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A 22-year-old female asked:

What is the differential diagnosis of diplopia in patient with vertigo?

1 doctor answer1 doctor weighed in
Dr. Robert Jacoby
Neurology 33 years experience
Big question: Start with what kind of diplopia - horizontal, vertical or skewed. That will help tell you which eye muscles are involved. Pain with eye movement is worrisome. Diplopia that gets worse with fatigue may be a muscle issue. Vertigo and diplopia makes one think of inner ear or brainstem difficulties, but these can be hard to differentiate. Trauma can cause horizontal diplopia

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