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A Case of Ocular Torticollis
Doddaiah Narayanappa1, Hassan Srinivasamurthy Rajani1, Timmanahalli Girish Anita2
1Department of Pediatrics, JSS Medical College, JSS University, India.
Oman Medical Journal
|August 23, 2019
Summary
Ocular torticollis in infants can be caused by superior oblique muscle palsy, leading to head tilt and eye movement abnormalities. Early diagnosis is crucial for appropriate management.
Area of Science:
- Pediatric Ophthalmology
- Neuro-ophthalmology
- Pediatric Neurology
Background:
- Congenital muscular torticollis is common, but ocular causes must be considered.
- Ocular motor nerve palsies can present with head tilt mimicking muscular torticollis.
Observation:
- A 14-month-old male infant presented with left head tilt and right chin turn.
- Physical examination revealed right hypertropia, worsening with left gaze.
- Full range of neck motion was preserved, ruling out primary musculoskeletal etiology.
Findings:
- The diagnosis of ocular torticollis was established.
- The condition was secondary to a right superior oblique muscle palsy.
Implications:
- This case highlights the importance of a thorough ophthalmological examination in infants with head tilt.
- Prompt diagnosis of ocular torticollis can prevent long-term visual and motor development issues.
- Understanding the neuro-ophthalmic basis of torticollis is essential for pediatricians.
