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Related Experiment Videos

Double vision worth a double take.

Molly E Gilbert1, Dalia Meira, Rod Foroozan

  • 1Neuro-ophthalmology Service, Wills Eye Hospital, Thomas Jefferson University, 840 Walnut Street, Philadelphia, PA 19107, USA.

Survey of Ophthalmology
|December 1, 2006
PubMed
Summary
This summary is machine-generated.

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A sudden onset of inward-turning eyes (acute acquired comitant esotropia) in an 18-year-old was linked to a brainstem glioma. This case highlights the importance of neurological investigation for acquired esotropia.

Area of Science:

  • Ophthalmology
  • Neurology
  • Neuro-oncology

Background:

  • Acute acquired comitant esotropia is a rare condition that can be associated with serious underlying neurological disorders.
  • Early diagnosis and appropriate management are crucial for preserving visual function and identifying potential life-threatening conditions.

Observation:

  • An 18-year-old female presented with acute onset of inward turning of the eyes (esotropia).
  • Ophthalmological examination revealed a comitant esotropia, meaning the degree of eye turn was similar in all gaze positions.
  • Neurological investigation was initiated due to the acquired nature of the strabismus.

Findings:

  • Brain imaging revealed a glioma located in the brainstem.
  • The brainstem glioma was identified as the underlying cause of the acute acquired comitant esotropia.

Related Experiment Videos

  • Literature review on acute acquired comitant esotropia, its types, differential diagnoses, and neurological work-up was conducted.

    • Implications:

    • This case underscores the critical need for a thorough neurological work-up in patients presenting with acute acquired comitant esotropia.
    • Brainstem gliomas, though rare, must be considered in the differential diagnosis of acquired esotropia, especially in young adults.
    • Prompt diagnosis and management of brainstem tumors can significantly impact patient outcomes and prognosis.