Abstract

PurposeWe report a patient with abnormal head posture following ocular blunt trauma. MethodsThis is report of a case that despite findings compatible with diagnosis of left superior oblique (SO) palsy, the patient acquired an ipsilateral (left) head tilt. The interesting observation in our patient was reduction of left hypertropia and consequent less diplopia with ipsilateral head tilt. ResultsAfter blunt trauma, our patient adopted paradoxical left head tilt and consequently less diplopia despite acquired left SO palsy. Left inferior oblique myectomy resulted in significant improvement of patient's strabismus and abnormal head position. ConclusionTraumatic SO palsy may present with paradoxical head tilt.

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