PMID: 8963421Mar 1, 1996Paper

Acquired esotropia due to Arnold-Chiari I malformation

Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society
A R LewisJ A Sharpe

Abstract

Diplopia is not frequently associated with Arnold-Chiari I malformation. We reviewed our cases of Arnold-Chiari I malformation in which acquired esotropia with diplopia was the main neuro-ophthalmologic finding early in the clinical course. Five patients were studied, all female, ranging in age from 17 to 36 years, who were treated by the neuro-ophthalmology service of urban teaching hospitals. Eye movement recordings using magnetic search coil technique were performed in two patients. All patients reported onset of horizontal diplopia due to acquired esotropia as an initial manifestation of the Arnold-Chiari I malformation. All had full abduction of each eye. In addition, all five had gaze-evoked nystagmus, two skew deviations, and one bilateral internuclear ophthalmoparesis. Oculography in two patients showed normal abducting saccadic peak velocities. This supports divergence palsy as a mechanism of acquired esotropia and provides evidence against subtle sixth nerve palsy in these patients. Four patients underwent neurosurgical decompression of their Chiari malformations, and neuro-ophthalmologic signs and symptoms improved in all. Acquired esotropia, often in association with other eye movement abnormalities, may be an early...Continue Reading

Citations

Jul 20, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·R Shane TubbsW Jerry Oakes
Sep 27, 2000·American Journal of Ophthalmology·V BiousseS R Lambert
Dec 22, 1999·Ophthalmology·C L Weeks, L M Hamed
Dec 9, 2003·The British Journal of Ophthalmology·M C Brodsky
Dec 3, 2014·Neurologic Clinics·Shin C BehElliot M Frohman
Aug 13, 2013·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Lia RechIan Murdoch Mac Donald
Dec 2, 2008·Pediatric Clinics of North America·Omondi L Nyong'o, Monte A Del Monte
Oct 26, 1999·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·G T LiuD B Schaffer
Jan 5, 2006·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Amal Al-AwamiRobert C Polomeno
Apr 6, 2004·Pediatric Clinics of North America·Reza Yassari, David Frim
May 7, 2002·American Journal of Ophthalmology·Sabine Defoort-DhellemmesPatrick Dhellemmes
May 7, 2002·American Journal of Ophthalmology·Micheal S VaphiadesAli Krisht
Feb 25, 2014·Journal of the Neurological Sciences·Fatema F GhasiaAasef G Shaikh
Sep 1, 2009·Optometry : Journal of the American Optometric Association·Curtis R Baxstrom
Oct 12, 2016·Seminars in Ophthalmology·Aubrey L GilbertGena Heidary
Feb 28, 2006·Survey of Ophthalmology·Michael C BrodskyThomas Brandt
Sep 17, 1999·Mayo Clinic Proceedings·P W Brazis, A G Lee
Jul 30, 2005·Vision Research·Michael S SalmanMartin J Steinbach
May 15, 2015·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Rebecca FischbeinMichelle Renee Chyatte
Nov 8, 2001·International Ophthalmology Clinics·D E Newman-Toker, J F Rizzo

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.