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
Subject brain metastasis, skew deviation
Creator Rabih Hage, MD, Emory Eye Center; Valerie Biousse, MD, Emory Eye Center Atlanta, Georgia, Jason Peragallo, MD, Emory Eye Center
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
Contributor Primary Hage, Rabih
Contributor Secondary Biousse, Valerie; Peragallo, Jason
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Type Text
Format application/pdf
Rights Management Copyright 2014. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s6mw5dnf
Setname ehsl_novel_eec
Date Created 2014-08-14
Date Modified 2018-01-22
ID 177377
Reference URL https://collections.lib.utah.edu/ark:/87278/s6mw5dnf
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