Still an Unsolved Question: The Place of Cranial Magnetic Resonance Imaging in Acute Acquired Concomitant Esotropia

Autor: Luisa Mittendorf, Matthias K. Bernhard, Ina Sterker, Wieland Kiess, Janina Gburek-Augustat, Andreas Merkenschlager
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Children, Vol 11, Iss 5, p 519 (2024)
Druh dokumentu: article
ISSN: 11050519
2227-9067
DOI: 10.3390/children11050519
Popis: Purpose: The aim of this study was to collect further data to estimate the risk of relevant intracranial pathology and thereby better assess the need for cranial imaging in children with acute acquired comitant esotropia (AACE). To date, there is still not enough literature on this topic to enable a consensus on the diagnostic algorithm. Methods: We analyzed data from patients with convergent strabismus who received cranial imaging via magnetic resonance imaging (MRI). Twenty-one patients received a cranial MRI for the diagnostic evaluation of AACE. The age range was from 2 to 12 years, and the mean age at the time of diagnosis was 5.5 years. Of these patients, only one exhibited insignificant MRI findings, with no therapeutic consequences. Conclusions: Our data add further evidence that AACE without neurological findings or other ophthalmologic anomalies might not be an indication for cranial MRI as a diagnostic screening tool.
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