Still an Unsolved Question: The Place of Cranial Magnetic Resonance Imaging in Acute Acquired Concomitant Esotropia
Luisa Mittendorf,
Matthias K. Bernhard,
Ina Sterker,
Wieland Kiess,
Janina Gburek-Augustat,
Andreas Merkenschlager
Affiliations
Luisa Mittendorf
Division of Neuropediatrics, Hospital for Children and Adolescents, Department of Women and Child Health, University of Leipzig, Liebigstraße 20a, 04103 Leipzig, Germany
Matthias K. Bernhard
Division of Neuropediatrics, Hospital for Children and Adolescents, Department of Women and Child Health, University of Leipzig, Liebigstraße 20a, 04103 Leipzig, Germany
Ina Sterker
Department of Head and Dental Medicine, Hospital for Ophthalmology, University of Leipzig, Liebigstraße 12, 04103 Leipzig, Germany
Wieland Kiess
Division of Neuropediatrics, Hospital for Children and Adolescents, Department of Women and Child Health, University of Leipzig, Liebigstraße 20a, 04103 Leipzig, Germany
Janina Gburek-Augustat
Division of Neuropediatrics, Hospital for Children and Adolescents, Department of Women and Child Health, University of Leipzig, Liebigstraße 20a, 04103 Leipzig, Germany
Andreas Merkenschlager
Division of Neuropediatrics, Hospital for Children and Adolescents, Department of Women and Child Health, University of Leipzig, Liebigstraße 20a, 04103 Leipzig, Germany
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.
