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Published on: July 21, 2020
A case of bilateral horizontal gaze palsy and concurrent esotropia
Mina Ghobrial1, Edward Kuwera2
1Medical College of Wisconsin, Department of Physiology, Milwaukee, WI, USA.
Purpose:
To report a unique case of bilateral horizontal pontine gaze palsy with concurrent esotropia, surgical management, and post-operative follow-up.
Observations:
A 39-year-old male presented with diplopia and a history of neurocysticercosis. He was found to have bilateral horizontal gaze palsy and concurrent esotropia, R > L. Classic bimedial rectus recess-resect surgery was done to include resection of the right lateral rectus muscle. Follow-up three months post-op demonstrates markedly improved diplopia.
Conclusion And Importance:
We present a recommended therapeutic approach for the rare case of concurrent bilateral horizontal gaze palsy and esotropia, which should be further evaluated in longitudinal studies.
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