Horizontal gaze palsy with progressive scoliosis: CT and MR findings

Bomfim, Rodrigo C.; Távora, Daniel Gurgel Fernandes; Nakayama, Mauro; Gama, Rômulo Lopes

doi:10.1007/s00247-008-1058-8

Cited by 22 publications

(26 citation statements)

References 5 publications

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“…However, it is less known that this sign may be elicited in normal infants up to 7 months of age [6] by a sudden change in head position or by shining a bright light in front of infants 20-40 weeks of age and suddenly removing it [7]. Other rare gaze abnormalities include horizontal gaze palsy with progressive scoliosis [8,9] and progressive upward gaze paralysis that may suggest the presence of lipid storage disease [10,11]. However, this may also be a benign phenomenon.…”

Section: Discussionmentioning

confidence: 99%

Horizontal Tonic Conjugate Gaze Deviation in a 4-Week-Old Infant: What Can the Eyes (of the Parents) Tell?

Gadoth

Benni²,

Constantini³

et al. 2015

Pediatr Neurosurg

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A 4-week-old healthy infant failed to make eye contact when approached from the left. When evaluated by us at the age of 11 weeks, left tonic conjugate gaze deviation was noted. Brain MRI showed a left frontotemporal large tension arachnoid cyst causing right falcial herniation. During the insertion of an Ommaya reservoir, hemosiderin was found to be coating the inner wall of the cyst, which may indicate that the asymptomatic cyst evolved to a tension cyst due to spontaneous hemorrhage. Surgical decompression resulted in complete restoration of the horizontal gaze and considerable reduction in the size of the cyst. After 3 months a cystoperitoneal shunt was placed due to increased intracranial pressure secondary to impaired drainage of the cyst. Since then the infant has done well, with normal developmental and neurological examination during his last follow-up at the age of 5 years. Although gaze central ocular motor control is still underdeveloped and chaotic eye movements are present during early infancy, the present case report reminds us that a thorough examination of eye movements should not be overlooked during neurodevelopmental evaluation.

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Section: Discussionmentioning

confidence: 99%

Horizontal Tonic Conjugate Gaze Deviation in a 4-Week-Old Infant: What Can the Eyes (of the Parents) Tell?

Gadoth

Benni²,

Constantini³

et al. 2015

Pediatr Neurosurg

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“…1). Abnormalities of horizontal gaze may be seen in children due to focal neurologic lesions or congenital syndromes such as Mobius syndrome or horizontal gaze palsy with progressive scoliosis [1,2]. Here, we present the unusual finding of transient horizontal gaze palsy associated with skull fracture and focal traumatic subarachnoid hemorrhage in a young infant.…”

Section: Introductionmentioning

confidence: 96%

Transient Horizontal Gaze Palsy in a One-Month-Old Boy after a Fall

Bourne

Duhaime²

2015

Pediatr Neurosurg

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A 1-month-old boy was evaluated after a fall from a height of 3 feet and found to have right parietal skull fracture as well as right and left frontal traumatic hemorrhage. Ten days after the injury, he represented with a persistent left gaze preference. Further workup including MRI and EEG determined that this finding was most likely due to a small, focal, left-frontal eye field lesion. We review the horizontal gaze pathway and demonstrate that this is present at this very young age, and that a very focal and relatively minor injury can cause gaze disturbance.

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“…These radiological findings are typical for HGPPS patients. 6 Both physical and radiological examinations strongly suggest a diagnosis of HGPPS.…”

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confidence: 99%