Differential diagnosis Parinaud’s syndrome, which can mimic some aspects of spasm of the near reflex, such as<unk> ive accommodation and convergence; however, pupillary near-light dissociation, not miosis, is a feature of Parinaud’s syndrome.
Accommodative excess
Body substance isolation
Neglect
Social rejection
Aggression
Derealization
Foreclosure 
Overtraining