Noncomitant Deviations Flashcards

1
Q

This describes the complete loss or impairment of motor function.

A

Paralysis or Palsy

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2
Q

This describes slight or incomplete paralysis

A

Paresis

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3
Q

When doing ACT, you notice each eye move down when it’s uncovered. What type of deviation is this?

A

Dissociated Vertical Deviation

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4
Q

DVD is commonly associated with what finding?

A

Infantile ET (70% of cases)

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5
Q

This type of deviation is found when there’s over-elevation in ADduction.

A

Over-acting IO muscles

- bilateral is most common

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6
Q

What % of strabs have an A or V pattern?

A

30%

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7
Q

What is the most and least common types of AV patterns?

A

Most common = V-eso

Least common = A-exo

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8
Q

What is the etiology of A/V pattern strabs?

A

Oblique dysfunction

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9
Q

In a V-pattern strab, what is the UA and OA muscle?

A

UA = SO
OA = IO
**oblique abduct; too much abduction by IO

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10
Q

In A-pattern strab, what is the UA and OA muscle?

A
UA = IO
OA = SO
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11
Q

If XT with A pattern, where do they have the most trouble? What about V pattern?

A

A = more trouble in downgaze
V = more trouble in upgaze
- both benefit from yoked prism

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12
Q

What 2 types of patterns would tilt their chin down?

A

A pattern -XT

V pattern - ET

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13
Q

What 2 types of patterns would tilt their chin up?

A

A pattern - ET

V pattern XT

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14
Q

This deviation describes restricted elevation of ADducted eye due to restriction of SO tendon at pulley.

A

Brown’s syndrome

- can’t look up and in

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15
Q

What will the results of a FD test be in a px with Brown’s syndrome?

A

(+) FD test

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16
Q

What’s the main DDx of Duane’s Type 1 RS?

A

CN VI palsy

17
Q

What are the causes of a CN III palsy in adults?

A
  1. Vascular/Ischemic
  2. Aneurysm
  3. Idiopathic
18
Q

What are the causes of a CN III palsy in kids?

A
  1. Congenital
  2. Trauma
  3. Tumor
19
Q

What is the most common cause of vertical deviation?

A

CN IV paresis

20
Q

What’s the most common cause of CN VI palsy in kids?

A

Neoplasm