The child with divergence paresis

Surv Ophthalmol. 1998 May-Jun;42(6):571-6. doi: 10.1016/s0039-6257(98)00003-4.

Abstract

Divergence paralysis is a rare clinical entity that causes a comitant esotropia at distance. While this is usually benign and self-limited, there are reports of divergence paralysis associated with brain tumors, central nervous system syphilis, trauma, and multiple sclerosis. We studied a 14-year-old girl who presented with diplopia and was found to have divergence paralysis. Magnetic resonance imaging disclosed a large pontomedullary glioma.

Publication types

  • Case Reports
  • Clinical Conference

MeSH terms

  • Acute Disease
  • Adolescent
  • Biopsy
  • Brain Neoplasms / complications*
  • Brain Neoplasms / diagnosis
  • Brain Neoplasms / therapy
  • Combined Modality Therapy
  • Diplopia / diagnosis
  • Diplopia / etiology
  • Diplopia / therapy
  • Esotropia / diagnosis
  • Esotropia / etiology*
  • Esotropia / therapy
  • Female
  • Follow-Up Studies
  • Glioma / complications*
  • Glioma / diagnosis
  • Glioma / therapy
  • Humans
  • Magnetic Resonance Imaging
  • Medulla Oblongata / pathology
  • Oculomotor Nerve Diseases / diagnosis
  • Oculomotor Nerve Diseases / etiology*
  • Oculomotor Nerve Diseases / therapy
  • Pons / pathology