Unilateral Abducens Nerve Palsy in Increased Intracranial Pressure Caused by Brain Neoplasm

Huang, Zei-Lun; Chang, Chen-Nen; Sheu, Min-Muh; Tsai, Rong‐Kung

doi:10.1016/s1016-3190(10)60025-0

Cited by 2 publications

(7 citation statements)

References 18 publications

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“…A possible explanation is that there may have been an error in the children's fixation when the test was conducted. However, Hirschberg's test requires skill, training, and experience to obtain accurate results, and it is expected that the teachers would improve with practice [27]. Our results also showed that more children were identified as having anomalies in the study group than in the control group.…”

Section: Discussionsupporting

confidence: 49%

“…The Hirschberg's test sensitivity and PPV, as conducted by study group teachers, were better than those of control group teachers; therefore, with proper and adequate training, preschool teachers would be able to perform Hirschberg's test reliably. A study by Tung et al revealed that strabismus screening methods, including Hirschberg's test, had high specificity (98.9%), with a sensitivity of 75.0% and PPV of 27.9% [27]. This study suggested that, while Hirschberg's test is commonly used and is an easy method to detect strabismus, screeners still need comprehensive instruction and sufficient practice to obtain consistent results [27].…”

Section: Discussionmentioning

confidence: 99%

“…Hirschberg's corneal linght reflex test is a method for easily identifying strabismus when performed by professionals; however, it can be a challenge even for trained preschool teachers [27]. Despite the study group teachers having been given a demonstration and training before conducting Hirschberg's test, they still made errors.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Validity of vision screening program conducted by preschool teachers: An interventional study

Mezbah¹,

Omar²,

Isa³

et al. 2022

Med Hypothesis Discov Innov Ophthalmol

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Background: Clear vision is crucial for effective learning among preschool children. Hence, early detection of vision impairment and prompt treatment are required to improve prognosis. Currently, limited information is available, and no program exists to screen for vision impairment among preschoolers in Bangladesh. This study aimed to validate the KieVision™ Preschool Vision Screening Kit, translated into the Bengali language, to improve vision impairment detection among preschool children. Methods: In this prospective case–control study, 60 preschool teachers from Chittagong were randomly selected. The study group was trained to conduct vision screening among preschool children using the translated kit, whereas the control group was trained using the Chittagong Eye Infirmary and Training Complex (CEITC) School Teachers’ Training Module. Fifteen preschool children aged 4–6 years were screened by each preschool teacher and again by the optometrist. Results: Sixty preschool teachers screened 900 children. The results showed a higher validity of vision screening findings by the preschool teachers in the study group (sensitivity, 68.00%; specificity, 92.75%) than in the control group (sensitivity 47.37%, specificity 70.39%). The level of agreement between the preschool teachers and optometrists was high for all tests (first-order agreement coefficient [AC1] ? 0.80 in the study group). The sensitivity and specificity of the visual acuity test for the study group were 59.65% and 94.15%, respectively, while in the control group it was 13.33% and 62.54%, respectively. A similar trend was noted in the general observation component and Hirschberg’s test. Conclusions: The Bengali Language KieVision™ Preschool Vision Screening Kit can be used effectively by preschool teachers in vision screening programs to improve the identification of vision impairment among preschool children in Bangladesh.

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Section: Discussionsupporting

confidence: 49%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Validity of vision screening program conducted by preschool teachers: An interventional study

Mezbah¹,

Omar²,

Isa³

et al. 2022

Med Hypothesis Discov Innov Ophthalmol

View full text Add to dashboard Cite

show abstract

“…In elevated intracranial pressure syndrome, there may be associated radiologic findings of normal or smallsized ventricles (not seen in this case) and downward displacement of the brainstem leading to stretching of the sixth cranial nerve in the subarachnoid space, which is susceptible to increased pressures due to its long course [7].…”

Section: Discussionmentioning

confidence: 81%

“…In brainstem syndrome, a lesion in the posterior fossa is expected to involve the fifth, seventh, and eighth cranial nerves, as well as the sixth nerve, which would present with additional clinical symptoms such as ipsilateral Horner’s syndrome (Foville’s syndrome) or contralateral hemiparesis (Raymond’s syndrome) [ 6 ]. In elevated intracranial pressure syndrome, there may be associated radiologic findings of normal or small-sized ventricles (not seen in this case) and downward displacement of the brainstem leading to stretching of the sixth cranial nerve in the subarachnoid space, which is susceptible to increased pressures due to its long course [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

An Atypical Radiologic Presentation of Right Sixth Lateral Rectus Palsy: A Case Report

Mirchandani¹,

Saleem²,

Sivaswamy³

2022

Cureus

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Isolated ocular palsies are often associated with a benign process in the pediatric population but early diagnosis is critical to exclude any serious pathology. In this case, a six-year-old female with no significant past medical history presented with isolated right-eye medial deviation. The patient reported right-eye medial deviation for the past several weeks and associated double vision, but denied any pain with eye movements, other cranial nerve changes, or headaches. This case highlights the key radiologic finding which may ultimately allow for a leading diagnosis and inform further management in cases of isolated ocular nerve palsy.

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Unilateral Abducens Nerve Palsy in Increased Intracranial Pressure Caused by Brain Neoplasm

Cited by 2 publications

References 18 publications

Validity of vision screening program conducted by preschool teachers: An interventional study

Validity of vision screening program conducted by preschool teachers: An interventional study

An Atypical Radiologic Presentation of Right Sixth Lateral Rectus Palsy: A Case Report

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