Strabismus and Nystagmus in a 4-year-old Boy

Abstract

<P>The patient, the fifth child of a phenotypically healthy family, was born at 39 weeks’ gestation following an uncomplicated pregnancy, with a birth weight of 3,750 kg. There was no history of maternal diabetes. Neonatal course was uneventful. He was referred at 4 years with nystagmus and strabismus, which were first diagnosed at 6 months. Funduscopy at that age was reported normal. On our examination, his weight was 15.5 kg, his height was 1.01 m, and his head circumference was 50 cm, all in the 25th percentile. He demonstrated preauricular tags in both sides of his face. His reflexes were vivid and more prominent on the right leg.</P><H4>ABOUT THE AUTHORS</H4><P>Maria Raissaki, MD; Martha Spilioti, MD; Olga Iliaki, MD; and Maria Mavrokosta are with the Department of Radiology, Neurology, Pediatrics, and Ophthalmology, University Hospital of Heraklion, Medical School of Crete, Heraklion, Greece. Panagiota Kalaidopoulou, MD; Nikolaos Nikolaidis; and Athanasios Evangeliou, MD, are with the Fourth Paediatric and Neonatology Clinic of the Aristotelian University of Thessaloniki, Papageorgiou Hospital, Thessaloniki, Greece.</P><P>Address correspondence to: Athanasios Evangeliou, MD, Fourth Pediatric Clinic of the Aristotle University of Thessaloniki, Papageorgiou Hospital, Ring Road, N. Efkarpia, Thessaloniki GR-56403 Greece; fax 30 2310693918; or e-mail <a href="mailto:aeevange@auth.gr">aeevange@auth.gr</a>.</P><P>The authors have disclosed no relevant financial relationships.</P>