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65 Possible Causes for Esotropia, Toe-Walking Gait

  • Cerebral Palsy

    Kolling, Best age for surgery for infantile esotropia, European Journal of Paediatric Neurology, 15, 3, (205), (2011).[doi.org] […] one foot or leg dragging; walking on the toes, a crouched gait, or a “scissored” gait; and muscle tone that is either too stiff or too floppy.[ninds.nih.gov] OUTCOMES: Internal hip rotation and toe walking occurred when orthoses blocked digit extension.[ncbi.nlm.nih.gov]

  • Esophoria

    esotropia.[healio.com] […] disturbance; walks on toes; sleep disturbances; self destructive behavior: foreign bodies in nose and vagina; motor and speech delay; hoarse voice; hearing loss; hyperactive[coriell.org] ) had a 4.49 (95 % CI [1.60; 13.78]) times higher frequency of ocular misalignment and specifically a 13.3 (95 % CI [3.80; 55.73]) times increased frequency of esophoria/esotropia[ncbi.nlm.nih.gov]

  • Spastic Ataxia with Congenital Miosis

    378.06 Alternating esotropia with A pattern 378.07 Alternating esotropia with V pattern 378.08 Alternating esotropia with other noncomitancies Alternating esotropia with[theodora.com] Ask the patient to walk heel-to-toe (to elicit any gait ataxia). If there are unilateral signs - check V, VII, and VIII (cerebellopontine angle pathology).[patient.info] Ask them to walk a line, the heel of one foot placed in front of the toe of the other (tandem gait). Patients with gait ataxia are unable to do this.[casemed.case.edu]

  • Miller-Fisher Syndrome

    Cover test at distance revealed an intermittent four to six prism diopter right esotropia in primary gaze occurring approximately 50% of the time.[reviewofoptometry.com] He had no limb ataxia but exhibited a slightly wide-based gait with difficulty walking heel-to-toe.[ncbi.nlm.nih.gov] When a patient presents with symptoms such as intermittent esotropia, impaired horizontal pursuits and fixed mydriatic pupils, and your neurological exam is abnormal, it’s[reviewofoptometry.com]

  • Arthrogryposis Multiplex Congenita

    During the follow-up, we observed the development of a progressive esotropia at eight weeks of age.[healio.com] Toe-walking gait.[scielo.br] By the end of the second month an esotropia with a progressive bilateral paresis of the lateral recti became apparent.[healio.com]

  • Juvenile Paralysis Agitans of Hunt

    378.06 Alternating esotropia with A pattern 378.07 Alternating esotropia with V pattern 378.08 Alternating esotropia with other noncomitancies Alternating esotropia with[theodora.com] Some get “cock walk” — a lurching, toe-heavy gait resembling that of a strutting rooster.[publicintegrity.org] It is characterized by a sudden development of diplopia with marked esotropia at distance and sometimes headaches.[medical-dictionary.thefreedictionary.com]

  • Hemiplegia

    With esotropia, one eye drifts inward toward the nose, while the other eye faces straight ahead.[rarediseases.org] Patients will not be able to walk from heel to toe or in a straight line. The gait of acute alcohol intoxication will resemble the gait of cerebellar disease.[web.archive.org] The result is a gait that is similar to marching on tip-toes on the effected side.[web.archive.org]

  • Familial Congenital Nasolacrimal Duct Obstruction

    378.06 Alternating esotropia with A pattern 378.07 Alternating esotropia with V pattern 378.08 Alternating esotropia with other noncomitancies Alternating esotropia with[theodora.com] Proximal muscle weakness is the key feature, Gower’s sign (using arms and hands to “climb-up” body from sit to stand), waddling gait, toe walking Calf pseudohypertrophy In[aimted.com] Brisk reflexes Slurred speech Ankle clonus Progressive gait ataxia Slow saccadic eye movements Posterior embryotoxon Bilateral cleft lip and palate Dysmetric saccades Drusen Esotropia[mendelian.co]

  • Boucher-Neuhauser Syndrome

    The patients have congenital bilateral horizontal nystagmus and esotropia. Vision is within normal limits.[epostersonline.com] There was an ataxic gait with mildly broad based lower limbs, considerable staggering and difficult with half turn. She was unable to walk tandem (heel-to-toe).[scielo.br]

  • Central Positional Vertigo

    Divergence insufficiency esotropia is a misnomer. JAMA Ophthalmol. 2013;131:547. 25. Kang HM, Kim HY.[nature.com] Gait tests: Romberg's sign (not particularly useful in the diagnosis of vertigo 1 ) Heel-to- toe walking test Unterberger's stepping test 1 (The patient is asked to walk on[bjmp.org] Latent nystagmus is typically associated with congenital esotropia [20] and dissociated vertical deviation.[eyewiki.aao.org]

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