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Ocular Motility Exam 2 > Treatments > Flashcards

Treatments Flashcards

1
Q

AE

A

minus lenses at far

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2
Q

AI

A

plus lenses at near

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3
Q

basic eso

A

BO

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4
Q

basic exo

A

BI

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5
Q

CE

A

plus at near

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6
Q

CI

A

BI at near

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7
Q

DE

A

minus at far

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8
Q

DI

A

BO at far

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9
Q

downbeat nystagmus

A

Aminopyridine if MS

ABCs

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10
Q

upbeat nystagmus

A

Clonazepam
BI/BO if helps to dampen
Aminopyridine (if MS)

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11
Q

torsional nystagmus

A

treat ear canal (peripheral cause is easier to tx)

no definitive tx, but can try meds

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12
Q

seesaw nystagmus

A

50% unknown, 15% pituitary adenoma (young), stroke (old)

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13
Q

PAN

A

cerebellar lesion:

flocculus (VOR adaptation), nodulus + uvula (velocity storage)

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14
Q

downbeat nystagmus

A

acetazolamide

Aminopyridine if MS

ABCs

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15
Q

upbeat nystagmus

A

Baclofen
BI/BO if helps to dampen
Aminopyridine (if MS)

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16
Q

APN w/ oculopalatal tremor

A

Gabapentin is tx of choice

17
Q

seesaw nystagmus

A

50% unknown, 15% pituitary adenoma (young), stroke (old)

18
Q

APN w/ oculopalatal tremor

A

Gabapentin is tx of choice

19
Q

downbeat nystagmus medication

A

Acetazolamide (Diamox)

20
Q

What is the most commonly prescribed oral medication for acquired nystagmus (esp PAN?)

A

Baclofen

21
Q

What is the treatment of choice for upbeat nystagmus (and seesaw?)

A

Baclofen

22
Q

For which nystagmus is clonazepam the first choice drug?

A

seesaw nystagmus, perhaps epileptic nystagmus, usually second line

23
Q

What is the tx of choice for idiopathic APN w/ oculopalatal tremor?

A

gabapentin

24
Q

What is the tx of choice for oculopalatal tremor?

A

gabapentin

25
Q

What is the tx of choice for APN w/o oculopalatal tremor?

A

Memantine

26
Q

What can memantine (Namenda) be used for

A

Alzheimer dementia, APN w/o oculopalatal tremor, infantile nystagmus syndrome

27
Q

What type of nystagmus could scopolamine be used for?

A

APN (but not first-choice)

28
Q

oculopalatal tremor

A

Gabapentin

29
Q

seesaw nystagmus tx of choice

A

Baclofen

30
Q

PAN tx of choice

A

Baclofen, caused by cerebellar problems (flocculus etc)

31
Q

APN causes

A

metabolic disorders, vision loss, demyelination

like seesaw, but no quick phase

Ocular Motility Exam 2 (4 decks)

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