Superior Oblique Myokymia

This is an interesting case of a 48yr woman with a 2year complaint of missing lines when reading and blurring when focusing on something or someone. She has frequent fluttering of the right eye lasting less than a minute and feeling like right eye is crossing over left one.

The only thing I found in this patient was an objective flutter of the right eye, unpredictable, sometimes stronger sometimes less pronounced, more often when looking downward. Please look at this video with series of very discrete ocular flutter with mainly torsional movement.

The reason of this uniocular rotatory nystagmus usually is neurovascular conflict between the Trochlear nerve and superior cerebellar artery. But there are more etiologies described, so the MRI is obligatory to perform in this patients.

2 thoughts on “Superior Oblique Myokymia

  1. Mate

    Pozdrav.imam taj problem,nakon dvije godine i puno pretraga,napokon sam dobio dijagnozu.doktorica i kolege u klinici neznaju tocno koja mi terapija treba,prvi put su to vidili,pa cemo pricekat do petog mjeseca njenog kolegu doktora iz njemacke da me pregleda i da vidimo moze li se sta rjesit.vozac sam po zanimanju i jako mi smeta u poslu.Imate li mozda vi kakav prijedlog?ako zelite javljat cu vam sta je bilo nakon pregleda i koja je terapija i kako napreduje.hvala

    Reply
    1. DrDusan Post author

      Da ova dijagnoza je često neprepoznata, te je zbog toga ovaj video i postavljen u edukativne svrhe. Svakako terapije ima.

      Reply

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