Treatments Flashcards
AE
minus lenses at far
AI
plus lenses at near
basic eso
BO
basic exo
BI
CE
plus at near
CI
BI at near
DE
minus at far
DI
BO at far
downbeat nystagmus
Aminopyridine if MS
ABCs
upbeat nystagmus
Clonazepam
BI/BO if helps to dampen
Aminopyridine (if MS)
torsional nystagmus
treat ear canal (peripheral cause is easier to tx)
no definitive tx, but can try meds
seesaw nystagmus
50% unknown, 15% pituitary adenoma (young), stroke (old)
PAN
cerebellar lesion:
flocculus (VOR adaptation), nodulus + uvula (velocity storage)
downbeat nystagmus
acetazolamide
Aminopyridine if MS
ABCs
upbeat nystagmus
Baclofen
BI/BO if helps to dampen
Aminopyridine (if MS)
APN w/ oculopalatal tremor
Gabapentin is tx of choice
seesaw nystagmus
50% unknown, 15% pituitary adenoma (young), stroke (old)
APN w/ oculopalatal tremor
Gabapentin is tx of choice
downbeat nystagmus medication
Acetazolamide (Diamox)
What is the most commonly prescribed oral medication for acquired nystagmus (esp PAN?)
Baclofen
What is the treatment of choice for upbeat nystagmus (and seesaw?)
Baclofen
For which nystagmus is clonazepam the first choice drug?
seesaw nystagmus, perhaps epileptic nystagmus, usually second line
What is the tx of choice for idiopathic APN w/ oculopalatal tremor?
gabapentin
What is the tx of choice for oculopalatal tremor?
gabapentin
What is the tx of choice for APN w/o oculopalatal tremor?
Memantine
What can memantine (Namenda) be used for
Alzheimer dementia, APN w/o oculopalatal tremor, infantile nystagmus syndrome
What type of nystagmus could scopolamine be used for?
APN (but not first-choice)
oculopalatal tremor
Gabapentin
seesaw nystagmus tx of choice
Baclofen
PAN tx of choice
Baclofen, caused by cerebellar problems (flocculus etc)
APN causes
metabolic disorders, vision loss, demyelination
like seesaw, but no quick phase
