Acquired convergence-evoked pendular nystagmus in multiple sclerosis

Autor: J J, Barton, T A, Cox, K B, Digre
Rok vydání: 1999
Předmět:
Zdroj: Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society. 19(1)
ISSN: 1070-8022
Popis: Nystagmus seen only with convergence is unusual. We describe four cases of acquired convergence-evoked pendular nystagmus in patients with multiple sclerosis. The nystagmus was horizontal and asymmetric in all patients. Eye movement recordings in one subject showed a conjugate rather than a convergent-divergent relationship of the phase of movement between the two eyes. All patients had evidence of optic neuropathy and cerebellar dysfunction. Occlusion of either eye during fixation of near targets led to divergent drift of the covered eye and a decrease in nystagmus. Intravenous scopolamine reduced nystagmus in one patient. Base-in prisms alleviated symptoms of oscillopsia at near and improving reading visual acuity. Convergence-evoked pendular nystagmus may be more common than currently appreciated, particularly among patients with multiple sclerosis.
Databáze: OpenAIRE