Purpose: To report a case of transient diplopia and upgaze paresis in the setting of acute dorsal midbrain infarcts from a cervical vertebral artery dissection in an otherwise healthy man. Observations: A 33-year old man presented to the ophthalmology urgent clinic with a 1 h history of blurred and double vision. asthenopia. and a mild focal left posterior headache. https://www.spidertattooz.com/Antiqued-Brass-Color-Glue-On-Bar-Pin-Back-1-1-4-Inch-32mm-10-Pieces/