How do you manage a child presenting with apparently isolated nystagmus?
How do you manage a child presenting with apparently isolated nystagmus?
Nystagmus is a type of eye movement which can be physiological (normal), or associated with myriad eye disorders and neurological conditions. As such, it is commonly encountered in paediatric practice and context is key. Accordingly, children who present with apparently isolated nystagmus can cause significant clinical concern due to the bewildering number of underlying aetiologies in an otherwise broadly well child. This is compounded by the complexity of eye movement disorder definitions, descriptions, features and classification systems. Clinical workup and subsequent management of these children can be extremely variable and depend on how, and to whom the child has presented, availability of investigations and cultural familiarity with single specific causes. In this article we take the non-specialist clinician through a methodical approach to managing children with apparently isolated nystagmus in an Q and A format. We provide some key clinical practice points and discuss subsequent management.
Eye movement disorders, fusion maldevelopment nystagmus syndrome, infantile nystagmus syndrome, manifest latent nystagmus, nystagmus, opsoclonus, oscillopsia, paediatric nystagmus
395-400
Self, Jay E.
0f6efc58-ae24-4667-b8d6-6fafa849e389
Lee, Helena
5d36fd1e-9334-4db5-b201-034d147133fb
December 2023
Self, Jay E.
0f6efc58-ae24-4667-b8d6-6fafa849e389
Lee, Helena
5d36fd1e-9334-4db5-b201-034d147133fb
Self, Jay E. and Lee, Helena
(2023)
How do you manage a child presenting with apparently isolated nystagmus?
Paediatrics and Child Health (United Kingdom), 33 (12), .
(doi:10.1016/j.paed.2023.09.004).
Abstract
Nystagmus is a type of eye movement which can be physiological (normal), or associated with myriad eye disorders and neurological conditions. As such, it is commonly encountered in paediatric practice and context is key. Accordingly, children who present with apparently isolated nystagmus can cause significant clinical concern due to the bewildering number of underlying aetiologies in an otherwise broadly well child. This is compounded by the complexity of eye movement disorder definitions, descriptions, features and classification systems. Clinical workup and subsequent management of these children can be extremely variable and depend on how, and to whom the child has presented, availability of investigations and cultural familiarity with single specific causes. In this article we take the non-specialist clinician through a methodical approach to managing children with apparently isolated nystagmus in an Q and A format. We provide some key clinical practice points and discuss subsequent management.
Text
How to manage a child presenting with apparently isolated nystagmus?
- Accepted Manuscript
More information
e-pub ahead of print date: 23 September 2023
Published date: December 2023
Additional Information:
Funding Information:
The authors would specifically like to thanks the membership of the Nystagmus UK Eye research group (NUKE) for their help and support with the majority of the work and clinical practice on which this paper is built.
Keywords:
Eye movement disorders, fusion maldevelopment nystagmus syndrome, infantile nystagmus syndrome, manifest latent nystagmus, nystagmus, opsoclonus, oscillopsia, paediatric nystagmus
Identifiers
Local EPrints ID: 484322
URI: http://eprints.soton.ac.uk/id/eprint/484322
ISSN: 1751-7222
PURE UUID: 1d31218b-d087-4440-a5d9-0c2997922ea7
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Date deposited: 15 Nov 2023 18:05
Last modified: 23 Sep 2024 04:01
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