Neuro-ophthalmology: Case eight

Figure 1

Figure 2

This 27 year-old woman presented with a six month history of painless vertical diplopia (figure 1). An orbital scan was requested and appeared as shown in figure 2.

a. What do the pictures show?

b. What is the most likely diagnosis?

c. What is the differential diagnosis of the appearance shown in figure 2?

d. How would you manage this patient?

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