Answer: Three of the four children exhibit a left head tilt consistent with congenital 4th cranial nerve palsy. Right congenital fourth nerve palsy in all children except the one on the upper-right.
Quick Review: Congenital Fourth Nerve Palsies
- Head tilt opposite the side of the palsy.
- Facial asymmetry.
- Large vertical fusional amplitudes.
1 comment:
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