Clinical Reasoning: A 12-Year-Old Girl With Acute-Onset Diplopia, Dizziness, and Upbeat Nystagmus.
case_report · Level V
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- Record sourced from PubMed, PMID 36347627.
- Also identified by DOI 10.1212/WNL.0000000000201534 and PMC identifier 9946182.
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Abstract
We report a case of a 12-year-old girl who presented with acute-onset diplopia, dizziness, and upbeat nystagmus. On examination, she had right internuclear ophthalmoplegia with right eye hypertropia and exotropia and impaired convergence. In addition, she also had spontaneous primary position symmetric upbeat nystagmus. In this report, we discuss the clinical approach with meticulous neuro-ophthalmologic examination and neuroanatomic localization in pediatric patients with acute-onset diplopia.
Medical subject headings
- Nystagmus, Pathologic
- Ocular Motility Disorders