Clinical Reasoning: A 59-year-old man with multifocal strokes, then subsequent painful eye movements and diplopia.
From the Department of Neurology (J.L.W., G.T.L.), Scheie Eye Institute, Department of Ophthalmology (A.G.R., N.M.F., G.T.L.), and Department of Pathology (D.L.), Hospital of the University of Pennsylvania, Philadelphia. Jessica.weinstein@uphs.upenn.edu.
Jessica L
JL
Weinstein
From the Department of Neurology (J.L.W., G.T.L.), Scheie Eye Institute, Department of Ophthalmology (A.G.R., N.M.F., G.T.L.), and Department of Pathology (D.L.), Hospital of the University of Pennsylvania, Philadelphia.
Ahmara G
AG
Ross
From the Department of Neurology (J.L.W., G.T.L.), Scheie Eye Institute, Department of Ophthalmology (A.G.R., N.M.F., G.T.L.), and Department of Pathology (D.L.), Hospital of the University of Pennsylvania, Philadelphia.
Nicole M
NM
Fuerst
From the Department of Neurology (J.L.W., G.T.L.), Scheie Eye Institute, Department of Ophthalmology (A.G.R., N.M.F., G.T.L.), and Department of Pathology (D.L.), Hospital of the University of Pennsylvania, Philadelphia.
Daniel
D
Lubin
From the Department of Neurology (J.L.W., G.T.L.), Scheie Eye Institute, Department of Ophthalmology (A.G.R., N.M.F., G.T.L.), and Department of Pathology (D.L.), Hospital of the University of Pennsylvania, Philadelphia.
Grant T
GT
Liu
D003937:Diagnosis, Differential; D004172:Diplopia / Q000000981:diagnostic imaging / Q000209:etiology*; D005133:Eye Movements / Q000502:physiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009778:Occipital Lobe / Q000000981:diagnostic imaging; D010146:Pain / Q000209:etiology*; D020521:Stroke / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed