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Plagiocephaly Causing Superior Oblique Deficiency and Ocular Torticollis: A New Clinical Entity

Plagiocephaly Causing Superior Oblique Deficiency and Ocular Torticollis: A New Clinical Entity Abstract • Unilateral coronal suture stenosis provokes a shortening of the orbital roof of one side. It is argued that the effectiveness of the superior oblique muscle is reduced because of reduced length of its unreflected part and because of the increased angle between the reflected part of the tendon and ocular axis. This condition causes a clinical picture of superior oblique palsy, with ocular torticollis. We report four cases of this newly described clinical entity with various degrees of involvement of ocular motility. References 1. Walsh FB, Hoyt WF: Clinical Neuro-ophthalmology . Baltimore, William & Wilkins Co, 1969, vol 1, pp 694-700. 2. Mann I: A theory of the embryology of oxycephaly . Trans Ophthalmol Soc UK 1935;55:279-300. 3. Bertelsen TI: The premature synostosis of the cranial sutures . Acta Ophthalmol ( (suppl 51) ), 1958. 4. Duke Elder ST: System of Ophthalmology . London, Henry Kimpton, 1964, vol 3, pt 2, p 1039. 5. Pemberton JW, Freeman JM: Craniosynostosis . Am J Ophthalmol 1962;54:641-650. 6. Archer DB, Gordon DS, Maguire CJF, et al: Ophthalmic aspects of craniosynostosis . Trans Ophthalmol Soc UK 1974;94:172-196. 7. Schäfer WD, Sörensen N: Motilitätsstörungen bei Koronarnaht-Synostosen. Presented at the meeting of Berufsverband Augenärzte. Wiesbaden, Germany, 1979. 8. Fink WH: Surgery of the Vertical Muscles of the Eyes , ed 2. Springfield, Ill, Charles C Thomas Publisher, 1962, p 41, 44. 9. Von Noorden GK: Burian von Noorden's Binocular Vision and Ocular Motility: Theory and Management of Strabismus . St Louis, CV Mosby Co, 1980, p 59. 10. Gobin MH: Sagittalization of the oblique muscles as possible cause for the `A,' `V,' and 'X' phenomena . Br J Ophthalmol 1968;52:13-18.Crossref 11. Bagolini B: Anomalous correspondence: Definition and diagnostic methods . Doc Ophthalmol 1967;23:346-386.Crossref 12. Bagolini B: Sensory anomalies in strabismus (suppression, anomalous correspondence, amblyopia): Part 1 . Doc Ophthalmol 1976;41:%1-22.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Plagiocephaly Causing Superior Oblique Deficiency and Ocular Torticollis: A New Clinical Entity

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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1982.01030040071012
Publisher site
See Article on Publisher Site

Abstract

Abstract • Unilateral coronal suture stenosis provokes a shortening of the orbital roof of one side. It is argued that the effectiveness of the superior oblique muscle is reduced because of reduced length of its unreflected part and because of the increased angle between the reflected part of the tendon and ocular axis. This condition causes a clinical picture of superior oblique palsy, with ocular torticollis. We report four cases of this newly described clinical entity with various degrees of involvement of ocular motility. References 1. Walsh FB, Hoyt WF: Clinical Neuro-ophthalmology . Baltimore, William & Wilkins Co, 1969, vol 1, pp 694-700. 2. Mann I: A theory of the embryology of oxycephaly . Trans Ophthalmol Soc UK 1935;55:279-300. 3. Bertelsen TI: The premature synostosis of the cranial sutures . Acta Ophthalmol ( (suppl 51) ), 1958. 4. Duke Elder ST: System of Ophthalmology . London, Henry Kimpton, 1964, vol 3, pt 2, p 1039. 5. Pemberton JW, Freeman JM: Craniosynostosis . Am J Ophthalmol 1962;54:641-650. 6. Archer DB, Gordon DS, Maguire CJF, et al: Ophthalmic aspects of craniosynostosis . Trans Ophthalmol Soc UK 1974;94:172-196. 7. Schäfer WD, Sörensen N: Motilitätsstörungen bei Koronarnaht-Synostosen. Presented at the meeting of Berufsverband Augenärzte. Wiesbaden, Germany, 1979. 8. Fink WH: Surgery of the Vertical Muscles of the Eyes , ed 2. Springfield, Ill, Charles C Thomas Publisher, 1962, p 41, 44. 9. Von Noorden GK: Burian von Noorden's Binocular Vision and Ocular Motility: Theory and Management of Strabismus . St Louis, CV Mosby Co, 1980, p 59. 10. Gobin MH: Sagittalization of the oblique muscles as possible cause for the `A,' `V,' and 'X' phenomena . Br J Ophthalmol 1968;52:13-18.Crossref 11. Bagolini B: Anomalous correspondence: Definition and diagnostic methods . Doc Ophthalmol 1967;23:346-386.Crossref 12. Bagolini B: Sensory anomalies in strabismus (suppression, anomalous correspondence, amblyopia): Part 1 . Doc Ophthalmol 1976;41:%1-22.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jul 1, 1982

References