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Comitant esodeviation resulting from neurologic insult in children
G T Liu1, R W Hertle, G E Quinn
1Neuro-Ophthalmology Service, University of Pennsylvania School of Medicine, Philadelphia 19104, USA.
Summary
Comitant esodeviation, an inward turning of the eyes, is a common finding in children with acquired esodeviation due to neurologic insults like brain tumors.
Area of Science:
- Ophthalmology
- Pediatric Neurology
Background:
- Esodeviation, an inward turning of the eyes, can be associated with neurologic insults in children.
- The frequency of comitant versus incomitant esodeviation in this population is not well-established.
Purpose of the Study:
- To determine if comitant esodeviation is a common or uncommon finding in children with esodeviation secondary to a neurologic insult.
Main Methods:
- A retrospective chart review was conducted.
- Data from 30 children with acquired esodeviation and a neurologic insult were analyzed.
Main Results:
- Twenty-two (73%) patients had brain tumors.
- Twelve (40%) patients presented with comitant esodeviation.
- Moderate to severe abduction deficits were linked to incomitant measurements.
Conclusions:
- Comitant esodeviation is a common occurrence in children with identifiable neurologic insults.
- The presence and degree of abduction deficits may differentiate between comitant and incomitant forms.