Diplopia as the first manifestation of multiple sclerosis
Authors:
V. Ragénaité-Mrnka -
Authors‘ workplace:
Fakultní nemocnice v Olomouci, Oddělení praktického lékařství, Vedoucí: MUDr. Viktorija Ragénaité-Mrnka
1; Univerzita Palackého v Olomouci, Lékařská fakulta, Ústav veřejného zdravotnictví Přednostka: prof. MUDr. Dagmar Horáková, Ph.D.
2
Published in:
Prakt. Lék. 2026; 106(1): 34-37
Category:
Case Report
Overview
This case shows how a single symptom can lead to the diagnosis of an incipient disease. A 26-year-old female teacher had prolonged diplopia after a head trauma. Her general practitioner did not hesitate to order a neurological examination, including an MRI of the head, which proved the suspicion of multiple sclerosis. After a thorough neurological examination, including a cerebrospinal fluid examination, in which pattern II – positive oligoclonal synthesis of IgG in the CNS was strongly expressed, multiple sclerosis was finally diagnosed. And the patient was provided with early and effective treatment.
Keywords:
Head injury – Multiple sclerosis – general practitioner – differential diagnosis – diplopia – mild traumatic brain injury (mTBI)
Sources
1. Růžička E, a kol. Neurologie, 3. rozšířené vydání. Praha: Triton 2019; 278;287.
2. Pipek LZ, Mahler JV, Nascimento RFV, et al. Cost, efficacy, and safety comparison between early intensive and escalating strategies for multiple sclerosis: a systematic review and meta-analysis. Mult Scler Relat Disord. 2023; 71 : 104581.
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2026 Issue 1
- Hope Awakens with Early Diagnosis of Parkinson's Disease Based on Skin Odor
- What Effect Can Be Expected from Limosilactobacillus reuteri in Mucositis and Peri-Implantitis?
- The Importance of Limosilactobacillus reuteri in Administration to Diabetics with Gingivitis
- Deep stimulation of the globus pallidus improved clinical symptoms in a patient with refractory parkinsonism and genetic mutation
- Safety and Tolerance of Metamizole in Postoperative Analgesia in Children
Most read in this issue
- Research on the opinions and attitudes of citizens of the Czech Republic on the issues of primary care and the possible transfer of some competences to pharmacists
- Diplopia as the first manifestation of multiple sclerosis
- Occupational diseases reported in the Czech Republic in 2025
- What new did the 2025 ESC/EAS update of recommendations for the management of dyslipidemias bring us?