Strabismus Syndromes

Question 1

Inability to elevate eye in both abduction and adduction

Answer 1

Double elevator palsy, Monocular Elevation Deficiency

Question 2

• Limitation of horizontal eye movement with attempted adduction.
• Global retraction! Absence of sixth nerve nucleus

Answer 2

Duane Syndrome

Question 3

Facial paresis and abduction weakness

Answer 3

Mobius Syndrome: Susceptible to infections and infarct

Question 4

Restricted elevation of eye in adduction

Answer 4

Brown Syndrome: Tight superior oblique tendon sheath or tight tendon

Question 5

Palsy of upward gaze

- Midbrain, lid retraction, setting sun sign.

Answer 5

Parinaud Syndrome

Question 6

Supprative otitis, sixth nerve palsy, with double vision, orbital pain, cutaneous distribution of the 3rd nerve

Answer 6

Gradenigo Syndrome.