The child with divergence paresis.
Divergence paralysis is a rare clinical entity that causes a comitant esotropia at distance. While this is usually benign and self-limited, there are reports of divergence paralysis associated with brain tumors, central nervous system syphilis, trauma, and multiple sclerosis. We studied a 14-year-old girl who presented with diplopia and was found to have divergence paralysis. Magnetic resonance imaging disclosed a large pontomedullary glioma.
Schanzer
B
B
John F. Kennedy Medical Center, Edison, New Jersey, USA.
Bordaberry
M
M
Jeffery
A R
AR
McNeil
D E
DE
Phillips
P C
PC
D000208:Acute Disease; D000293:Adolescent; D001706:Biopsy; D001932:Brain Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D003131:Combined Modality Therapy; D004172:Diplopia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D004948:Esotropia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D005910:Glioma / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008526:Medulla Oblongata / Q000473:pathology; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D011149:Pons / Q000473:pathology