Nine patients with congenital ocular motor apraxia (COMA) are presented and the natural history of this condition is considered. Two presented in early infancy, before the onset of the head thrust, and the means of establishing the diagnosis at this age are discussed. All exhibited motor delay in infancy which lessened, but did not completely resolve, with time. Conceptual delay, particularly w...

Congenital ocular motor apraxia, described in 1952 by Professor David Cogan, is characterized by defective or absent voluntary and optically induced horizontal saccades and compensatory jerky head movements or thrusts to accomplish ocular refixation (1-3). The most common initial sign is the inability to follow objects visually. The diagnosis is usually made between the fourth and eighth months...

OBJECTIVE To evaluate the sensitivity of measuring cognitive processing in the ocular motor system as a marker for recovery of deficit in post stroke patients. METHODS 15 patients (mean age 60.6 years, mean National Institutes of Health Stroke Scale (NIHSS) score 2.25) and 10 age matched control subjects (mean age 63.3 years) participated in the study. We included mildly affected acute stroke...

BACKGROUND Spasmus nutans and congenital ocular motor apraxia share clinical characteristics. However, their development in a patient with cerebellar vermian hypoplasia has not been previously described. OBJECTIVE To report spasmus nutans and congenital ocular motor apraxia in a child with cerebellar vermian hypoplasia. DESIGN Case report. SETTING Tertiary-care hospital. Patient A 7-year-...

Eye movement abnormalities constitute an important clinical sign that can be a manifestation of dysfunction of cranial nerves III, IV, and VI (the 3 ocular motor nerves). Specific motility deficits often have highly localizing value within the neuroaxis, serving to refine a differential diagnosis and guide management. This article reviews the key anatomic concepts, clinical presentation, differ...

Many dyslexic children are unable accurately to control the movements of their eyes even when they are not trying to read. This immaturity helps to explain their visual confusions. It may result from failure to develop dependable associations between retinal and ocular motor signals these are essential to fix the true, as opposed to retinotopic, locations of objects in the outside world. We hav...

An isolated ocular motor nerve palsy is defined as dysfunction of a single ocular motor nerve (oculomotor, trochlear, or abducens) with no associated or localizing neurologic signs or symptoms. When occurring in patients aged 50 or older, the most common cause is microvascular ischemia, but serious etiologies such as aneurysm, malignancy, and giant cell arteritis should always be considered. In...

Objectives/Hypothesis: Attention Deficit/Hyperactivity Disorder (ADHD) designates a spectrum of disorders characterized by inattention, impulsivity and hyperactivity whose neurological foundations are largely unknown. Current research hypothesizes several mechanisms for the symptoms seen in this heterogeneous population, including vestibular dysfhnction. Past research has investigated the vesti...