Reasonable Rascal
02-18-04, 20:43
BACKGROUND
A 14-year-old male adolescent visits his primary care physician because of double vision that has lasted 10 days. He says that he sees 2 images that are vertically separated and that the distance between the 2 images increases as he looks upward. The double vision disappears when he looks down or closes either eye. No associated neurologic signs or symptoms are present. Examination reveals that the left eye does not move up when the patient attempts to look upward. What is the diagnosis?
Hint
About 2 weeks ago, the patient was hit in the left eye with a softball, and he had some bruising of the eyelids.
Author:
Andrew A. Dahl, MD
Vassar Brothers Hospital
A 14-year-old male adolescent visits his primary care physician because of double vision that has lasted 10 days. He says that he sees 2 images that are vertically separated and that the distance between the 2 images increases as he looks upward. The double vision disappears when he looks down or closes either eye. No associated neurologic signs or symptoms are present. Examination reveals that the left eye does not move up when the patient attempts to look upward. What is the diagnosis?
Hint
About 2 weeks ago, the patient was hit in the left eye with a softball, and he had some bruising of the eyelids.
Author:
Andrew A. Dahl, MD
Vassar Brothers Hospital