopia in the emergency department: Diagnostic accuracy of clinical assessment and of head computed tomography

European Journal of Emergency Medicine

Volumn 21, Issue 2, 2014, Pages 118-124

  Nazerian, Peiman ^a   Vanni, Simone ^a   Tarocchi, Claudia ^a   Portaccio, Emilio ^a   Vannucci, Nadia ^a   Para, Ombretta ^a   Giannazzo, Giuseppe ^a   Gigli, Chiara ^a   Grifoni, Stefano ^a  

^a CAREGGI UNIVERSITY HOSPITAL   (Italy)

Author keywords

computed tomography; diplopia; double vision; emergency medicine

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; BRAIN ARTERY ANEURYSM; BRAIN TUMOR; CARDIOVASCULAR RISK; CAUSAL ATTRIBUTION; CEREBROVASCULAR ACCIDENT; CLINICAL ASSESSMENT; CLINICAL EXAMINATION; COHORT ANALYSIS; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST ACCURACY STUDY; DIPLOPIA; EMERGENCY WARD; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL HISTORY; MULTIPLE SCLEROSIS; NEUROLOGIC DISEASE; PREVALENCE; PRIORITY JOURNAL; PROSPECTIVE STUDY; SYMPTOM; VERY ELDERLY; BRAIN; CLINICAL TRIAL; COMPLICATION; EMERGENCY HEALTH SERVICE; INTRACRANIAL ANEURYSM; MIDDLE AGED; NEUROIMAGING; RADIOGRAPHY; SENSITIVITY AND SPECIFICITY; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; BRAIN; BRAIN NEOPLASMS; DIPLOPIA; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; INTRACRANIAL ANEURYSM; MALE; MIDDLE AGED; MULTIPLE SCLEROSIS; NEUROIMAGING; PROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; STROKE; TOMOGRAPHY, X-RAY COMPUTED; YOUNG ADULT;

EID: 84896389983     PISSN: 09699546     EISSN: 14735695     Source Type: Journal    
DOI: 10.1097/MEJ.0b013e3283636120     Document Type: Article

References (20)

1. Berlit P. Isolated and combined pareses of cranial nerves III, IV and VI. A retrospective study of 412 patients. J Neurol Sci 1991; 103:10-15.
2. Rush JA, Young BR. Paralysis of cranial nerves III, IV and VI. Cause and prognosis in 1000 cases. Arch Ophthalmol 1981; 99:76-79.
3. Richards BW, Jones FR Jr, Young BR. Causes and prognosis in 4278 cases of paralysis of the oculomotor, trochlear and abducens cranial nerves. Am J Ophthalmol 1992; 113:489-496.
4. Comer RM, Dawson E, Plant G, Acheson JF, Lee JP. Causes and outcomes for patients presenting with diplopia to an eye casualty department. Eye 2007; 21:413-418.
5. Morris RJ. Double vision as a presenting symptom in an ophthalmic casualty department. Eye 1991; 5:124-129.
6. Chou KL, Galetta SL, Liu GT, Volpe NJ, Bennett JL, Asbury AK, Balcer LJ. Acute ocular motor mononeuropathies: prospective study of the roles of neuroimaging and clinical assessment. J Neurol Sci 2004; 219 (1-2):35-39.
7. Batocchi AP, Evoli A, Majolini L, Lo Monaco M, Padua L, Ricci E, et al. Ocular palsies in the absence of other neurological or ocular symptoms: analysis of 105 cases. J Neurol 1997; 244:639-645.
8. Mwanza JC, Ngweme GB, Kayembe DL. Ocular motor nerve palsy: a clinical and etiological study. Indian J Ophthalmol 2006; 54:173-175.
9. Murchison AP, Gilbert ME, Savino PJ. Neuroimaging and acute ocular motor ocular mononeuropathies. A prospective study. Arch Ophthalmol 2011; 129:301-305.
10. Friedman DI. Pearls: Diplopia. Semin Neurol 2010; 30:54-65.
11. Asbury AK, Aldredge H, Hershberg R, Fisher CM. Oculomotor palsy in diabetes mellitus: a clinico-pathological study. Brain 1970; 93:555-566.
12. Jacobson DM, McCanna TD, Layde PM. Risk factors for ischemic ocular motor nerve palsies. Arch Ophthalmol 1994; 112:961-966.
13. Lavalléè PC, Meseguer E, Abboud H, Cabrejo L, Olivot MJ, Simon O, et al. A transient ischaemic attack clinic with round-the-clock access (SOS-TIA): feasibility and effects. Lancet Neurol 2007; 6:953-960.
14. Lin HJ, Yeh PS, Tsai TC, Cheng TJ, Ke D, Lin KC, et al. Differential risks of subsequent vascular events for transient ischaemic attack and minor ischaemic stroke. J Clin Neurosci 2007; 14:17-21.
15. Pollak L, Kessler A, Rabey MJ, Hartmann B, Goldhammer Y. Clinical characteristics of patients with ischemic ocular nerve palsies and lacunar brain infarcts: a retrospective comparative study. Acta Neurol Scand 2005; 111:333-337.
16. Sargent J. Nuclear and intranuclear ocular motility disorders. In: Miller NR, Newman JS, editors. Walsh and Hoyt's clinical neuro-ophthamology. 6th ed. Philadelphia, PA: Lippincott Williams&Wilkins; 2005.
17. Green WR, Hackett ER, Schlezinger NS. Neuro-ophthalmologic evaluation of oculomotor nerve paralysis. Arch Ophthalmol 1964; 72:154-167.
18. Rucker CW. The causes of paralysis of the third, fourth and sixth cranial nerves. Am J Ophthalmol 1966; 61 (Pt 2):1293-1298.
19. Trobe JD. Third nerve palsy and the pupil: footnotes to the role. Arch Ophthalmol 1988; 106:601-602.
20. Savino PJ, Hilliker JK, Casell GH, Schatz NJ. Chronic sixth nerve palsies: are they really harbingers of serious intracranial disease Arch Ophthalmol 1982; 100:1442-1444.