Clinical and Oculographic Analysis of Inferior Oblique Myokymia

J Neuroophthalmol. 2017 Dec;37(4):418-420. doi: 10.1097/WNO.0000000000000535.

Abstract

A 63-year-old man experienced transient vertical oscillopsia lasting several seconds for 2 months. Examination disclosed paroxysmal excyclotorsion of the right eye, spontaneously or triggered by adduction. Eye movements using 3D video-oculography showed intermittent, monocular phasic movements which consisted of excyclotorsion of the right eye mixed with a small amount of supraduction and abduction, and a tonic movement with excyclotorsion and slight elevation. Orbital and brain MRI was unremarkable. Administration of oxcarbazepine markedly decreased the severity and frequency of the episodes. The oculographic characteristics in our patient may indicate that inferior oblique myokymia may be attributed to aberrant, spontaneous discharges in the inferior oblique motor unit.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Diagnostic Techniques, Ophthalmological*
  • Eye Movements / physiology*
  • Humans
  • Imaging, Three-Dimensional / methods*
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Myokymia / diagnosis*
  • Myokymia / physiopathology
  • Ocular Motility Disorders / diagnosis*
  • Ocular Motility Disorders / physiopathology
  • Oculomotor Muscles / diagnostic imaging*
  • Oculomotor Muscles / physiopathology