Comitant esodeviation resulting from neurologic insult in children

Abstract

Purpose: Our purpose was to establish whether comitance was a common or uncommon finding in children with esodeviation associated with a neurologic insult. Methods: A retrospective chart review was performed of children with acquired esodeviation associated with an identifiable neurologic insult. Results: Examinations of 30 children seen over a 2-year period were analyzed. Twenty-two (73%) had brain tumors. Twelve (40%) had comitant esodeviation, and the other 18 (60%) had incomitant measurements. Of the patients with comitant esodeviation, 6 had normal abduction OU (two after recovery from bilateral sixth nerve palsies), and 6 had mild or minimal abduction deficits. Moderate or severe abduction deficits were associated with incomitant measurements. Conclusions: Comitant esodeviation can be common in children with identifiable neurologic insults.