Vertical Diplopia Secondary to Skew Deviation With Ocular Tilt Reaction With Multiple Posterior Fossa Metastases

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Identifier EEC-Case-Skew Deviation OTR from metastases
Title Vertical Diplopia Secondary to Skew Deviation With Ocular Tilt Reaction With Multiple Posterior Fossa Metastases
Creator Rabih Hage, MD; Valérie Biousse, MD; Jason Peragallo, MD
Affiliation (RH) Emory Eye Center, Atlanta, Georgia; (VB) Cyrus H. Stoner Professor of Ophthalmology, Professor of Ophthalmology and Neurology, Departments of Ophthalmology and Neurology, Emory University School of Medicine, Atlanta, Georgia; (JP) Emory Eye Center, Atlanta, Georgia
Subject Brain Metastasis; Skew Deviation
Description This is a case of multiple brain metastases in the posterior fossa resulting in a skew deviation. Figure 1 : Photograph of the patient demonstrating a spontaneous right head tilt. The patient's head is tilted toward his right shoulder to suppress his diplopia Figure 2 : Ocular movements : There is a left hypertropia in primary position; the hypertropia was worse in right gaze Figure 3 : Lateral gazes : The left hypertropia and the diplopia were worse when the patient looked to the right Figure 4 : Lateral head tilt : The left hypertropia and the diplopia were worse with left head tilt Figure 5: Fundus photographs : Conjugate torsion of both eyes with the upper pole deviated toward the hypotropic eye Figure 6: T1-weighted axial brain MRI : Multiple lesions in the posterior fossa consistent with brain metastasis
Date 2014
Language eng
Format application/pdf
Format Creation Microsoft PowerPoint
Type Text
Collection Neuro-Ophthalmology Virtual Education Library: The Emory Eye Center Collection: https://novel.utah.edu/eec/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management Copyright 2002. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6mw5dnf
Setname ehsl_novel_eec
ID 177377
Reference URL https://collections.lib.utah.edu/ark:/87278/s6mw5dnf
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