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Mayo Clinic Proceedings: Innovations, Quality & Outcomes
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    • Case report
      Open Access

      Approaching Acute Vertigo With Diplopia: A Rare Skew Deviation in Vestibular Neuritis

      Mayo Clinic Proceedings: Innovations, Quality & Outcomes
      Vol. 4Issue 2p216–222Published online: March 9, 2020
      • Scott D.Z. Eggers
      • Jorge C. Kattah
      Cited in Scopus: 0
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      • Video
      Evaluating the patient with acute constant vertigo or diplopia can be a daunting task for clinicians, who recognize that such symptoms can be the manifestation of potentially devastating disorders like stroke but may be uncomfortable eliciting and interpreting the key symptoms and subtle signs that distinguish dangerous from benign causes. We present a novel and highly instructive case of a patient with acute vertigo and binocular diplopia from a large skew deviation due to vestibular neuritis. As the case unfolds, text and video commentary guide the clinician through the important elements of the history, bedside examination, and laboratory evaluation necessary for accurate diagnosis in the acute vestibular syndrome.
      Approaching Acute Vertigo With Diplopia: A Rare Skew Deviation in Vestibular Neuritis
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