Unusual and Rare Causes of Monocular Elevation Deficit

ABSTRACT

Introduction

To study the rare and unusual causes of monocular elevation deficit.

Methods

Five patients presenting to us with diplopia and elevation deficit were thoroughly examined and were found to have monocular elevation deficit due to rare causes.

Observations

All five were found to have different underlying etiologies – iatrogenic, sphenoid wing meningioma, cysticercosis, sarcoidosis and mid brain infarct, and were managed appropriately.

Discussion

Monocular Elevation Deficit can occur due to a variety of causes. Having a high index of suspicion for the more serious etiologies is of utmost importance. Thorough clinical examination and imaging help clinch the diagnosis.

KEYWORDS:

• Cysticercosis of inferior rectus
• Double Elevator Palsy
• extraocular sarcoidosis
• Monocular Elevation Deficit
• sphenoid wing meningioma
• vertical diplopia

Disclosure statement

All authors attest that they meet the ICMJE criteria for authorship.

Patient constent

All patients consented to publication of the case in writing.

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.