Dr.SHEELA MANICKAVEL

Dr..Muthayya Muthukumar, Dr. SUHAS PRABHAKAR

Abstract

Tracking visual milestones is crucial for child development.Identifying supranuclear ophthalmoplegia is rare in infancy.It can be either mostly due to acute conditions or a part of a congenitally acquired condition.We present a 5 month old male infant with lack of face regard.This child was fifth in birth order,second live born of non consanguinous parents.Family history was significant with one previous neonatal death and a pregnancy termination for cerebellar hypoplasia.There was no history of prior acute illness.On ophthalmic evaluation,infant had absent oculocephalic reflex and vertical gaze palsy.Child had global developmental delay with slightly reduced muscle tone.MRI brain showed hypoplasia of both cerebellar vermis and left crus cerebri with intact pons.This case is reported in view of rarity of early identification of supranuclear ophthalmoplegia and at times its association with brain malformations and syndromes.