Comitant esodeviation resulting from neurologic insult in children.
OBJECTIVE
Our purpose was to establish whether comitance was a common or uncommon finding in children with esodeviation associated with a neurologic insult.


METHODS
A retrospective chart review was performed of children with acquired esodeviation associated with an identifiable neurologic insult.


RESULTS
Examinations of 30 children seen over a 2-year period were analyzed. Twenty-two (73%) had brain tumors. Twelve (40%) had comitant esodeviation, and the other 18 (60%) had incomitant measurements. Of the patients with comitant esodeviation, 6 had normal abduction OU (two after recovery from bilateral sixth nerve palsies), and 6 had mild or minimal abduction deficits. Moderate or severe abduction deficits were associated with incomitant measurements.


CONCLUSIONS
Comitant esodeviation can be common in children with identifiable neurologic insults.
Liu
G T
GT
Neuro-Ophthalmology Service, University of Pennsylvania School of Medicine, Philadelphia 19104, USA.
Hertle
R W
RW
Quinn
G E
GE
Schaffer
D B
DB
D000065:Accommodation, Ocular; D000293:Adolescent; D001927:Brain Diseases / Q000150:complications; D001932:Brain Neoplasms / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D004948:Esotropia / Q000209:etiology*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies