Manifestations of endemic cretinism include:

c. Strabismus and spastic diplegias(Ref: Nelson's 20/e p 2669-2773, Ghai 8/e p 516-521)The term endemic cretinism includes two different overlapping syndromes: Neurologic and Myxedematous.In Neurological Cretinism, there is goiter, but the child is euthyroid; Deaf mutism, squint and cerebral diplegia are usually present