nystagmus Flashcards
whats pendular nystagmus
both phases are slow
what are saccadic intrusions?
both phases are fast
whats dissociated nystagmus?
when the amplitude of the osscilations are different in the two eyes
whats disconjugate nystagmus?
when the direction of the nystagmus is different in the 2 eyes
when does congenital nystagmus appear?
first few months of life
when conditions are seen w congenital nystagmus
lebers congenital amaurosis
albinism
aniridia
what excentuates the nystagmus in congenital nystagmus?
distant fixation
also they do not have oscillopsia (sensation that the world is moving)
ddx of square wave jerks
parkinsons
PSP
see saw nystagmus localizes to…
sella
upbeat nystagmus localizes to
medulla
downbeat nystagmus localizes to
cervico-medulary jxn
convergenct-retraction nystagmus localizes to…
dorsal midbrain
opsoclonus localizes to…and can be associated with….
pons
ass w neuroblastoma or scc lung in adults
ocular bobbing- downward dropping of eyes then slowly float back up localized to …. prognosis is…
destructive lesion of pons
poor neurologic prognosis
how do you work up monocular nystagmus in a kid?
image! possible ON glioma