Opsoclonus: Difference between revisions
Ostermayer (talk | contribs) |
Ostermayer (talk | contribs) |
||
| Line 11: | Line 11: | ||
==Disposition== | ==Disposition== | ||
Generally patients are admitted if the etiology is due to an overdose and further supportive care and psychiatric monitoring is required. | |||
==See Also== | ==See Also== | ||
Revision as of 02:57, 24 November 2016
Background
Opsoclonus is involuntary, irregular multidirectional saccadic eye movements. It occurs at fixed gaze and has been reported with ingestion of many medication overdoses such as organophosphates, lithium, cetirizine, amitryptiline, and diphenhydramine.[1]
Clinical Features
- Multidirectional eye movements when at fixed gaze
Differential Diagnosis
Neurologic Causes
Toxicologic
- Alcohol intoxication
- Amphetamines
- Barbiturates
- Benzodiazepines
- Ketamine
- Lithium toxicity
- Other anticonvulsants or sedatives
- Phencyclidine (PCP)
- Phenytoin (Dilantin)
- Salicylates
- SSRI toxicity
- Thiamine deficiency
Evaluation
Management
- Supportive care and treatment focused on the underlying cause of the opsoclonus
Disposition
Generally patients are admitted if the etiology is due to an overdose and further supportive care and psychiatric monitoring is required.
See Also
External Links
References
- ↑ Carstairs S. et al. Opsoclonus Due to Diphenhydramine Poisoning. N Engl J Med 2010; 363:e40