Varied aetiology of acute acquired comitant esotropia: A case series.

Published on May 1, 2012in Oman Journal of Ophthalmology1.848
路 DOI :10.4103/0974-620X.99373
Vasudha Kemmanu6
Estimated H-index: 6
,
Kaushik Hegde3
Estimated H-index: 3
+ 1 AuthorsBhujanga K. Shetty5
Estimated H-index: 5
Sources
Abstract
This is an observational case series of five cases of acute acquired comitant esotropia (AACE) with diplopia, aged between 5 and 12 years. The duration of presenting complaints ranged from 4 days to 2 months. A detailed ophthalmic evaluation and neuroimaging were done on all patients. Three patients were found to have intracranial pathology. Two patients had pontine glioma and one patient had benign intracranial hypertension. One patient was diagnosed as accommodative spasm and one patient was diagnosed as having Type 2 AACE. We would like to conclude that AACE can be of a varied aetiology ranging from convergence spasm to those harboring serious intracranial diseases. We reiterate that AACE has a small but significant association with intracranial disorders. Neuroimaging is a definite need in cases which cannot be proved to be either Type 1 or 2.
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References10
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#1Fulvio ParentinH-Index: 8
#2Federico Marchetti (IRCCS Materno Infantile Burlo Garofolo)H-Index: 27
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#1Lubaina M. Rangwala (HUP: Hospital of the University of Pennsylvania)H-Index: 1
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Our understanding of pediatric idiopathic intracranial hypertension has been refined since Dr. Simmons Lessell's review in 1992. The use of rigorous methodologies and standard definitions in recent studies has demonstrated distinct demographic trends. Specifically, the incidence of idiopathic intracranial hypertension seems to be increasing among adolescent children, and among older children its clinical picture is similar to that of adult idiopathic intracranial hypertension (female and obese)....
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Purpose: To describe the clinical characteristics of spontaneous, late-onset comitant acute, nonaccommodative esotropia (ANAET) in children. Materials and Methods: Clinical characteristics of a cohort of patients under 16 years of age with ANAET were studied retrospectively. Results: Of 15 patients eight were females. Mean age was 7.15 years (range 2.5-13, SD 3.34). Mean age of the onset of deviation was 3.2 years (range 1.5-9, SD 2.26). Mean duration of strabismus was 36 months (range 3-132, SD...
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An 18-year-old girl presented with an acute acquired comitant esotropia. Investigation showed a brainstem glioma. Discussion of types of acute acquired comitant esotropia, differential diagnosis and neurologic work-up is given. Review of the literature involving acute acquired comitant esotropia is provided.
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#1R.V. Paul Chan (UM: University of Michigan)H-Index: 26
#2Jonathan D. Trobe (Visual Sciences)H-Index: 34
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#3C Akman (Istanbul University)H-Index: 1
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