Presentation
In the present study, current development in the knowledge on the clinical diagnostic significance of pathological eye movement during the last 2-3 years is summarized. Acquired pendular wondering eye-movement. Fixation jerks. [ncbi.nlm.nih.gov]
Presentation A 3-month-old Amish boy presents to the emergency department with recurrent nasal congestion since birth. He has had no fevers, cough, or difficulty breathing. He was born at term without complications. [pedsinreview.aappublications.org]
Initially, nystagmus is present during visual fixation ( Video Clip 1 ), but after several days, visual mechanisms suppress the nystagmus and it is evident only if fixation is eliminated. [nejm.org]
SUMMARY A patient with a characteristic picture of rubella eye disease is presented. Its interest lies in the associated finding of asymmetric nystagmus and ocular flutter. [healio.com]
Neurologic
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Dysmetria
Optokinetic vertical ocular dysmetria. Divergence nystagmus. Counterolling, pure rotatory positioning nystagmus. Inversion of optokinetic after-nystagmus (OKAN). Vertical congenital nystagmus and inversion of optokinetic nystagmus (OKN). [ncbi.nlm.nih.gov]
Cogan DG: Ocular Dysmetria: Flutter like oscillation of the eyes and opsoclonus. Arch Ophthal 51:318-335, 1954. 8. Goldberg RT. Jampel RS: Flutter like oscillations of the eyes in cerebellar disease. Amer J Ophthal 55:1229-1233, 1963. 9. [healio.com]
Cerebellar Eye Signs: Overview Periodic Alternating Nystagmus Nystagmus Nomenclature Down-beat Nystagmus Chiari Malformation: Eye Movements Up-beat Nystagmus Alexander’s Law Up-beat Nystagmus with Palatal Myoclonus Ocular Palatal Myoclonus Ocular Dysmetria [novel.utah.edu]
Individuals with spinocerebellar ataxia [ 75 ] and Friederich’s ataxia [ 76 ] show a similar pattern of reduced velocity, increased duration and dysmetria as seen in our patients. [molecularautism.biomedcentral.com]
Involvement of the dorsal vermis and fastigial nuclei typically causes saccadic dysmetria and impaired smooth pursuit, which appears “saccadic” on clinical examination. [frontiersin.org]
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Downbeat Nystagmus
Vertical spontaneous nystagmus to lower eyelid or so-called "downbeat nystagmus." Downbeat nystagmus seen in bilateral labyrinthine dysfunction. [ncbi.nlm.nih.gov]
These acquired types include: Downbeat nystagmus Upbeat nystagmus Horizontal nystagmus Torsional nystagmus Pendular nystagmus Seesaw nystagmus Vestibular nystagmus Gaze-evoked nystagmus Periodic alternating nystagmus Abducting nystagmus Spasmus nutans [healthhype.com]
Gaze-evoked nystagmus (GEN) as well as downbeat nystagmus (DBN) are also found with cerebellar lesions in MS. [frontiersin.org]
Downbeat Nystagmus Downbeat nystagmus is unusual in children. It is typically worse on lateral gaze and can reflect pathology at the cervicomedullary junction. [aao.org]
Treatment of downbeat nystagmus with 3, 4-diaminopyridine: a placebo-controlled study. Neurology 2003 ; 61 : 165 –70. [jnnp.bmj.com]
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Cerebellar Disease
According to Duke-Elder3 it is "typical of cerebellar disease." [healio.com]
Greater drop implies deficient VOR gain, though some cases of cerebellar disease have hyperactive VOR (49). The head thrust maneuver tests each horizontal semicircular canal separately (Video “head thrust test” ). [neuroophthalmology.ca]
PubMed Google Scholar Golla H, Tziridis K, Haarmeier T, Catz N, Barash S, Thier P: Reduced saccadic resilience and impaired saccadic adaptation due to cerebellar disease. Eur J Neurosci. 2008, 27: 132-144. [molecularautism.biomedcentral.com]
An increased number of SWJs is seen in cerebellar disease, progressive supranuclear palsy, and multiple system atrophy. During fixation saccadic oscillations and nystagmus should also be noted. [jnnp.bmj.com]
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Upbeat Nystagmus
Upbeat Nystagmus Possible causes include damage, disease or disorders of the: Medulla Cerebellum (specifically of the anterior vermis) This type of nystagmus may also occur with benign paroxysmal positional vertigo. [healthhype.com]
Glasauer S, Kalla R, Buttner U, Strupp M, Brandt T. 4-Aminopyridine restores visual ocular motor function in upbeat nystagmus. [frontiersin.org]
Upbeat nystagmus, when present in the primary position, is usually associated with focal brainstem lesions in the tegmental grey matter. The most common causes are multiple sclerosis, tumour, infarction, and cerebellar degeneration. [jnnp.bmj.com]
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Ocular Dysmetria
Optokinetic vertical ocular dysmetria. Divergence nystagmus. Counterolling, pure rotatory positioning nystagmus. Inversion of optokinetic after-nystagmus (OKAN). Vertical congenital nystagmus and inversion of optokinetic nystagmus (OKN). [ncbi.nlm.nih.gov]
Cogan DG: Ocular Dysmetria: Flutter like oscillation of the eyes and opsoclonus. Arch Ophthal 51:318-335, 1954. 8. Goldberg RT. Jampel RS: Flutter like oscillations of the eyes in cerebellar disease. Amer J Ophthal 55:1229-1233, 1963. 9. [healio.com]
Cerebellar Eye Signs: Overview Periodic Alternating Nystagmus Nystagmus Nomenclature Down-beat Nystagmus Chiari Malformation: Eye Movements Up-beat Nystagmus Alexander’s Law Up-beat Nystagmus with Palatal Myoclonus Ocular Palatal Myoclonus Ocular Dysmetria [novel.utah.edu]
Workup
Quiz question What is your diagnosis and workup? Quiz answers The abnormal eye movements were most consistent with opsoclonus. They were too irregular for nystagmus or spasmus nutans. The blinking and head movements were consistent with myoclonus. [chop.edu]
Treatment
Treatment of congenital nystagmus. Vertical spontaneous nystagmus to lower eyelid or so-called "downbeat nystagmus." Downbeat nystagmus seen in bilateral labyrinthine dysfunction. [ncbi.nlm.nih.gov]
This edition has been extensively rewritten, and contains many new figures and an up-to-date section on the treatment of abnormal eye movements such as nystagmus. [books.google.de]
Prognosis
Kornegay, DVM, PhD 역자 : 박희명 ISBN: 9788995707586 출판사: OKVET 출간일: 2008년 10월 목 차 part I 기초 1 Chapter 1 신경병력과 검사 Neurologic History and Examination 3 최소 데이터베이스 Minimum Database 3 문제 목록 Problem List 3 병력 청취 Taking the History 4 예후 Prognosis 7 신경검사 The Neurologic [okvet.co.kr]
Neuroblastomas associated with OMAS tend to be more mature, with favorable histology, and prognosis for treatment is excellent. [aao.org]
The presence of eye movement abnormalities correlate with greater level of disability in affected patients and generally predict a worse prognosis ( 2 ). [frontiersin.org]
Etiology
Although previous studies showed that neuroinflammation could be a part of etiology of disease, this study has failed to demonstrate systemic inflammation in ET. [ncbi.nlm.nih.gov]
Diffusion-weighted imaging as an aid in the diagnosis of the etiology of medial longitudinal fasciculus syndrome. Surg Radiol Anat (2014) 36:675–80. doi:10.1007/s00276-014-1256-z PubMed Abstract CrossRef Full Text Google Scholar 45. [frontiersin.org]
The many kinds of cataract are classified by their morphology (size, shape, location) or etiology (cause and time of occurrence). conjunctiva (결막) 안구의 전방면을 덮고 안검을 싸고 있는 점막. cornea (각막) 안구 섬유층의 앞부분을 이루는 투명한 구조. [dic.impact.pe.kr]
Epidemiology
He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. [lifeinthefastlane.com]
Pathophysiology
Recently, the pathophysiology underlying several types of nystagmus and saccadic oscillations was better defined by the development of animal models and by experimental pharmacological studies. [ncbi.nlm.nih.gov]
Conclusion We have reviewed the most common eye movement disorders in MS and discussed known pathophysiological correlate for each of them. [frontiersin.org]
In accord with this mission, this peer-reviewed, rapid-publication, international journal publishes both basic and clinical contributions from all disciplines and research areas relevant to the pathophysiology and treatment of major psychiatric disorders [elsevier.com]
[…] and Abnormal Eye Movements 285 병변의 국소화 Lesion Localization 285 질환 Diseases 291 증례 296 Chapter 12 혼미 또는 혼수 Stupor or Coma 299 병변의 국소화 Lesion Localization 299 질병 Diseases 300 증례 320 Chapter 13 발작과 수면발작, 허탈발작 Seizures, Narcolepsy and Cataplexy 325 병리생리 Pathophysiology [okvet.co.kr]
Prevention
How can I prevent nystagmus? In most cases, nystagmus cannot be prevented. If your child has abnormal eye movements, be sure to have your child examined by a healthcare provider as soon as possible. [kpjampang.com]
Other eye conditions such as congenital cataracts may also require surgery to improve vision and prevent abnormal movements. [livestrong.com]
The presence of a mature cataract prevented visualization of the left fundus. The anterior-posterior diameter of the eye was 27 mm in each eye determined by A-scan ultrasonography. Serum exa mination for viral titres revealed. [healio.com]
How can I prevent nystagmus? In most cases, nystagmus cannot be prevented. Reviewed for medical accuracy by faculty at the Wilmer Eye Institute at Johns Hopkins. Web site: Developed by RelayHealth. Published by RelayHealth. [summitmedicalgroup.com]
This prevents the eye from receiving adequate stimulation. Squint This is where the eye is misaligned. Defective binocular vision This is the inability to use two eyes together. [uhs.nhs.uk]