Comitancy Flashcards
This is when the angle of deviaiton changes in different fiels of gaze (>5pd) or with either eye fixating.
Noncomitant deviation
What are the 3 most common causes of noncomitant deviations in adults?
- Trauma
- Vascular Problems
- Neoplasm
What are the 3 most common causes of noncomitant deviations in children?
- Congenital
- Trauma
- Acute Viral Infection
The patient usually turns head _____ paretic muscle.
toward paretic muscle
Caused by non-comitant deviation, often cyclovertical, px tilts head to compensate.
Ocular torticollis
This is caused by sternocleidomastoid muscle fibrosis; tightened or shortened muscle
Congenital Torticollis
How do we determine if it’s ocular vs. congenital torticollis? What are the results?
Patch px
- ocular = straighten tilt w/ patch
- congenital = remain tilted w/ patch
In forced duction testing, if the right eye will not move, what’s the results?
positive FD test