Abstract：
PURPOSE:Skew deviation mimics superior oblique palsy. Associated findings can include ocular torsion, head tilt, headache, and neurologic symptoms that may help localize the responsible intracranial lesion. Accurate diagnosis is essential in determining and treating the underlying cause. Imaging options will be reviewed. CASE REPORT:A 29-year-old white male presented to the emergency room with sudden onset vertical diplopia after self-neck manipulation. An ophthalmic evaluation led to the diagnosis of skew deviation. Diagnostic imaging revealed an infarct of the cerebellum likely secondary to a vertebral artery dissection. Besides neck manipulation, other possible contributing factors include smoking, elevated cholesterol, and elevated testosterone. Symptoms resolved within 24 hours and the patient was treated with aspirin and atorvastatin calcium. CONCLUSIONS:Skew deviation must be a consideration in patients with vertical diplopia, and ruled out before a superior oblique palsy diagnosis. Vertebral artery dissections are uncommon in the general population but can account for up to 25% of ischemic strokes in the young and middle-aged. Smoking, high cholesterol, and high testosterone are known risk factors of stroke. Research is inconclusive on spinal manipulation's relation to stroke. This report presents an example of neck manipulation directly preceding skew deviation secondary to stroke.
journal_name
Mil Medjournal_title
Military medicineauthors
Bateman JA,Chang A,Capo-Aponte Jdoi
10.7205/MILMED-D-14-00292subject
Has Abstractpub_date
2015-01-01 00:00:00pages
e168-73issue
1eissn
0026-4075issn
1930-613Xjournal_volume
180pub_type
杂志文章abstract：INTRODUCTION:U.S. Army Special Operations Forces (SOF) soldiers deploy frequently and conduct military operations through special warfare and surgical strike capabilities. Tasks required to execute these capabilities may induce physical and mental stress and have the potential to degrade soldier physiological status. N...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00022
更新日期：2017-03-01 00:00:00
abstract：:Army active and reserve component personnel must be ready for rapid mobilization as world conflicts increase in number and intensity. Department of Defense civilian employees also need to be available to work long hours to maintain troop support. Healthy lifestyles are key to the physical and mental readiness demanded...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-01-01 00:00:00
abstract：INTRODUCTION:Military personnel during training and military operations are exposed to a large number of repeated exposures to low-level blast overpressure from a variety of sources. These exposures rarely produce a concussion, but anecdotal evidence from soldiers indicates that it can still cause transient neurologica...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa423
更新日期：2021-01-25 00:00:00
abstract：:Epidemiological studies often have to rely on a participant's self-reporting of information. The validity of the self-report instrument is an important consideration in any study. The purpose of this investigation was to determine the validity of self-reported Army Physical Fitness Test (APFT) scores. The APFT is admi...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.2.115
更新日期：2007-02-01 00:00:00
abstract：:The purpose of this study was to examine physical work performance, energy cost, and physiological fatigue in military personnel during simulated operational conditions. Using a within-subject, repeated-measures design, 34 military personnel volunteered to undergo two experimental conditions: with body armor (BA+) and...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.9.817
更新日期：2008-09-01 00:00:00
abstract：:These tests were conducted to develop a database that could be used to assess risks to soldiers from exposure to aerosolized metallic particulates when the crew compartment of an Abrams tank is perforated by a kinetic energy penetrator. Quantitative data are reported for aerosols produced by kinetic energy penetrators...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.4.393
更新日期：2007-04-01 00:00:00
abstract：:The United States Army Europe Stress Management Team (USAREUR SMT) is designed to assist victims of hostage, terrorist, and disaster situations. Early intervention is intended to prevent the development of chronic posttraumatic stress disorder. This paper describes the operation of the SMT following the missile attack...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-08-01 00:00:00
abstract：INTRODUCTION:Over 5,300 inguinal hernia repairs (IHR) were performed in the Military Health System in 2015. Chronic pain can be a debilitating complication, occurring in up to 34% of patients after IHR and impacts mission readiness. Gabapentin has been shown to be effective for postoperative analgesia in a variety of o...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
doi：10.7205/MILMED-D-17-00107
更新日期：2017-11-01 00:00:00
abstract：Introduction:In 2013, the U.S. Army Surgeon General implemented the Performance Triad (P3), an educational initiative to improve health-related behaviors of soldiers throughout the U.S. Army. The components of P3 are Sleep, Activity, and Nutrition with tenet behaviors for each component. This study reports the results ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy059
更新日期：2018-11-01 00:00:00
abstract：:On May 19 to 21, 2010, the Armed Forces Health Surveillance Center and Uniformed Services University of the Health Sciences cosponsored an educational symposium on Assessing Potentially Hazardous Environmental Exposures among Military Populations. The meeting provided an opportunity for stakeholders and policy makers ...
journal_title：Military medicine
pub_type：
doi：10.7205/milmed-d-11-00073
更新日期：2011-07-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-07-01 00:00:00
abstract：:Using data from a nationally representative survey, we evaluated the prevalence of multiple risk factors known to predict increased health care utilization and adverse health outcomes, comparing U.S. men who rely solely on the Veterans Affairs Health Administration (VA) for health care to men in the general population...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.7.690
更新日期：2007-07-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-12-01 00:00:00
abstract：:This article describes the postinjury cognitive functioning of a sample of active duty, retired, and military beneficiaries who received traumatic brain injuries. Patients were seen in the neuropsychology clinic at Brooke Army Medical Center for a detailed cognitive and personality assessment. The scores on a major co...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-12-01 00:00:00
abstract：:Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most prevalent human enzyme deficiency, affecting an estimated 400 million people worldwide. G6PD deficiency increases erythrocyte vulnerability to oxidative stress and may precipitate episodes of hemolysis when individuals are exposed to triggering agents. Al...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-00-7608
更新日期：2009-05-01 00:00:00
abstract：:The medical literature describes very few cases of bilateral femoral neck stress fractures in healthy adolescents. We studied the case of a healthy adolescent male Marine who suffered severe bilateral femoral neck stress fractures within a span of 7 months. As his level of exercise was no different than his other coll...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.7.711
更新日期：2008-07-01 00:00:00
abstract：INTRODUCTION:Sexually transmitted diseases (STD) affect primarily young people (17-24 years). The U.S. Military, with many young people, strives to maintain effective STD treatment and prevention programs using current methods. Laboratory testing technology and capacity are important for appropriate clinical management...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00248
更新日期：2017-03-01 00:00:00
abstract：:The purpose of this work was to determine the concentration and ratio of uranium isotopes in allied forces Gulf War veterans. The 27 patients had their 24-hour urine samples analyzed for 234U, 235U, 236U, and 238U by mass spectrometry. The urine samples were evaporated and separated into isotopic dilution and concentr...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2002-08-01 00:00:00
abstract：:The massive Department of Defense deployment in support of Hurricane Andrew relief cast the military medical departments in a new role. Military medical personnel were challenged to apply the traditional principles of combat medicine to a noncombat environment, within the continental United States, within an existing ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-03-01 00:00:00
abstract：:Spectacle incompatibility has been a major problem in the fielding of advanced Army avionic and electro-optical systems. As a result, routine contact lens wear may be instituted as an option to spectacles. Refractive error data were extracted from the Aviation Epidemiological Data Registry, a computer-accessible repos...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-08-01 00:00:00
abstract：INTRODUCTION:Nearly 10% of all combat injuries during the most recent conflicts in Iraq and Afghanistan involve thoracic trauma. The long-term outcomes of these combat-related injuries with respect to lung function have not been fully evaluated. Limited research in civilian polytrauma patients have shown significant ob...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa165
更新日期：2020-12-30 00:00:00
abstract：:During Operation Assured Response in Liberia and Sierra Leone, between May and July 1996, five confirmed cases of falciparum malaria occurred in U.S. Navy personnel. The threat of malaria in west central Africa was recognized from the outset, and preventive medicine guidance was given to all the units participating in...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-12-01 00:00:00
abstract：INTRODUCTION:Obesity and overweight, defined as body mass index (BMI) of 30.0 and above or 25.0-29.9, respectively, are of significant concern to the military population, due to their associated comorbidities and potential for impaired readiness. In 2016, the US Army reported a prevalence of 17.3% obesity and 52.9% ove...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz032
更新日期：2019-10-01 00:00:00
abstract：:A Department of Veterans Affairs (DVA) inpatient psychiatry program treating Vietnam veterans for symptoms of posttraumatic stress disorder provided day and evening treatment programs. The evening program, besides treating psychiatric trauma, incorporated the DVA mission of assisting patients with vocational rehabilit...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1990-08-01 00:00:00
abstract：:The U.S. military may consider exploring the inclusion of the long-chain omega-3 fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), in the diets of active duty military personnel. To be successful, certain challenges must be overcome including determining appropriate dosage, ensuring cost efficie...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/MILMED-D-14-00148
更新日期：2014-11-01 00:00:00
abstract：:The aim of this study was to document risk factors for any injury and sports- and exercise-related injuries, including personal and occupational stress among active duty service members (SMs) in the Air Force, Army, Marine Corps, and Navy. A total of 10,692 SMs completed the April 2008 Status of Forces Survey of Activ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00080
更新日期：2014-11-01 00:00:00
abstract：:The standardized mortality rate of rhabdomyolysis (RM) in Active Duty U.S. Army Soldiers is considerably higher than in the civilian population. RM occurs when large amounts of intracellular contents from damaged skeletal muscle escape into circulation, leading to serious sequelae (e.g., acute renal failure, hyperkale...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00076
更新日期：2017-07-01 00:00:00
abstract：:An investigation was conducted to determine if testing machine crosshead speed influenced shear bond strength (SBS) or the failure mode of composite bonded to enamel and dentin. Composite cylinders were bonded to 50 enamel and 50 dentin surfaces and thermocycled. Groups of 10 samples were debonded at speeds of 0.1, 0....
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-10-01 00:00:00
abstract：:In field operational environments, the gynecologic health needs of women may be difficult to provide because of the lack of a small, lightweight, durable, inexpensive gynecologic examination table. Such a table already exists, in pieces, in the inventory of most field-deploying units of battalion aid station size or l...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-10-01 00:00:00
abstract：:The objective of this study was to compare military suicide rates with civilian suicide rates, adjusting for age and sex differences that exist between the two populations. The number of active component (AC) service members whose manner of death was certified as suicide was determined for specific age and sex groups ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx209
更新日期：2018-03-01 00:00:00
