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Anterior plagiocephaly with contralateral superior oblique overaction.

Jethani J, Dagar A, Vijayalakshmi P, Sundaresh K - Indian J Ophthalmol (2008 Nov-Dec)

Bottom Line: Both were well aligned after squint surgery.Plagiocephaly has been reported to simulate superior oblique muscle paresis.We report a rare occurrence of contralateral superior oblique muscle overaction in three children with anterior plagiocephaly.

View Article: PubMed Central - PubMed

Affiliation: Pediatric Ophthalmology and Strabismus Clinic, T V Patel Eye Institute, Baroda, India. xethani@rediffmail.com

ABSTRACT
Anterior plagiocephaly is a craniofacial anomaly related to premature unilateral synostosis. We present three cases of anterior plagiocephaly with contralateral superior oblique dysfunction. A detailed ophthalmic examination, including orthoptic assessment for the extraocular muscle misalignment, with appropriate radio-imaging was done in all the three cases. All of them showed a right-sided plagiocephaly, with overaction of the left superior oblique muscle, alternating exotropia and a dissociated vertical deviation. Two underwent surgical correction of squint. Both were well aligned after squint surgery. Plagiocephaly has been reported to simulate superior oblique muscle paresis. We report a rare occurrence of contralateral superior oblique muscle overaction in three children with anterior plagiocephaly.

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Related in: MedlinePlus

The upper axial scan shows the right-sided flattening of theskull when the girl was two years old. The lower three-dimensional CTscan clearly shows right side frontal plagiocephaly
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F1B: The upper axial scan shows the right-sided flattening of theskull when the girl was two years old. The lower three-dimensional CTscan clearly shows right side frontal plagiocephaly

Mentions: The flattening of frontal bone on the right side was noted[Figure 1b] and a computed tomography (CT) scan was orderedwhich revealed a right-sided frontal plagiocephaly. The childhad undergone CT scan when she was two years old and thattoo showed right-sided frontal plagiocephaly [Figure 1c]. Adiagnosis of alternate exotropia with left superior obliqueoveraction with DVD was made. A forced duction test wasdone on table and was negative in the left eye.


Anterior plagiocephaly with contralateral superior oblique overaction.

Jethani J, Dagar A, Vijayalakshmi P, Sundaresh K - Indian J Ophthalmol (2008 Nov-Dec)

The upper axial scan shows the right-sided flattening of theskull when the girl was two years old. The lower three-dimensional CTscan clearly shows right side frontal plagiocephaly
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2612973&req=5

F1B: The upper axial scan shows the right-sided flattening of theskull when the girl was two years old. The lower three-dimensional CTscan clearly shows right side frontal plagiocephaly
Mentions: The flattening of frontal bone on the right side was noted[Figure 1b] and a computed tomography (CT) scan was orderedwhich revealed a right-sided frontal plagiocephaly. The childhad undergone CT scan when she was two years old and thattoo showed right-sided frontal plagiocephaly [Figure 1c]. Adiagnosis of alternate exotropia with left superior obliqueoveraction with DVD was made. A forced duction test wasdone on table and was negative in the left eye.

Bottom Line: Both were well aligned after squint surgery.Plagiocephaly has been reported to simulate superior oblique muscle paresis.We report a rare occurrence of contralateral superior oblique muscle overaction in three children with anterior plagiocephaly.

View Article: PubMed Central - PubMed

Affiliation: Pediatric Ophthalmology and Strabismus Clinic, T V Patel Eye Institute, Baroda, India. xethani@rediffmail.com

ABSTRACT
Anterior plagiocephaly is a craniofacial anomaly related to premature unilateral synostosis. We present three cases of anterior plagiocephaly with contralateral superior oblique dysfunction. A detailed ophthalmic examination, including orthoptic assessment for the extraocular muscle misalignment, with appropriate radio-imaging was done in all the three cases. All of them showed a right-sided plagiocephaly, with overaction of the left superior oblique muscle, alternating exotropia and a dissociated vertical deviation. Two underwent surgical correction of squint. Both were well aligned after squint surgery. Plagiocephaly has been reported to simulate superior oblique muscle paresis. We report a rare occurrence of contralateral superior oblique muscle overaction in three children with anterior plagiocephaly.

Show MeSH
Related in: MedlinePlus