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TitleTransient-recurrent diplopia gaze evoked
PurposeTo describe the adequate work-up and differential diagnosis in the presence of transient diplopia.
MethodsAnamnesis is most important to avoid unnecessary investigations. If patient's informations are sparse or doubtful, and if anamnestic clues are not consistent with a matter of urgency, homework questionnaire and a new appointment may be given to the patient.
ResultsTransient or intermittent binocular diplopia occurs in decompensated phoria, myasthenia, convergence spasm, neuromyotonia, dysthyroïd ophthalmopathy, multiple sclerosis, transient ischemic attack and giant cell arteritis.


MIGRAINE
ConclusionTrue urgencies to be worked up without delay consist in giant cell arteritis, vertebral artery dissection and myasthenia. Some delay in the work-up is acceptable when transient binocular diplopia comes from other causes.
Author 1
Last nameCORDONNIER
InitialsM
DepartmentCUB Hôpital Erasme, ULB
CityBrussels
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