RESUMO
La tortícolis muscular es una deformidad que puede ser congénita o adquirida, caracterizada por una inclinación lateral de la cabeza al hombro, con torsión del cuello y desviación de la cara. La etiología es incierta, aunque se han desarrollado numerosas teorías. Si el diagnóstico es precoz, la tortícolis muscular congénita (TMC) se puede tratar conservadoramente, requiriendo cirugía en raras ocasiones. Presentamos el caso clínico de un paciente diagnosticado de TMC secundaria a parálisis del iv par craneal izquierdo, que fue diagnosticado después de 4 años tras varias exploraciones oftalmológicas sin hallazgos. Para llegar a un diagnóstico precoz es necesario hacer un buen diagnóstico diferencial (AU)
Muscular torticollis is a deformity that can be congenital or acquired and is characterised by lateral inclination of the head to the shoulder, with torsion of the neck and deviation of the face. The aetiology is uncertain, although many theories have been developed. If an early diagnosis is made, congenital muscular torticollis (CMT) can be treated conservatively and rarely requires surgery. We report the case of a 4-year-old boy diagnosed with CMT due to left fourth nerve palsy after several normal visual examinations. An appropriate differential diagnosis is essential to achieve an early diagnosis (AU)
Assuntos
Humanos , Lactente , Masculino , Torcicolo/complicações , Torcicolo/cirurgia , Torcicolo , Paralisia Cerebral/complicações , Paralisia Cerebral/reabilitação , Paralisia Cerebral/cirurgia , Doenças do Nervo Troclear/reabilitação , Doenças do Nervo Troclear/cirurgia , Transtornos da Motilidade Ocular/reabilitação , Diagnóstico Diferencial , Torcicolo/reabilitação , Doenças do Nervo Troclear/complicações , Diagnóstico Precoce , Transtornos da Motilidade Ocular/complicações , Doenças do Nervo Troclear , Força Muscular/fisiologia , Oftalmopatias/complicações , Oftalmopatias/reabilitaçãoRESUMO
Visual problems are common in patients with severe TBI. Diplopia is among the most frustrating of visual disturbances for patients, due to its functional consequences. This is further compounded by often slow, and at times, incomplete or partial recovery over six months or longer. Ocular cranial nerve injuries (particularly trochlear nerve) occur in 0.2%-1.4% of severe TBI patients. This paper presents a new prism treatment application for treating rotational diplopia arising from Trochlear nerve injury.
