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Ade Wijaya, MD – February 2021
Definition
“Duplication of images (doublets, triplets, and more) in
the absence of a refractive error, fascicular cranial
nerve disease, orbital pathology, or brainstem disease”
Kesserwani H. A Novel Case of Cerebral Diplopia Secondary to a Posterior Parietal Cortex Ischemic Infarct: Proposal of a Mechanism of Generation of Polyopia Due to Convergence
Insufficiency.
Etiology
 Occipital lobe disease due to:
- Trauma
- Ischemia
- Epilepsy
- Migraine
Kesserwani H. A Novel Case of Cerebral Diplopia Secondary to a Posterior Parietal Cortex Ischemic Infarct: Proposal of a Mechanism of Generation of Polyopia Due to Convergence
Insufficiency.
Mechanism
 Cortical spreading depression
 Abnormal visual synthesis
 Holonomic brain theory:
- Posterior parietal cortex  frontal eye field 
midbrain and paramedian pontine reticular formation.
leading to convergence insufficiency and subsequent
horizontal diplopia.
Kesserwani H (September 07, 2020) An Analytic Dissection of a Case of Cerebral Diplopia: Is the Human Brain a Holographic Device?. Cureus 12(9): e10292. doi:10.7759/cureus.10292
Kesserwani H: The Zeitraffer phenomenon: a strategic ischemic infarct of the banks of the parieto-occipitalsulcus - a unique case report and a side note on the neuroanatomy of
visual perception. Cureus. 2020,12:e9443.
Kesserwani H. A Novel Case of Cerebral Diplopia Secondary to a Posterior Parietal Cortex Ischemic Infarct: Proposal of a Mechanism of Generation of Polyopia Due to Convergence
Insufficiency.
Kesserwani H. A Novel Case of Cerebral Diplopia Secondary to a Posterior Parietal Cortex Ischemic Infarct: Proposal of a Mechanism of Generation of Polyopia Due to Convergence
Insufficiency.
Kesserwani H. A Novel Case of Cerebral Diplopia Secondary to a Posterior Parietal Cortex Ischemic Infarct: Proposal of a Mechanism of Generation of Polyopia Due to Convergence
Insufficiency.
Summary
 Polyopia  Diplopia of cerebral origin
 Etiology: occipital lobe disease
Mechanism:
 Cortical spreading depression
 Abnormal visual synthesis
 Holonomic brain theory:
- Posterior parietal cortex  frontal eye field 
midbrain and paramedian pontine reticular formation
Cerebral Polyopia

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Cerebral Polyopia

  • 1. Ade Wijaya, MD – February 2021
  • 2. Definition “Duplication of images (doublets, triplets, and more) in the absence of a refractive error, fascicular cranial nerve disease, orbital pathology, or brainstem disease” Kesserwani H. A Novel Case of Cerebral Diplopia Secondary to a Posterior Parietal Cortex Ischemic Infarct: Proposal of a Mechanism of Generation of Polyopia Due to Convergence Insufficiency.
  • 3. Etiology  Occipital lobe disease due to: - Trauma - Ischemia - Epilepsy - Migraine Kesserwani H. A Novel Case of Cerebral Diplopia Secondary to a Posterior Parietal Cortex Ischemic Infarct: Proposal of a Mechanism of Generation of Polyopia Due to Convergence Insufficiency.
  • 4. Mechanism  Cortical spreading depression  Abnormal visual synthesis  Holonomic brain theory: - Posterior parietal cortex  frontal eye field  midbrain and paramedian pontine reticular formation. leading to convergence insufficiency and subsequent horizontal diplopia. Kesserwani H (September 07, 2020) An Analytic Dissection of a Case of Cerebral Diplopia: Is the Human Brain a Holographic Device?. Cureus 12(9): e10292. doi:10.7759/cureus.10292 Kesserwani H: The Zeitraffer phenomenon: a strategic ischemic infarct of the banks of the parieto-occipitalsulcus - a unique case report and a side note on the neuroanatomy of visual perception. Cureus. 2020,12:e9443.
  • 5. Kesserwani H. A Novel Case of Cerebral Diplopia Secondary to a Posterior Parietal Cortex Ischemic Infarct: Proposal of a Mechanism of Generation of Polyopia Due to Convergence Insufficiency.
  • 6. Kesserwani H. A Novel Case of Cerebral Diplopia Secondary to a Posterior Parietal Cortex Ischemic Infarct: Proposal of a Mechanism of Generation of Polyopia Due to Convergence Insufficiency.
  • 7. Kesserwani H. A Novel Case of Cerebral Diplopia Secondary to a Posterior Parietal Cortex Ischemic Infarct: Proposal of a Mechanism of Generation of Polyopia Due to Convergence Insufficiency.
  • 8. Summary  Polyopia  Diplopia of cerebral origin  Etiology: occipital lobe disease Mechanism:  Cortical spreading depression  Abnormal visual synthesis  Holonomic brain theory: - Posterior parietal cortex  frontal eye field  midbrain and paramedian pontine reticular formation