Painless Ophthalmoparesis

Well, relatively painless, the learning I mean. In one of my favorite episodes to date, Dr. Ali Hamedani, Section Editor for our Neuro-ophthalmology and neuro-otology section at BrainWaves, discusses the clinical approach to painless causes of double vision. Lots to learn in this episode so check it out!

And to give you a background on Ali, he is the kind of guy you go to with questions about your unusual patient. His dedication to patient care is equaled only by his encyclopedic knowledge of neurology. He also schools me on sepsis from time to time. But not large vessel disease. His later talk addressed the localization of nystagmus–nystagmuses–nystagmi? And you can check this out here!

For now, enjoy this painless episode delivered by Dr. Hamedani.


[Jim Siegler]

This episode was vetted and approved by Grant Liu.


Liu GT, Volpe NJ and Galetta SL. Neuro-Ophthalmology: Diagnosis and Management. 2nd ed: Elsevier; 2010.

Cornblath WT. Diplopia due to ocular motor cranial neuropathies. Continuum (Minneap Minn). 2014;20:966-80.

Chiba A, Kusunoki S, Obata H, Machinami R and Kanazawa I. Serum anti-GQ1b IgG antibody is associated with ophthalmoplegia in Miller Fisher syndrome and Guillain-Barre syndrome: clinical and immunohistochemical studies. Neurology. 1993;43:1911-7.

L. DR and G. PS. Approach to orbital disorders and frequency of disease occurence: W. B. Saunders; 1994.

Sanders DB and Guptill JT. Myasthenia gravis and Lambert-Eaton myasthenic syndrome. Continuum (Minneap Minn). 2014;20:1413-25.

Brent GA. Clinical practice. Graves’ disease. The New England journal of medicine. 2008;358:2594-605.


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  1. September 15, 2016

    […] the University of Pennsylvania, also responsible for an earlier and incredibly thorough episode on painless ophthalmoparesis, this interview covers many of the basic principles of this description of efferent eye […]

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