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Symptoms and Signs – Differential Diagnosis of Ophthalmoplegia
BILATERAL
• Botulism
• Myasthenia gravis
• Wernicke’s encephalopathy
• Acute cranial polyneuropathy
• Brainstem stroke
UNILATERAL
• Carotid, posterior (third cranial nerve, pupil involved,
communicating aneurysm)
• Diabetic, idiopathic (third or sixth cranial nerve, pupil spared)
• Myasthenia gravis
• Brainstem stroke
BILATERAL
• Botulism
• Myasthenia gravis
• Wernicke’s encephalopathy
• Acute cranial polyneuropathy
• Brainstem stroke
UNILATERAL
• Carotid, posterior (third cranial nerve, pupil involved,
communicating aneurysm)
• Diabetic, idiopathic (third or sixth cranial nerve, pupil spared)
• Myasthenia gravis
• Brainstem stroke
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