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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 8067
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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Hi, I am a 59 year old man and I had a CT brain scan last

Customer Question

Hi,
I am a 59 year old man and I had a CT brain scan last Friday 11th March, 2011. This was done after I developed double vision. I had a fall 6 weeks ago and went to hospital. I ended up with a black left eye and 6 stitches on the end of my left eye brow but my vision was normal. X rays showed no broken bones. A week or so ago I got slightly blurred vision (probably left eye) and over the week this slowly developed into double vision.

The CT Scan notes read,
“CT BRAIN

The patient has significant diplopia for investigation. A routine series was performed.
There is mild lateral deviation of the left globe. The extraocular muscles are normal in morphology. The left optic nerve shows a tiny hyperdense area, that is difficult to assess further, a post contrast series is unlikely to yield any further information.
The inferiormost aspect of the right cerebellum shows a vague hyperdense area. This may be related to streak artifact from the adjacent bone.
The rest of the study is normal.
COMMENT
• Quite subtle hyperdense focus left optic nerve. This may be of no significance, but in order to exclude entities such as meningioma, it would best be further addressed on high resolution MR of the orbits.
• Subtle hyperdensity right inferior cerebellar hemisphere that is probably artifactual. Again, this would be further characterised easily on MR.


Please give me an idea of what I may expect from here on in,

David
Submitted: 3 years ago.
Category: Eye
Expert:  Dr. Rick replied 3 years ago.

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

Are you available to chat?

Dr. Rick :

I wouldn't worry about that small hyperdense area in the optic nerve noticed on CT scan. It may be a small optic nerve drusen. The other finding would not be expected to be associated with your diplopia.

Dr. Rick :

Hi. Welcome to chat

Customer:

yes

Dr. Rick :

Does your double vision go away when you close one eye? How is your vision in each eye individually?

Customer:

yes

Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 8067
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Dr. Rick and other Eye Specialists are ready to help you
Expert:  Dr. Rick replied 3 years ago.
You hit the accept button a little bit early. I am still here and we can "chat" using the Q&A system, even though you have already paid.
Expert:  Dr. Rick replied 3 years ago.
I think the best thing for you to do is have a complete examination by an ophthalmologist. The most common cause of diplopia following mild head injury is a 6th cranial nerve palsy. This usually will resolve in a few months on its own, but it does need to be worked up by an eye specialist.

Does this make sense to you?
Customer: replied 3 years ago.

what is diplopia?

Expert:  Dr. Rick replied 3 years ago.
doctor speak for double vision :)
Customer: replied 3 years ago.
Not at pesent
Customer: replied 3 years ago.
I am now confused. Have I only paid the $27 once for the answers you sent and am I free to go? Where do I go to offer feedback?
Expert:  Dr. Rick replied 3 years ago.
THIS ANSWER IS LOCKED!
You can view this answer by clicking here to Register or Login and paying $3.
If you've already paid for this answer, simply Login.

Customer: replied 3 years ago.
Have I only paid $27 dollars once? Yes or no.
Expert:  Dr. Rick replied 3 years ago.
That is correct....but you can pay me twice, I won't mind ;o)

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