Treatments

Question 1

AE

Answer 1

minus lenses at far

Question 2

AI

Answer 2

plus lenses at near

Question 3

basic eso

Answer 3

BO

Question 4

basic exo

Answer 4

BI

Question 5

CE

Answer 5

plus at near

Question 6

CI

Answer 6

BI at near

Question 7

DE

Answer 7

minus at far

Question 8

DI

Answer 8

BO at far

Question 9

downbeat nystagmus

Answer 9

Aminopyridine if MS

ABCs

Question 10

upbeat nystagmus

Answer 10

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

Question 11

torsional nystagmus

Answer 11

treat ear canal (peripheral cause is easier to tx)

no definitive tx, but can try meds

Question 12

seesaw nystagmus

Answer 12

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

Question 13

PAN

Answer 13

cerebellar lesion:

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

Question 14

downbeat nystagmus

Answer 14

acetazolamide

Aminopyridine if MS

ABCs

Question 15

upbeat nystagmus

Answer 15

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

Question 16

APN w/ oculopalatal tremor

Answer 16

Gabapentin is tx of choice

Question 17

seesaw nystagmus

Answer 17

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

Question 18

APN w/ oculopalatal tremor

Answer 18

Gabapentin is tx of choice

Question 19

downbeat nystagmus medication

Answer 19

Acetazolamide (Diamox)

Question 20

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

Answer 20

Baclofen

Question 21

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

Answer 21

Baclofen

Question 22

For which nystagmus is clonazepam the first choice drug?

Answer 22

seesaw nystagmus, perhaps epileptic nystagmus, usually second line

Question 23

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

Answer 23

gabapentin

Question 24

What is the tx of choice for oculopalatal tremor?

Answer 24

gabapentin

Question 25

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

Answer 25

Memantine

Question 26

What can memantine (Namenda) be used for

Answer 26

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

Question 27

What type of nystagmus could scopolamine be used for?

Answer 27

APN (but not first-choice)

Question 28

oculopalatal tremor

Answer 28

Gabapentin

Question 29

seesaw nystagmus tx of choice

Answer 29

Baclofen

Question 30

PAN tx of choice

Answer 30

Baclofen, caused by cerebellar problems (flocculus etc)

Question 31

APN causes

Answer 31

metabolic disorders, vision loss, demyelination like seesaw, but no quick phase