Most common causes Flashcards
convergence spasm
function
downbeat nystagmus
cerebellum (25% Chiari, 25% cerebellar degeneration), 20% are idiopathic
upbeat nystagmus
cerebellar degeneration 20%, stroke in cerebellum or brainstem 20%
torsional nystagmus
stroke 40%
seesaw nystagmus
Baclofen, Clonazepam, Gabapentin, Alcohol
PAN
Baclofen is tx of choice, often also use prism
APN
MS
Lateropulsion (Wallenberg syndrome)
occlusion (infarction) of ipsilateral vertebral artery
oculopalatal tremor
infarct, hemorrhage
Demyelination is rare
bilateral INO
MS
unilateral INO
brainstem infarction
one-and-a-half syndrome
MS in young; ischemic stroke in old
one-sided parapontine reticular formation (PPRF) lesions
one-half syndrome
ipsilesional horizontal saccadic palsy