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121 Possible Causes for Gaze-Evoked Nystagmus, Guillain-Barré Syndrome

  • Perry Syndrome

    […] or rebound nystagmus 13 Patients can have alternating skew deviation, gaze-evoked or periodic alternating nystagmus; oculocutaneous telangiectasia (not always); elevated[] Other types include Miller Fisher syndrome, which affects the cranial nerves. The precise cause of Guillain-Barré is unknown.[] . [ 1 ] The identified syndrome was later named Guillain-Barré syndrome.[]

  • Alcoholic Cerebellar Degeneration

    Evoked Nystagmus Saccadic Pursuit 6 Deficits Caused by Lesions of Dorsal Vermis, Fastigial Nucleus, and Uncinate Fasciculus Box 12-4.[] Rare cases have been reported of severe acute or subacute neuropathy mimicking Guillain-Barré syndrome .[] Intake of 5 g alcohol induced a gaze evoked nystagmus, a scanning speech, a body sway after eye closure, and bilateral postural leg tremor.[]

  • Ophthalmoplegia

    In addition, other findings such as vertical gaze evoked nystagmus (most commonly on supraduction) can be seen.[] Recognition of this rare clinical presentation can help avoid misdiagnosis as Guillain-Barré syndrome or its ocular variant, namely Miller Fisher Syndrome.[] Piccione EA, Salame K, Katirji B (2014) Guillain-Barré syndrome and related disorders. Neuromuscular disorders in clinical practice. Springer: New York, USA.[]

  • Esotropia

    […] esotropia. ( 28601401 ) GA mez de LiaA o Sanchez P....Escribano Villafruela J.C. 2017 49 Novel Eye Movement Disorders in Whipple's Disease-Staircase Horizontal Saccades, Gaze-Evoked[] […] defects, unilateral vision obstruction in childhood, various brain disorders or systemic diseases, amblyopia, paralytic shellfish poisoning, botulism, haemangioma near eye, Guillain-Barré[] Nystagmus, and Esotropia. ( 28744253 ) Shaikh A.G....Ghasia F.F. 2017 50 Outcome of early surgery in infantile esotropia: Our experience in tertiary care hospital. ( 28924312[]

  • Ataxia - Tapetoretinal Degeneration Syndrome

    There was no blepharoptosis, and the extraocular movements were full with vertical and horizontal gaze-evoked nystagmus. The anterior segment examination was normal.[] […] nervous system , Guillain-Barré syndrome , Hallervorden-Spatz disease , Heidenhain syndrome , Hepatocerebral degeneration , Hydrocephalus , Infantile polymyoclonus , Inherited[] Gaze-evoked horizontal nystagmus Optic neuropathy Cerebellar cortical atrophy Abnormal vestibulo-ocular reflex Choking episodes Bradyopsia Muscular hypotonia Difficulty walking[]

  • Arnold Chiari Malformation

    Eye movement recordings in two patients with Arnold-Chiari malfomation type 1 showed, in addition to downbeat and gaze evoked nystagmus, intermittent nystagmus of skew.[] As a differential diagnosis of Guillain Barré syndrome, acute porphyria was then considered and ultimately proved to be the diagnosis.[] The Arnold-Chiari malfomation is typically associated with downbeat nystagmus.[]

  • Ataxia-Oculomotor Apraxia Syndrome

    Additional features include square wave jerks, saccadic pursuit and gaze-evoked nystagmus, areflexia followed by severe peripheral neuropathy.[] Guillain-Barré syndrome (GBS) Guillain-Barré syndrome (GBS) usually causes motor paralysis, but ataxia can develop due to a loss of cerebellar sensory input.[] There is no interictal myokymia but gaze-evoked nystagmus is seen.[]

  • Ocular Palsy

    Gaze-evoked nystagmus (GEN) in all directions indicates a cerebellar dysfunction and can have multiple causes such as drugs, in particular antiepileptics, chronic alcohol[] VI) Location Pathological Processes Causes Brainstem (nuclei and fascicles) Neoplasm Glioma, metastasis Inflammatory/demyelinating MS, postviral, Miller Fisher variant of Guillain-Barré[] This may suggest isolated third nerve palsy (as above), Horner's Syndrome (small pupil and ptosis) due to carotid dissection, or inflammatory neuropathy ( Guillain-Barré syndrome[]

  • Encephalitis

    Gait was normal, and the patient's neurological exam was unremarkable except for gaze evoked nystagmus, thought to be a side effect of the phenytoin.[] Patients with overlapping Miller Fisher syndrome (MFS), Guillain-Barré syndrome (GBS), and the Bickerstaff brainstem encephalitis (BBE) have rarely been reported, and the[]

  • Machado-Joseph Disease

    The patient presented with gaze-evoked nystagmus and limitations of eye movement in all directions.[] Fulminant neuropathy with severe motor involvement that can lead to tetraplegia, often misdiagnosed as acute Guillain-Barré syndrome, has been reported in pediatric and adult[] Ataxic pursuit was primary disturbed in MJD, followed by gaze evoked nystagmus, hypermetric saccades and glissades.[]

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