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2007 Series -  November 20, 2007 Lecture 6 of 52  NEXT»

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A 25-year-old woman presents with left upper lid ptosis and an inability to look up fully in the left eye.   She then shows the above picture of herself taken at age 7 years.

1.  What is the most likely diagnosis?  
 

a. double elevator palsy
b. left third nerve palsy
c. left superior oblique palsy
d.  Brown syndrome
e. Duane syndrome

2.  What do you do next?  
 

a. check versions
b. order a Tensilon test
c. order an MRI
d.  order a coronal CT
e. do another test not listed

3.  What is the most likely treatment?
 
a. oral steroids
b. orbital injection of steroid
c. systemic antibiotics
d.  extraocular muscle surgery
e. none of the above

For answers to the above, click here on or after November 27, 2007.

 

 


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