| Title |
Intermittent Esotrophia Associated with Rippling Muscle Disease |
| Creator |
Kosmorsky, GS; Mehta, N; Mitsumoto, H; Prayson, R |
| Affiliation |
Department of Neurology, Cleveland Clinic Foundation, OH 44195-5024, USA. |
| Abstract |
PURPOSE: We report a rare myopathy known as rippling muscle disease, with the unique feature of extraocular muscle involvement, presenting as a variable esotropia. METHODS: Chart review with a review of the literature. RESULTS: Neurologic and neuro-ophthalmic examinations as well as electromyography and muscle biopsy confirm that this case closely resembles those described in the literature with the additional feature of a variable esotropia. CONCLUSION: Rippling muscle disease may be associated with intermittent esotropia. The pathophysiology of this disorder is unknown, but the intermittent esotropia is likely related to ""rippling"" of the medial recti. |
| Subject |
Atrophy; Biopsy; Diplopia/etiology; Electromyography; Esotropia/etiology; Esotropia/physiopathology; Humans; Male; Middle Older people; Muscle, Skeletal/pathology; Muscle, Skeletal/physiopathology; Muscle, Skeletal/ultrastructure; Muscular Diseases/complications; Muscular Diseases/pathology; Muscular Diseases/physiopathology; Myositis/pathology; Oculomotor Muscles/pathology; Oculomotor Muscles/physiopathology; Visual Acuity |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
224698 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s66d9038/224698 |