Acute acquired comitant esotropia in children: is it a neurological disease?

Abstract

Acute acquired comitant esotropia (AACE) is a relatively rare type of pediatric strabismus, often described as a possible presentation of intracranial pathology including a brain tumor. Therefore, many clinicians recommend performing a neurological evaluation and neuroimaging in these cases. However, the risk of having neurological disease is not clear since many of the cases previously presented had other neurological or ophthalmological abnormalities besides the esotropia including headache, vomiting, gait disturbances, nystagmus or papilledema. The purpose of this study is to analyze the incidence of neurological abnormalities in children presenting with AACE and otherwise normal neurological and ophthalmological evaluations.