Skip to main content

Advertisement

Log in

Anomalous head posture related to visual problems

  • Original Paper
  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

The cause of the anomalous head posture (AHP) has been mainly assigned to ocular, orthopedic, and neurologic causes. The AHP can take the form of head tilt, face turn, chin up, chin down, or combined, depending on the specific etiology. However, there are many variations, and the type of the head posture cannot reliably predict the underlying cause. Ocular AHP is usually an attempt to improve visual acuity or binocularity. Since the etiology is not always obvious, we stress that these patients must be carefully evaluated by ophthalmologists. Our effort here is to offer the neurologist a thorough insight in the specific head posture pattern primarily related to visual disorders.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Nucci P, Curiel B (2009) Anomalous head posture due to ocular problems: a review. Curr Pediatr Rev 5:105–111

    Article  Google Scholar 

  2. Kushner BJ (1979) Ocular causes of anomalous head postures. Ophthalmology 86:2115–2125

    Article  CAS  PubMed  Google Scholar 

  3. Nucci P, Kushner BJ, Serafino M, Orzalesi N (2005) A multi-disciplinary study of the ocular, orthopedic, and neurologic causes of anomalous head postures in children. Am J Ophthalmol 140:65–68

    Article  PubMed  Google Scholar 

  4. Ballock RT, Song KM (1996) The prevalence of nonmuscular causes of torticollis in children. J Pediatr Orthop 16:500–504

    Article  CAS  PubMed  Google Scholar 

  5. Cheng JC, Au AW (1994) Infantile torticollis: a review of 624 cases. J Pediatr Orthop 14:802–808

    Article  CAS  PubMed  Google Scholar 

  6. Deskin RW (1995) Sandifer syndrome: a case of torticollis in infancy. Int J Pediatr Otorhinolaryngol 32:183–185

    Article  CAS  PubMed  Google Scholar 

  7. Wei JL, Schwartz KM, Weaver AL, Orvidas LJ (2001) Pseudotumor of infancy and congenital muscular torticollis:170 cases. Laryngoscope 111:688–695

    Article  CAS  PubMed  Google Scholar 

  8. Havertape SA, Cruz OA (1998) Anomalous head posture associated with high hyperopia. J AAPOS 2:12–16

    Article  CAS  PubMed  Google Scholar 

  9. Nucci P, Rosenbaum A (2002) Acquired anomalous head posture following loss of vision in one eye. Acta Ophthalmol Scand 80:109–112

    Article  PubMed  Google Scholar 

  10. Good WV, Crain LS, Quint RD, Koch TK (1992) Over-looking: a sign of bilateral central scotomata in children. Dev Med Child Neurol 34:69–73

    Article  CAS  PubMed  Google Scholar 

  11. Davitt BV (2001) Anomalous head postures: a review. Am Orthop J 51:137–143

    Article  CAS  Google Scholar 

  12. Jampolsky A (1986) Management of vertical strabismus. In: Crawford JS, Flynn J, Haik BG et al (eds) Pediatric ophthalmology and strabismus: trans of the new orleans academy of ophthalmology. New York, Raven Press, pp 141–171

    Google Scholar 

  13. Nucci P (2006) Superior oblique palsy: promoting a simpler approach. Eur J Ophthalmol 16:1–2

    CAS  PubMed  Google Scholar 

  14. Nucci P, Farronato G, Serafino M, Brusati R (2004) Restrictive strabismus after blow-out fracture in children: is the muscle involved? J Trauma 56:209–210

    Article  PubMed  Google Scholar 

  15. Hertle RW, Zhu X (2000) Oculographic and clinical characterization of thirty-seven children with anomalous head postures, nystagmus, and strabismus: the basis of a clinical algorithm. JAAPOS 4:25–32

    CAS  Google Scholar 

  16. Brodsky MC, Jenkins R, Nucci P (2004) Unexplained head tilt following surgical treatment of congenital esotropia: a postural manifestation of dissociated vertical divergence. Br J Ophthalmol 88:268–272

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  17. Nucci P, Hertle RW (2012) Anomalous head posturing in essential infantile esotropia: a hypothesis. Eur J Ophthalmol 22:297–300

    Article  PubMed  Google Scholar 

  18. Dumitrescu AV, Moga DC, Longmuir SQ et al (2011) Prevalence and characteristics of anomalous head posture in children with Down syndrome: a 20-year retrospective, descriptive review. Ophthalmology 118:1859–1864

    Article  PubMed  Google Scholar 

  19. Khawam E, el Baba F, Kaba F (1987) Anomalous ocular head postures: part 1-4. Ann Ophthalmol 19:347–472

    CAS  PubMed  Google Scholar 

  20. Santiago AP, Rosenbaum AL (1998) Dissociated vertical deviation and head tilts. J AAPOS 2:5–11

    Article  CAS  PubMed  Google Scholar 

  21. Bechtel RT, Kushner BJ, Morton GV (1996) The relationship between dissociated vertical divergence (DVD) and head tilts. J Pediatr Ophthalmol Strabismus 33:303–306

    CAS  PubMed  Google Scholar 

  22. Crone RA (1954) Alternating hyperphoria. Br J Ophthalmol 38:591–604

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  23. Fogagnolo P, Serafino M, Nucci P (2008) Stability of silicone band frontalis suspension for the treatment of severe unilateral upper eyelid ptosis in infants. Eur J Ophthalmol 18:723–727

    CAS  PubMed  Google Scholar 

  24. Paysse EA, Coats DK (1997) Anomalous head posture with early-onset homonymous hemianopia. JAAPOS 1:209–213

    CAS  Google Scholar 

  25. McCulloch DL, Wright KW (1993) Unilateral congenital ptosis: compensatory head posturing and amblyopia. Ophthalmic Plast Reconstruct Surg 9:196–199

    Article  CAS  Google Scholar 

  26. Nucci P (2011) Congenital ptosis. Pediatr Med Chir 33:146

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andrea Lembo.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nucci, P., Curiel, B., Lembo, A. et al. Anomalous head posture related to visual problems. Int Ophthalmol 35, 241–248 (2015). https://doi.org/10.1007/s10792-014-9943-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10792-014-9943-7

Keywords

Navigation