Allergies can cause many ear, nose, and throat symptoms in children, but allergies can be difficult to separate from other causes. Here are some clues that allergies may be affecting your child. Children with nasal allergies often have a history of other allergic tendencies (or atopy).
Is the diplopia constant or intermittent? Causes of intermittent diplopia include thyroid disease, myasthenia gravis, multiple sclerosis, and exo/eso breakdown. Causes of constant diplopia include cranial nerve palsy, thyroid or myasthenia gravis cases, and post-surgical cases. The most frequent surgical case that can result in diplopia is cataract surgery.
Spontaneous cerebrospinal fluid (CSF) leaks typically present with orthostatic headaches. Less commonly, spontaneous CSF leaks can present with other headache types. Nausea, vomiting, hearing disturbances, diplopia, back pain, and dizziness are not uncommon associated symptoms. Although the exact cause of CSF leaks often remains uncertain, some patients may be predisposed due to disorders of connective tissue or spinal meningeal anomalies. When a spontaneous CSF leak is suspected, head MRI with contrast is ordinarily the first study to obtain.