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Acute-onset esotropia: should we look inside?
Jennifer Schreuders1, G W S Thoe Schwartzenberg, Edmee Bos
1Department of Pediatrics, Groene Hart Ziekenhuis, Gouda, The Netherlands.
Insights
A diffuse pontine glioma caused sudden esotropia and double vision in a 5-year-old boy. This case highlights the importance of prompt diagnosis for pediatric brain tumors presenting with ocular symptoms.
Area of Science:
- Neuro-oncology
- Pediatric Ophthalmology
Background:
- Diffuse pontine glioma is a rare and aggressive brain tumor in children.
- Ocular symptoms can be the initial presentation of neurological conditions.
Abstract:
The authors report a case of acute onset of comitant esotropia with diplopia in a 5-year-old boy with a diffuse pontine glioma. On first presentation, the angle of esodeviation was 30 prism diopters at distance fixation and 25 prism diopters at near fixation. Neurological symptoms appeared 10 weeks after the first visit.
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