[Spasm of the near reflex. Treatment with botulinum toxin]. / Espasmo del reflejo de cerca. Tratamiento con toxina botulínica.
Arch Soc Esp Oftalmol
; 90(5): 244-6, 2015 May.
Article
em Es
| MEDLINE
| ID: mdl-25443188
ABSTRACT
CLINICAL CASE A 38-year old female with diplopia and esotropia, with limitation of ocular abduction in both eyes, with full abduction after doll's head rotation also being observed. She was diagnosed with spasm of the near reflex. Treatment with injections of botulinum toxin in both medial rectus has temporally resolved the convergence spasm. DISCUSSION:
Near reflex spasm is characterized as miosis, pseudomyopia, and convergent strabismus that lead to diplopia, blurred vision, headache, and variable, progressive, and intermittent esotropia. As the spasm worsens there will be limited ocular versions and ductions simulating a sixth nerve palsy. Botulinum toxin may be effective in some cases.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Parassimpatolíticos
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Espasmo
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Reflexo Anormal
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Toxinas Botulínicas Tipo A
Idioma:
Es
Ano de publicação:
2015
Tipo de documento:
Article