Accommodative esotropia: An unrecognized cause of hemifacial spasm in children

Michael C. Brodsky, A. Henry Thomas

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)552-554
Number of pages3
JournalDevelopmental Medicine and Child Neurology
Issue number8
StatePublished - 2001

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental Neuroscience
  • Clinical Neurology


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