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Orbital neural-glial hamartoma associated with a congenital tonic pupil
Scott M Goldstein1, Grant T Liu, Jane C Edmond
1Children's Hospital of Philadelphia and the University of Pennsylvania School of Medicine, Philadelphia 19104, USA. Goldsteinsc@email.chop.edu
Insights
Congenital tonic pupils in children are rare. This study details an infant with an orbital neural-glial hamartoma and a congenital tonic pupil, highlighting a rare association.
Area of Science:
- Ophthalmology
- Pediatric Neurology
- Neuro-oncology
Background:
- Congenital tonic pupils are an exceptionally rare condition in pediatric populations.
- Existing literature contains limited case reports on tonic pupils in children.
- The association between tonic pupils and orbital tumors is not well-established.
Observation:
- A case of an infant presenting with a congenital tonic pupil without proptosis is described.
- The infant was diagnosed with an orbital neural-glial hamartoma.
- This builds upon a previously reported case of a similar association in another child.
Findings:
- The study presents a new case of congenital tonic pupil associated with an orbital neural-glial hamartoma in an infant.
- It includes a 6-year follow-up of a previously reported similar case.
- The findings suggest a potential link between specific orbital tumors and tonic pupils in pediatric patients.
Implications:
- This research expands the understanding of rare pediatric ophthalmological and neurological conditions.
- It highlights the importance of considering orbital tumors in infants with congenital tonic pupils.
- Further investigation into this association may lead to improved diagnostic and management strategies for affected children.
Abstract:
Tonic pupils in children are rare, and only a handful of reports exist in the literature. We present the case of an orbital neural-glial hamartoma in an infant with a congenital tonic pupil and no proptosis. We have previously described this association in another child. This new case, the 6-year follow-up from the previous case, and a discussion of tonic pupils are presented.