Description 🎙️
Mike presents a case of recurrent transient diplopia where the answer is lying just below the surface!
Teaching ✍️
- GCA is a “Can’t miss” Diagnosis When Evaluating Acute Diplopia: Emergency Medicine guidelines recommend obtaining an ESR/CRP for all patients > 50 years old with new onset diplopia.
- GCA: Mimicker of Trigeminal Neuralgia: The temporal headaches & tenderness of GCA can mimic the neuropathic symptoms of Trigeminal Neuralgia.
- GCA, Beyond the Script: GCA can affect any of the branches of the carotid arteries, allowing for a wide range of ocular symptoms outside of the classic presentation taught for boards (i.e. jaw claudication). Affected vessels supplying the extraocular muscles can lead to muscle ischemia & muscle weakness, ultimately leading to diplopia.
