Benign paroxysmal tonic upgaze
of childhood in a hypotonic infant with Beckwith-Wiedemann syndrome.
At two weeks followup, the patient returned with complaints of diplopia on upgaze
Eye movement in the right eye was limited in upgaze
The inferior rectus muscle is the most commonly affected, followed by the medial, superior then lateral rectus with ocular movements usually worst on upgaze
Diabetic third nerve palsy presents with abrupt onset retro-orbital pain, followed by double vision, unilateral ptosis, restriction of medial and upgaze
and sparing of the pupil.
Monocular elevation deficiency (MED) is classified as three subtypes: 1) restrictive form, with features including positive forced duction test (FDT) for elevation, normal elevation forced generation test (FGT), and elevation saccadic velocity, often an extra or deeper lower eyelid fold on attempted upgaze
and poor or absent Bell phenomenon; 2) paretic form with elevator muscle weakness, with features including free FDT, reduced elevation FGT and saccadic velocity, in which the Bell phenomenon is often preserved; and 3) a combination form, with features including positive FDT for elevation and reduced FGT and saccadic velocity for elevation.
Her cranial nerves were notable for impaired upgaze
, but otherwise intact EOMs with slow tracking but no abnormal saccades and no nystagmus.
Patients who had apparent restriction in ocular motility especially upon upgaze
, pain on looking upward or apparent enophthalmous, surgery was carried out within 24 hours after trauma in order to alleviate any ischemic tethering the fracture site would impose on the orbital content.
Paroxysmal tonic upgaze
of childhood: effect of age-of-onset on prognosis.
See if they are aware of such issues as sensory deficits, problems with depth perception, cognitive impairment, lighting requirements, restricted upgaze
, wandering behavior, and the differences between a custodial- and a rehabilitation-oriented philosophy of care.
Frontalis partly contribute to lid elevation above the line of vision in extreme upgaze
and also it compensates the levator action in levator dystrophy.
4, and hypotropia, limitation of upgaze
, and macular pucker were detected.