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2004 Series -  May 18, 2004 Lecture 33 of 50  NEXT»

 

                              head posture                              

CT scan 1  CT scan 2

                              CT scan 3                               

This boy presented with facial asymmetry and head posture suggestive of a congenital superior oblique palsy.  To further the evaluation in preparation for surgery imaging was done.

1.

The CT image shown above demonstrates: 

a.  a normal study
b.  hypertropia
c.  absent left superior oblique complex
d.  the need for a T-1 weighted study

   
2. 

The superior oblique traction test in this case would be:

a.  positive for marked laxity on the right
b.  equal when comparing the eyes
c.  difficult to perform with the patient under general anesthesia
d.  none of the above
  

 

3. 

Surgery on a patient like this would include:

a.  left inferior oblique weakening
b.  left superior oblique tuck
c.  left inferior rectus recession
d.  right superior rectus recession 

   
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