TY - JOUR
T1 - Accommodative esotropia
T2 - An unrecognized cause of hemifacial spasm in children
AU - Brodsky, Michael C.
AU - Thomas, A. Henry
N1 - Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2001
Y1 - 2001
N2 - Pediatric hemifacial spasm can be a sign of an intracranial tumor. We examined two females, ages 2 and 6 years, who presented with hemifacial spasm as an early sign of accommodative esotropia. Initial ophthalmologic examination disclosed high hyperopia without detectable esotropia. Both children developed an intermittent esotropia over the following month. In the first child, the hemifacial spasm resolved concurrent with the onset of amblyopia. In the second child, spectacle correction produced immediate cessation of the spasms. In both children, squinting to avoid diplopia produced an overflow facial movement that manifested as hemifacial spasm. Accommodative estropia should be considered in the differential diagnosis of pediatric hemifacial spasm.
AB - Pediatric hemifacial spasm can be a sign of an intracranial tumor. We examined two females, ages 2 and 6 years, who presented with hemifacial spasm as an early sign of accommodative esotropia. Initial ophthalmologic examination disclosed high hyperopia without detectable esotropia. Both children developed an intermittent esotropia over the following month. In the first child, the hemifacial spasm resolved concurrent with the onset of amblyopia. In the second child, spectacle correction produced immediate cessation of the spasms. In both children, squinting to avoid diplopia produced an overflow facial movement that manifested as hemifacial spasm. Accommodative estropia should be considered in the differential diagnosis of pediatric hemifacial spasm.
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U2 - 10.1111/j.1469-8749.2001.tb00759.x
DO - 10.1111/j.1469-8749.2001.tb00759.x
M3 - Article
C2 - 11508921
AN - SCOPUS:0034898776
VL - 43
SP - 552
EP - 554
JO - Developmental Medicine and Child Neurology
JF - Developmental Medicine and Child Neurology
SN - 0012-1622
IS - 8
ER -