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ORIGINAL PAPER

Isolated Accommodation Palsy Associated with a Pineal Cyst. Report of a Case and Review of the Literature

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Pages 121-124 | Accepted 14 Jul 2007, Published online: 08 Jul 2009
 

Abstract

Acquired isolated accommodation palsy is an uncommon problem which can occur either in patients with an organic lesion, in otherwise healthy patients, or in functional, non-organic patients. We report a healthy 9-year-old girl with an acquired isolated accommodation palsy which was believed to be related to a 10 mm pineal cyst compressing the superior colliculi. A literature search (1932–2005) on symptomatic pineal cysts revealed 159 reported cases of symptomatic pineal cysts. Blurred vision was a complaint of 18/159 patients, but only three were documented to have an accommodation palsy. Although rarely symptomatic, pineal cysts might be responsible for accommodation palsy.

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