A case of bilateral horizontal gaze palsy and concurrent esotropia

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...

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Detalles Bibliográficos
Autores principales: Ghobrial, Mina, Kuwera, Edward
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10637873/
https://www.ncbi.nlm.nih.gov/pubmed/37954058
http://dx.doi.org/10.1016/j.ajoc.2023.101947
Descripción
Sumario: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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