| Surgical treatment of trauma-induced periodic alternating nystagmus. | |
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MedLine Citation:
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PMID: 14711732 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To report a new treatment for acquired periodic alternating nystagmus in which medical therapy with baclofen was not tolerated. DESIGN: Interventional case report and literature review. INTERVENTION: Simultaneous adjustable bilateral retroequatorial horizontal rectus muscle recessions. MAIN OUTCOME MEASURES: Ocular alignment and ocular motility recordings. RESULTS: A 30-year-old man had blurred vision after an emergency left temporal craniotomy for gunshot wounds. Ophthalmologic examination revealed periodic alternating nystagmus that was documented by an infrared electronystagmogram. Baclofen was started but was not tolerated. Bilateral lateral and medial retroequatorial rectus muscle recessions were performed and were successful in the treatment of this patient. CONCLUSION: Simultaneous bilateral retroequatorial horizontal rectus recessions may be an effective treatment for intractable acquired periodic alternating nystagmus. |
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Authors:
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Ivan G Castillo; Robert D Reinecke; Robert C Sergott; Sheryl Wizov |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Ophthalmology Volume: 111 ISSN: 0161-6420 ISO Abbreviation: Ophthalmology Publication Date: 2004 Jan |
Date Detail:
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Created Date: 2004-01-08 Completed Date: 2004-01-29 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7802443 Medline TA: Ophthalmology Country: United States |
Other Details:
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Languages: eng Pagination: 180-3 Citation Subset: IM |
Affiliation:
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Neuro-Ophthalmology Service, Wills Eye Hospital, Thomas Jefferson Medical College, Philadelphia, Pennsylvania 19107-5598, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Craniotomy Electronystagmography Head Injuries, Penetrating / complications*, surgery Humans Male Nystagmus, Pathologic / diagnosis, etiology*, surgery* Oculomotor Muscles / surgery* Ophthalmologic Surgical Procedures Wounds, Gunshot / complications*, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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