Document Detail


Opsoclonus myoclonus.
MedLine Citation:
PMID:  22247816     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Opsoclonus myoclonus is a rare autoimmune condition characterized by cerebellar degeneration. It occurs most often as a paraneoplastic syndrome when a cancer remote to the brain induces cerebellar dysfunction that is unrelated to metastases. Half of all cases occur in children with a neuroblastoma. Most adults with opsoclonus myoclonus have neoplastic, infectious, metabolic, or idiopathic etiologies. Signs of cerebellar dysfunction noted at presentation include opsoclonus, myoclonus and ataxia, hence the name "dancing eyes, dancing feet syndrome." Opsoclonus is characterized by rapid, involuntary eye movements that are dysrhythmic and uncoordinated.Neuronal damage is induced by antibodies usually related to the primary pathology. Treatment targets the etiology and also employs steroids, plasmapheresis, immunosuppressive agents, or other anti-inflammatory therapies. Children with opsoclonus myoclonus resulting from a neuroblastoma often retain neurological sequelae. Adult cases of opsoclonus myoclonus with idiopathic or infectious etiologies have a more favorable prognosis than those with neoplastic origins.
Authors:
Jonathan R Scarff; Bushra Iftikhar; Aniket Tatugade; Jaekyoung Choi; Steven Lippmann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Innovations in clinical neuroscience     Volume:  8     ISSN:  2158-8341     ISO Abbreviation:  Innov Clin Neurosci     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2012-01-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101549695     Medline TA:  Innov Clin Neurosci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  29-31     Citation Subset:  -    
Affiliation:
All from University of Louisville School of Medicine, Department of Psychiatry and Behavioral Sciences, Louisville, Kentucky.
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