Document Detail


Acquired esotropia. A manifestation of Chiari I malformation.
MedLine Citation:
PMID:  6238049     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient with acquired esotropia underwent apparently successful strabismus surgery. Subsequent recurrence of esotropia, associated with square-wave jerks and downbeat nystagmus led to further investigation. Although standard CT scan was normal, rescanning after instillation of metrizamide demonstrated a Chiari I malformation. Posterior fossa decompression alleviated the esotropia. Acquired esotropia has not been recognized as a manifestation of Chiari I malformation. Our case illustrates that a high degree of suspicion is required to make the diagnosis of Chiari I malformation. Specialized techniques, such as metrizamide cisternography, or magnetic resonance imaging may be necessary if routine diagnostic measures are unrevealing.
Authors:
M Passo; W T Shults; T Talbot; E A Palmer
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical neuro-ophthalmology     Volume:  4     ISSN:  0272-846X     ISO Abbreviation:  J Clin Neuroophthalmol     Publication Date:  1984 Sep 
Date Detail:
Created Date:  1984-12-05     Completed Date:  1984-12-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8109051     Medline TA:  J Clin Neuroophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  151-4     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Arnold-Chiari Malformation / complications*,  diagnosis,  surgery
Esotropia / etiology*
Female
Humans
Strabismus / etiology*

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