Vertical binocular diplopia

Disease modifying treatment available:
Time critical diagnosis and management:
Lateralising:

Definition

Double vision with vertical image separation with resolution on covering either eye.



Taxotomy

Aetiology

Vertical binocular diplopia with pure horizontal image separation is usually the result of a cerebellar or brainstem lesion. Rotation of the lower image may be evident in trochlear nerve palsy.



Clinical features


Tilt of the lower image is suggestive of a trochlear nerve palsy. In trochlear nerve palsy, tilting of the head away from the side of the palsy may be used as a compensation measure.




Investigations


None

None


Supercategory
Binocular diplopia
Laboratory Investigation Result

Treatment


None




Research


Open questions

None