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2004 Series : May 18, 2004
December 28, 2004  |  December 21, 2004  |  December 14, 2004  |  December 7, 2004  |  November 30, 2004  |  November 23, 2004  |  November 16, 2004  |  November 9, 2004  |  November 2, 2004  |  October 26, 2004  |  October 19, 2004  |  October 12, 2004  |  October 5, 2004  |  September 28, 2004  |  September 21, 2004  |  September 14, 2004  |  September 7, 2004  |  August 31, 2004  |  August 24, 2004  |  August 17, 2004  |  August 10, 2004  |  August 3, 2004  |  July 27, 2004  |  July 20, 2004  |  July 13, 2004  |  July 6, 2004  |  June 29, 2004  |  June 22, 2004  |  June 15, 2004  |  June 8, 2004  |  June 1, 2004  |  May 25, 2004  |  May 18, 2004  |  May 11, 2004  |  May 4, 2004  |  April 27, 2004  |  April 20, 2004  |  April 13, 2004  |  April 6, 2004  |  March 30, 2004  |  March 23, 2004  |  March 16, 2004  |  March 9, 2004  |  March 2, 2004  |  February 24, 2004  |  February 17, 2004  |  February 10, 2004  |  February 3, 2004  |  January 27, 2004  |  January 20, 2004

 

                              head posture                              

CT scan 1  CT scan 2

                              CT scan 3                               

This boy presented with facial asymmetry and head posture suggestive of a congenital superior oblique palsy.  To further the evaluation in preparation for surgery imaging was done.

1.

The CT image shown above demonstrates: 

a.  a normal study
b.  hypertropia
c.  absent left superior oblique complex
d.  the need for a T-1 weighted study

   
2. 

The superior oblique traction test in this case would be:

a.  positive for marked laxity on the right
b.  equal when comparing the eyes
c.  difficult to perform with the patient under general anesthesia
d.  none of the above
  

 

3. 

Surgery on a patient like this would include:

a.  left inferior oblique weakening
b.  left superior oblique tuck
c.  left inferior rectus recession
d.  right superior rectus recession 

   
For answers to the above, click here: