Skew deviation
Skew Deviation is a rare ocular condition characterized by vertical eye misalignment. It is often associated with brainstem or cerebellar lesions, and can be a sign of serious neurological conditions.
Causes[edit | edit source]
Skew Deviation is typically caused by damage to the otolithic pathways in the brainstem or cerebellum. This damage can be due to a variety of conditions, including stroke, multiple sclerosis, brain tumor, or trauma to the head.
Symptoms[edit | edit source]
The primary symptom of Skew Deviation is vertical eye misalignment, which can lead to double vision or diplopia. Other symptoms can include head tilt, nystagmus, and oscillopsia.
Diagnosis[edit | edit source]
Diagnosis of Skew Deviation is typically made through a combination of clinical examination and neuroimaging studies. The Three Step Test, also known as the Parks-Bielschowsky Three Step Test, is often used to differentiate Skew Deviation from other causes of vertical eye misalignment.
Treatment[edit | edit source]
Treatment of Skew Deviation is primarily aimed at addressing the underlying cause of the condition. This can include medication, surgery, or physical therapy. In some cases, prism glasses may be used to help correct the eye misalignment.
See Also[edit | edit source]
References[edit | edit source]
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Contributors: Prab R. Tumpati, MD