A 25-Year-Old Man With Diplopia and Loss of Body Control

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Sumaira Nabi, MBBS, FCPS; Shahzad Ahmed, MBBS; Fateen Rashid, MBBS; Mazhar Badshah, MBBS, FCPS

September 03, 2020

Editor’s Note:
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us.

A 25-year-old man presents to the emergency department with a 7-day history of gradual-onset, painless horizontal diplopia with left lateral gaze. One year prior to this presentation, he had vision loss in his left eye, with partial recovery over 4 weeks. Upon further inquiry, he also recalls an episode of right-sided incoordination 6 months before presentation, which completely remitted in 2 weeks.

The patient reports no history of fever, joint pains, rash, headache, or weight loss. He is single and a mason by occupation. He has no history of travel abroad or sexual contact. He is a nonsmoker and denies substance abuse. The family history is unremarkable.

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Any views expressed above are the author’s own and do not necessarily reflect the views of WebMD or Medscape.

Cite this: Sumaira Nabi, Shahzad Ahmed, Fateen Rashid, et. al. A 25-Year-Old Man With Diplopia and Loss of Body Control – Medscape – Sep 03, 2020.

Neurologist, Department of Neurology, Pakistan Institute of Medical Sciences, Islamabad, Pakistan

Disclosure: Sumaira Nabi, MBBS, FCPS, has disclosed no relevant financial relationships.

Neurologist, Department of Neurology, Pakistan Institute of Medical Sciences, Islamabad, Pakistan

Disclosure: Shahzad Ahmed, MBBS, has disclosed no relevant financial relationships.

Neurologist, Department of Neurology, Pakistan Institute of Medical Sciences, Islamabad, Pakistan

Disclosure: Fateen Rashid, MBBS, has disclosed no relevant financial relationships.

Neurologist, Department of Neurology, Pakistan Institute of Medical Sciences, Islamabad, Pakistan

Disclosure: Mazhar Badshah, MBBS, FCPS, has disclosed no relevant financial relationships.

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A 25-Year-Old Man With Diplopia and Loss of Body Control

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