Case 21-2014: A 68-Year-Old Man with a Sudden Onset of Diplopia

A 68-year-old man with a history of granulomatosis with polyangiitis was admitted to this hospital because of diplopia of 2 days' duration. On examination, there was left facial weakness and ptosis. Presentation of Case Dr. Robert L. Carruthers (Neurology): A 68-year-old man was admitted to this hospital because of diplopia of 2 days' duration. The patient had a history of granulomatosis with polyangiitis, with chronic renal insufficiency. He had been in his usual health until 2 days before admission, when diplopia developed, along with nausea and vomiting, mild headache, and a sensation of unsteadiness while walking. The diplopia resolved when he closed the right eye. The next day, he remained in bed because of fatigue and a sensation of light-headedness when standing. Nausea persisted, without vomiting. On the day of admission, . . .