A brother and sister complained of persistent diplopia due to superior oblique palsies. The cause of their symptoms became apparent when they were diagnosed as having familial periodic cerebellar ataxia (FPCA), a rare autosomal dominant condition. Oral acetazolamide (250 mg twice daily) not only prevented all the periodic symptoms but also relieved their diplopia, which had been present between...

Objective. Postoperative diplopia occurs in up to 45% of patients following orbital decompression for exophthalmos associated with Graves’ orbitopathy. We sought to describe outcomes of our balanced orbital decompression strategy that includes the preservation of a modified inferomedial orbital strut (mIOS). Study Design: Case series with chart review. Setting: Academic medical center. Subjects...

RATIONALE Mucocele is a disease lined primarily by epithelium, and occurs mainly when the sinus ostium is obstructed. PATIENT CONCERNS We report a case of a 37-year-old man who presented with painless proptosis of the right eye and diplopia. DIAGNOSES The preoperative finding was mucocele of the ethmoid sinus. INTERVENTIONS We performed endoscopic sinus surgery, which included uncapping o...