The Sensitivity of the Bielschowsky Head Tilt Test in Diagnosing Acquired Bilateral Superior Oblique Paresis – Accepted Manuscript

Abstract: Purpose: To determine the sensitivity of the Bielschowsky head-tilt test and other commonly used criteria in identifying patients with true bilateral superior oblique paresis.Design: A retrospective chart review was performed to identify patients seen between 1978 and 2009 who were diagnosed with acquired bilateral superior oblique paresis.Methods: All patients had a confirmed history of head trauma or brain surgery with altered consciousness followed by symptomatic diplopia. Bilateral superior oblique paresis was defined and diagnosed by the above history including the presence of greater extorsion in down gaze than upgaze on Lancaster red-green testing, a V-pattern strabismus, and bilateral fundus (Read more...)

Full Story →