Infantile esotropia with nystagmus: a treatable cause of oscillatory head movements in children.
OBJECTIVE
To document the resolution of oscillatory head movements following surgical realignment of the eyes in children with infantile esotropia and nystagmus.


METHODS
Retrospective review of 3 children who had infantile esotropia, nystagmus, and unexplained head shaking or head nodding.


RESULTS
Strabismus surgery restored ocular alignment and produced resolution of the head shaking in all patients. In 1 patient, head shaking accompanied recurrence of the esotropia and again resolved following surgical realignment of the eyes.


CONCLUSIONS
Head shaking or head nodding can rarely be associated with infantile esotropia and nystagmus. In this syndrome, surgical realignment of the eyes may produce simultaneous resolution of the head oscillations.
Brodsky
Michael C
MC
Department of Ophthalmology, University of Arkansas for Medical Sciences, and Arkansas Children's Hospital, 800 Marshall St, Little Rock, AR 72202, USA. brodskymichaelc@uams.edu
Wright
Kenneth W
KW
D002675:Child, Preschool; D004948:Esotropia / Q000150:complications* / Q000151:congenital / Q000601:surgery; D005133:Eye Movements; D005260:Female; D005500:Follow-Up Studies; D019416:Head Movements; D006801:Humans; D007223:Infant; D008297:Male; D020417:Nystagmus, Congenital / Q000150:complications* / Q000601:surgery; D009801:Oculomotor Muscles / Q000503:physiopathology / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D012189:Retrospective Studies; D019956:Stereotypic Movement Disorder / Q000209:etiology*