Abstract
Transient diplopia is a common complaint that can herald serious underlying pathology. A careful history focusing on diplopia characteristics and associated symptoms is the key to determining the cause of transient diplopia. Transient cerebral ischemia/transient ischemic attack and giant cell arteritis are two potential etiologies that should not be missed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
De Lott LB, Kerber KA, Lee PP, Brown DL, Burke JF. Diplopia-related ambulatory and emergency department visits in the United States, 2003–2012. JAMA Ophthalmol. 2017;135(12):1339–44. https://doi.org/10.1001/jamaophthalmol.2017.4508.
Glisson CC. Approach to diplopia. Continuum. 2019;25(5, Neuro-ophthalmology):1362–75.
Johnston SC, Gress DR, Browner WS, Sidney S. Short-term prognosis after emergency department diagnosis of TIA. JAMA. 2000;284:2901–6.
Paul NLM, Simoni M, Rothwell PM. Transient isolated brainstem symptoms preceding posterior circulation stroke: a population-based study. Lancet Neurol. 2013;12:65–71. https://doi.org/10.1016/S1474-4422(12)70299-5.
Lavallee PC, Sissani L, Labreuche J, et al. Clinical significance of isolated atypical transient symptoms in a cohort with transient ischemic attack. Stroke. 2017;48:1495–500. https://doi.org/10.1161/strokeaha.117.016743.
Shah KH, Metz HA, Edlow JA. Clinical prediction rules to stratify short-term risk of stroke among patients diagnosed in the emergency department with a transient ischemic attack. Ann Emerg Med. 2009;53(5):662–73.
Galvin R, Geraghty C, Motterlini N, et al. Prognostic value of the ACBD2 clinical prediction rule: a systematic review and meta-analysis. Fam Pract. 2011;28(4):366–76.
Jauch EC, Saver JL, Adams HP Jr, et al. Guidelines for the early management of patients with acute ischemic stroke. Stroke. 2013;44:870–947.
Ross AG, Jivraj I, Rodriguez G, et al. Retrospective, multicenter comparison of the clinical presentation of patients presenting with diplopia from giant cell arteritis vs other causes. J Neuroophthalmol. 2019;39:8–13.
Hayreh SS, Podhajsky PA, Zimmerman B. Ocular manifestations of giant cell arteritis. Am J Ophthalmol. 1998;125:509–20.
Haering M, Hobro A, Todorva MA, et al. Incidence and prognostic implications of diplopia in patients with giant cell arteritis. J Rheumatol. 2014;41:1562–4.
Russel RW, Wilkinson IM. Arteries of the head and neck in giant cell arteritis. A pathological study to show the pattern of arterial involvement. Arch Neurol. 1972;27(5):378–91.
Zenone T, Puget M. Characteristics of cerebrovascular accidents at time of diagnosis in a series of 98 patients with giant cell arteritis. Rheumatol Int. 2013;33(12):3017–23.
Alves M, Miranda A, Fonseca T. Diplopia: a diagnostic challenge with common and rare etiologies. Am J Case Rep. 2015;16:220–3.
Thorne A, Dave R, Kim D, Tabibiazar R. Transient internuclear ophthalmoplegia following cardiac catheterization. In: Proceedings of UCLA Healthcare; 2017. p. 21.
Suzuki T, Nishio M, Chikuda M, Takayanagi. Skew deviation as a complication of cardiac catheterization. Am J Ophthalmol. 2001;132:282–3.
Stockman A, Dieltiens M, Janssens H, et al. Ocular neuromyotonia: case reports and literature review. Strabismus. 2018;26(3):133–41.
Marinello G, Briganti F, Vergara P, Maiuri F. Dural tentorial arteriovenous fistula causing isolated trochlear nerve palsy: remission after endovascular embolization. J Neurointerv Surg. 2012;4(3):e5.
Sargunam ED, Ganesan A, Chandrasekaran D, Siroraj PA. Transient diplopia: a local regional complication of inferior alveolar nerve block. Indian J Dent Res. 2019;30(4):639–42.
Basaranoglu G, Saidoglu. Isolated transient diplopia and nystagmus after spinal anesthesia. J Anesth. 2013;27:643–4.
Silbert DI, Matta NS, Singman EL. Diplopia secondary to orbital surgery. Am Orthopt J. 2012;62:22–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Gratton, S.M. (2021). Transient Diplopia. In: Henderson, A.D., Carey, A.R. (eds) Controversies in Neuro-Ophthalmic Management. Springer, Cham. https://doi.org/10.1007/978-3-030-74103-7_11
Download citation
DOI: https://doi.org/10.1007/978-3-030-74103-7_11
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-74102-0
Online ISBN: 978-3-030-74103-7
eBook Packages: MedicineMedicine (R0)