Surgical management of anomalous head posture because of horizontal gaze palsy or acquired vertical nystagmus

Lithium-Induced Downbeat Nystagmus and Horizontal Gaze Palsy

We report a case of lithium-induced downbeat nystagmus and horizontal gaze palsy in a 62-year-old woman who was treated for a bipolar affective disorder with lithium carbonate for one month. At presentation serum lithium was within therapeutic range. No alternative causes of the ocular motility disturbances were found, and the patient improved significantly as lithium carbonate was discontinued.

Teaching video NeuroImage: acquired or congenital gaze-evoked nystagmus?

Matthew J. Thurtell, MBBS Konrad P. Weber, MD G. Michael Halmagyi, MD A 40-year-old female migraineur reported intermittent unsteadiness with headache. On examination, she had gaze-evoked horizontal-torsional nystagmus that was also evident during pursuit (video). Nystagmus recordings showed increasing-velocity slow phases typical for congenital nystagmus (CN) (figure 1). A relative subsequentl...

Horizontal Gaze Palsy: Additional Issues

I read with interest the article by Gautam, et al. [1]. I agree that brainstem tuberculoma can cause nuclear gaze palsy and fascinating neuro-ophthalmological findings. However, I think further clarification regarding pathophysiological mechanism of the gaze palsy may be interesting for the readers. Particularly, two points I want to raise are: difficulty in differentiating pathological lesions...

Anomalous Head Postures in Strabismus and Nystagmus Diagnosis and Management.

UNLABELLED Abnormal head positions are adopted in order to improve visual acuity, to avoid diplopia or to obtain a more comfortable binocular vision. The head can be turned or tilted toward right or left, with the chin rotated up or downwards or combination of these positions. The ophthalmologic examination including the assessment of versions leads to the diagnosis. When versions are free, the...

Congenital horizontal gaze palsy and kyphoscoliosis.