Triplopia.
Title
Triplopia: thirteen patients from a neurology inpatient service.
Source
Archives of Neurology. 63(3):388-9, 2006 Mar.
Archives of Neurology. 63(3):388-9, 2006 Mar.
BACKGROUND:
Seeing triple is a rare complaint, so anatomically unlikely that it is often considered a diagnostic symptom of hysteria.
OBJECTIVE:
To evaluate the complaint of triple vision among a large group of neurological inpatients. DESIGN: Personal case series during a 34-year period.
SETTING:
Neurology and neurosurgery wards of the University of Southern California-Los Angeles County Medical Center.Patients Thirteen patients who reported seeing objects in triplicate.
RESULTS:
Eleven of 13 patients had ocular motor findings, including third nerve palsy in 5 patients, internuclear ophthalmoplegia in 4, and sixth nerve palsy in 2. Causes included brainstem infarction in 4 patients; ischemic mononeuropathy, trauma, surgery, and hysteria in 2 patients each; and tumor in 1 patient.
CONCLUSION:
Triplopia is a rare complaint that, in a neurology inpatient service, often represents an unusual interpretation of abnormal eye movements.
posted by my-healthcare at 8:14 PM
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