Presentation
The need for neuroimaging and electroretinography (ERG) has been widely debated, especially because clinical presentation and eye and head movement recordings are not satisfactory for predicting whether underlying conditions may be present (3). [journals.lww.com]
6-month-old term female with history of mild reflux presented to the pediatric emergency department for seizure-like activity. [shmabstracts.org]
The pupils reacted sluggishly to light; however, no relative afferent pupillary defect was present. The nystagmus was present, and was similar to that seen previously, but diminished in frequency. [healio.com]
( 3767683 ) King R.A....Wagner R.S. 1986 37 Spasmus nutans as a presenting sign of an arachnoid cyst. ( 3870654 ) Spaide R.F....Restuccia R.D. 1985 38 Spasmus nutans as a presenting sign of diencephalic syndrome. ( 4032143 ) Garty B.Z....Bauman B. 1985 [malacards.org]
Entire Body System
- Chills
Photo Credit Dolly Faibyshev for The New York Times Work Out and Chill? Cool temperature workouts may be the answer for those who want to exercise without becoming a hot mess. [nytimes.com]
Musculoskeletal
- Torticollis
On differential diagnosis, attention should be paid to benign paroxysmal torticollis. [hrcak.srce.hr]
Head movements and torticollis spontaneously resolved within 2 years. Very mild intermittent nystagmus persisted. Psychomotor development remained normal. [pedneur.com]
A triad of ocular oscillations, head titubation, and torticollis characterizes spasmus nutans, a rare and idiopathic pediatric disorder. All three are not required for diagnosis, with torticollis being less common. [shmabstracts.org]
The condition is associated with head nodding and less frequently with torticollis. The cause is unknown and the condition subsides spontaneously in early childhood. [medical-dictionary.thefreedictionary.com]
Similarly, the torticollis has been observed clinically and by electrooculography (EOG) recordings to dampen nystagmus by a hypothesized vestibular mechanism (6). Like the nystagmus, the head nodding and torticollis may be intermittent as well. [journals.lww.com]
Eyes
- Strabismus
Our results are comparable to those of others (29,30,33,34,35) in demonstrating a high prevalence of strabismus and amblyopia. [journals.lww.com]
Arch Neurol 37: 373–375 PubMed CAS Google Scholar Dell’Osso LF (1975) Congenital, latent and manifest latent nystagmus — similarities, differences and relation to strabismus. [link.springer.com]
Oculographic and clinical characterization of 37 children with anomalous head postures, nystagmus, and strabismus: the basis of a clinical algorithm. JAAPOS. 2000;4:25–32. [ncbi.nlm.nih.gov]
The association of strabismus, amblyopia, and refractive errors in spasmus nutans. [experts.umn.edu]
- Night Blindness
Newman First published August 1, 1993, DOI: https://doi.org/10.1212/WNL.43.8.1607 Abstract Two children with congenital stationary night blindness were originally diagnosed as having spasmus nutans. [n.neurology.org]
Two children with congenital stationary night blindness were originally diagnosed as having spasmus nutans. Both children had the typical features of spasmus nutans including asymmetric nystagmus, head shaking, and torticollis. [ncbi.nlm.nih.gov]
- Abnormal Eye Movement
Hain, MD Please see our disclaimer Education Index Search this site Nystagmus is defined as involuntary movement of the eyes. Most frequently it is composed of a mixture of slow and fast movements of the eyes. [tchain.com]
Neurologic
- Nystagmus
It must be differentiated from other disorders, such as congenital nystagmus and intracranial tumours, which also result in head nodding, and nystagmus. [medical-dictionary.thefreedictionary.com]
RESULTS We identified 22 patients with SN-like nystagmus (Table 1). Twelve (55%) were male and 10 were female (45%). Eight (36%) patients had monocular nystagmus and 14 patients (64%) had binocular disconjugate nystagmus. [journals.lww.com]
The nystagmus of spasmus nutans is often unilateral in nature and if bilateral, dysconjugate, a feature distinguishing it from congenital nystagmus. [shmabstracts.org]
Br J Ophthalmol 60: 652–654 Article PubMed CAS Google Scholar Jayalakshmi P, McNair S, Tucker S, Schaffer DB (1970) Infantile nystagmus: A prospective study of spasmus nutans, congenital nystagmus and unclassified nystagmus of infancy. [link.springer.com]
a prospective study of spasmus nutans, and congenital nystagmus, and unclassified nystagmus of infancy. ( 5504065 ) Jayalakshmi P....Schaffer D.B. 1970 [malacards.org]
- Pendular Nystagmus
Ocular motility recordings revealed an unusual latent/manifest latent nystagmus, pendular nystagmus with characteristics of an acquired nystagmus, and uniocular saccades. [ncbi.nlm.nih.gov]
Farlex Partner Medical Dictionary © Farlex 2012 spasmus nutans Neurology A self-limiting acquired nystagmus characterized by a triad: horizontal or pendular nystagmus, head nodding, head tilting; SN may last months to yrs and be associated with optic [medical-dictionary.thefreedictionary.com]
Definition Spasmus nutans is a specific type of pendular nystagmus of infancy accompanied by head bobbing and occasionally by abnormal position of the neck. [health.am]
- Involuntary Movements
It is not clear whether head nodding is a compensatory mechanism to control the nystagmus or an involuntary movement of pathologic origin. [ncbi.nlm.nih.gov]
Overview Quick Reference A combination of symptoms including a slow nodding movement of the head, nystagmus (involuntary movements of the eyes), and spasm of the neck muscles. It affects infants and it normally disappears within a year or two. [oxfordreference.com]
When to Contact a Medical Professional Call for an appointment with your health care provider if your child has rapid involuntary movements of the eyes or head nodding. [indiatoday.in]
- Seizure
Conclusions: This case highlights the importance of obtaining a descriptive history in the evaluation of seizure-like activity. [shmabstracts.org]
Pagina 68 - Provisional Committee on Quality Improvement, Subcommittee on Febrile Seizures. Practice parameter: the neurodiagnostic evaluation of the child with a first simple febrile seizure. Pagina 196 - Absence seizures. In: Wyllie E, ed. [books.google.ro]
Case Presentation: A 6-month-old term female with history of mild reflux presented to the pediatric emergency department for seizure-like activity. [shmabstracts.com]
At the age of 18 months the boy had an episode of typical febrile seizure for which he underwent conservative management. The boy went on to develop head nodding movements and head tilt at the age of 2 years 6 months. [ncbi.nlm.nih.gov]
- Tremor
62 Bowen M...Soares BP 28587881 2017 16 Magnetic resonance imaging findings in children with spasmus nutans. 62 Bowen M...Soares BP 28284856 2017 17 Infantile nystagmus: an optometrist's perspective. 62 Zahidi AA...Dunn MJ 30214368 2017 18 Unusual tremor [malacards.org]
Head nodding consists of slow head tremor, usually of the no-no type. Head nodding may also be of the yes-yes type or rotatory. [jle.com]
To the Editor: I was recently asked to see a 10-year-old boy for suspected Tourette's syndrome because he had a head tremor and tilted his chin to the right. [nejm.org]
Spasmus Nutans Spasmus nutans is a transient pendular nystagmus that occurs in children, accompanied by a head tremor and torticollus. The usual age of onset is between 4 and 18 months of age. Sometime patients with SN also have a head tremor. [dizziness-and-balance.com]
Workup
Diagnosis: Laboratory investigation usually is not required for spasmus nutans.Exceptions include workup for metabolic or infectious etiology in congenital cataracts, serology in suspected toxoplasmosis, toxicology in optic atrophy, endocrine assay for [medigoo.com]
It is necessary for this kind of nystagmus to perform a complete neurological and endocrinological workup. [intechopen.com]
Treatment
[…] tumor, requires no treatment. [pennstatehershey.adam.com]
Read Article Now Book Mark Article Treatment Spasmus nutans that isn't related to another medical problem, such as brain tumor, requires no treatment. [bmhsc.org]
Twelve of 18 patients required spectacles for improvement in visual acuity and for treatment of amblyopia. [ncbi.nlm.nih.gov]
Tests may include: CT scan of the head MRI scan of the head Treatment The benign form of spasmus nutans requires no treatment. If the symptoms are caused by another condition, that condition must be treated appropriately. [sites.magellanhealth.com]
Prognosis
Spasmus nutans carries an excellent prognosis with 20/50 vision or better in most. A higher incidence of strabismus and amblyopia is associated in followed cases compared to controls. [shmabstracts.org]
Fortunately, for patients with the classic findings of spasmus nutans and a negative MRI, the prognosis is very good. [mattweedmd.com]
Prognosis The prognosis for spasmus nutans is very good. Long term follow up studies have shown that good visual acuity can be expected in patients with spasmus nutans. [eyewiki.aao.org]
Etiology
A better designation would be acquired nystagmus of infancy, which would not imply a benign etiology. [ncbi.nlm.nih.gov]
etiology; Retrospective Studies; Spasms, Infantile, etiology; Torticollis, etiology; Visual Acuity, physiology Abstract BACKGROUND: There is uncertainty as to whether spasmus nutans (SN) is an isolated idiopathic entity or whether there are underlying [collections.lib.utah.edu]
A better designation would be acquired nystagmus of infancy, which would not imply a benign etiology. © 1986 S. Karger AG, Basel Article / Publication Details First-Page Preview [karger.com]
Epidemiology
Summary Epidemiology The prevalence of SN is unknown. [orpha.net]
Epidemiology The precise incidence and prevalence of spasmus nutans are unknown, but it is considered rare. Correlation of demographic and socioeconomic factors has been reviewed since the early 1900s. [aao.org]
Pathophysiology
Accurate simultaneous recordings of eye and head movements are required to understand the pathophysiological significance of these head oscillations. [ncbi.nlm.nih.gov]
The pathophysiologic role of cerebellar vermian hypoplasia in the generation of spasmus nutans remains unclear. [jamanetwork.com]
Acquired pendular nystagmus: its characteristics, localizing value, and pathophysiology. J. Neurol Neurosurg Psych 1982:45:431-439 Stahl JS, Rottach KG, Averbuch-Heller L, Maydell RD, Collins SD, Leigh RJ. [tchain.com]
[…] years, and is generally quoted as 6-12 months of age.6 Though initially thought to resolve between 3 and 6 years of age,7 more recent evidence from long-term follow up suggests there may be a persistence of subclinical nystagmus up to age 12 years.8 Pathophysiology [aao.org]
Prevention
[…] minus' sign Virchow -triad Use Parentheses water AND (cup OR glass) Add an asterisk (*) at end of a word to include word stems Neuro* will search for Neurology, Neuroscientist, Neurological, and so on Use quotes to search for an exact phrase "primary prevention [read.qxmd.com]
Prevention Not applicable. Last revised: December 8, 2012 by Armen E. Martirosyan, M.D. Medical Encyclopedia All ArmMed Media material is provided for information only and is neither advice nor a substitute for proper medical care. [health.am]
Prevention of death, myocardial infarction, and stroke by prolonged antiplatelet therapy in various categories of patients. [books.google.ro]
Prevention References Olitsky SE, Hug D, Smith LP. Disorders of eye movement and alignment. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th Ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 622. [mostellarmedical.org]
Prevention In general nystagmus cannot be prevented. [healthofchildren.com]