USMLE Forum Archives - USMLE Step 3 - Neuro- Diplopia
Neuro- Diplopia
harry206 - 02-18-10 23:15
A 28-year-old woman comes to the office because of diplopia on lateral gaze in either direction that has worsened over several days. She has no history of neurologic problems. Neurologic examination is normal except for paresis of the adducting eye with nystagmus of the abducting eye on horizontal gaze in either direction. MRI shows a hyperintense lesion on T2-weighted images within the midbrain, as well as five hyperintense lesions in the cerebral white matter adjacent to the lateral ventricles.
Which of the following long-term treatments should be considered?
harry206 - 02-18-10 23:15
A 28-year-old woman comes to the office because of diplopia on lateral gaze in either direction that has worsened over several days. She has no history of neurologic problems. Neurologic examination is normal except for paresis of the adducting eye with nystagmus of the abducting eye on horizontal gaze in either direction. MRI shows a hyperintense lesion on T2-weighted images within the midbrain, as well as five hyperintense lesions in the cerebral white matter adjacent to the lateral ventricles.
Which of the following long-term treatments should be considered?
The correct answer and explanation will be available after you answer.
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#2
Re: Neuro- Diplopia conym5 - 02-19-10 08:46 My answer is: c.
high dose prednisone with tapering dose will be helpful in acute episodes of multiple sclerosis. Interferon-beta reduces progressiveness of the disease..
#14
Re: Neuro- Diplopia babbu5508 - 08-31-10 11:39 My answer is: c.
hyperintense lesion on T2-weighted images within the midbrain, as well as five hyperintense lesions in the cerebral white matter...multiple sclerosis..
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