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The transient diplopias (TD) is defined by a short diplopia. Their etiology may be ophthalmological, neurological non-ischemic or of ischemic origin.
The difficulty is to recognize an ischemic mechanism which imposes emergency cares.
A clinical score could help the clinician to recognize the etiology of the TD .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Eligible patients | Adults having had a transient diplopia during the last 8 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Clinical, ophthalmological and neurological evaluation | Other | Clinical : questionnaire about the symptoms and about the vascular risk factors Imagery :Cerebral MRI, MRI angiography of the supra-aortic trunks, ECG, Holter, transthoracic echocardiography, Biology : blood count, erythrocytes sedimentation rate, C reactive protein Ophthalomogy : visual field, optical coherence tomography, retinography |
| Measure | Description | Time Frame |
|---|---|---|
| Etiology, ischemic or not, of the initial transient diplopia | Questionnaire about the symptoms and about the vascular risk factors, cerebral MRI, MRI angiography of the supra-aortic trunks, ECG, Holter, transthoracic echocardiography, blood count, erythrocytes sedimentation rate, C reactive protein, visual field, optical coherence tomography, retinography and a new evaluation after 3 months. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of new transient diplopia ischemic attacks during the 3 months of follow-up | Questionnaire about the symptoms and about the vascular risk factors, cerebral MRI, MRI angiography of the supra-aortic trunks, ECG, Holter, transthoracic echocardiography, blood count, erythrocytes sedimentation rate, C reactive protein, visual field, optical coherence tomography, retinography and a new evaluation after 3 months. |
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Inclusion Criteria:
Exclusion Criteria:
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Adults having had a transient diplopia during the last 8 days and seen at the fondation ophtalmologique Adolphe de Rothschild
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Michel Rosenheim, MD, DSc | Contact | +33148036457 | mrosenheim@fo-rothschild.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Bichat | Recruiting | Paris | 75018 | France |
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| ID | Term |
|---|---|
| D004172 | Diplopia |
| ID | Term |
|---|---|
| D014786 | Vision Disorders |
| D012678 | Sensation Disorders |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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|
| 3 months |
| Incidence of diplopia ischemic strokes during the 3 months of follow-up | Questionnaire about the symptoms and about the vascular risk factors, cerebral MRI, MRI angiography of the supra-aortic trunks, ECG, Holter, transthoracic echocardiography, blood count, erythrocytes sedimentation rate, C reactive protein, visual field, optical coherence tomography, retinography and a new evaluation after 3 months. | 3 months |
| Incidence of transient ischemic attacks, visual or not visual, during the 3 months of follow-up | Questionnaire about the symptoms and about the vascular risk factors, cerebral MRI, MRI angiography of the supra-aortic trunks, ECG, Holter, transthoracic echocardiography, blood count, erythrocytes sedimentation rate, C reactive protein, visual field, optical coherence tomography, retinography and a new evaluation after 3 months. | 3 months |
| Incidence of ischemic strokes, visual or not visual, during the 3 months of follow-up | Questionnaire about the symptoms and about the vascular risk factors, cerebral MRI, MRI angiography of the supra-aortic trunks, ECG, Holter, transthoracic echocardiography, blood count, erythrocytes sedimentation rate, C reactive protein, visual field, optical coherence tomography, retinography and a new evaluation after 3 months. | 3 months |
| Fondation Ophtalmologique Adolphe de Rothschild | Recruiting | Paris | Île-de-France Region | 75019 | France |
|
| D005128 |
| Eye Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |