Case 29

Sarah Pendlebury, Ursula Schulz, Aneil Malhotra and Peter M. Rothwell

in Oxford Case Histories in TIA and Stroke

Published on behalf of Oxford University Press

Published in print January 2012 | ISBN: 9780199539345
Published online November 2012 | e-ISBN: 9780191753251 | DOI:

Series: Oxford Case Histories

Case 29

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A 59-year-old man was referred to the TIA clinic for a suspected brainstem stroke. While on a flight from Cape Town to London, he had suddenly noticed that he saw two ‘exit’ signs, one almost exactly above the other. There was no headache, vertigo, nausea, or any other focal neurological deficit. However, his symptoms of vertical diplopia persisted. Examination was entirely normal, except for reported vertical diplopia which was worst when looking straight ahead, although the eyes were parallel in this position with no obvious deviation. Eye movements were normal. The diplopia disappeared when the patient covered either eye.

Chapter.  1407 words.  Illustrated.

Subjects: Neurology

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