Rinsho Shinkeigaku (Clinical Neurology)

The 44th Annual Meeting of the Japanese Society of Neurology

Educational Lecture 7:
Clinical aspects of abnormal eye movements

Yoshiyuki Kuroiwa, M.D. and Hiroyuki Toda, M.D.

Department of Neurology, Yokohama City University Graduate School of Medicine

This paper reviews a variety of abnormal eye movements which include abnormal ocular positions, restricted eye motions, impairment of conjugated eye movements, abnormal smooth persuit, abnormal saccade, gaze-evoked nystagmus, down-beat nystagmus, internuclear ophthalmoplegia, supranuclear ophthalmoplegia, square wave jerks, roving eye movement, ocular bobbing, ocular dipping, reverse ocular bobbing, and ping-pong gaze. Abnormal eye movements occur from stroke, spinocerebellar degeneration, Parkinson disease, multiple system atrophy, progressive supranuclear palsy, multiple sclerosis, Miller Fisher syndrome, myasthenia gravis, opsoclonus-polymyoclonia syndrome, and Creutzfeldt-Jakob disease. In neurological practice, it is important to oberve abnormal eye movements accurately and enthusiastically, to make appropriate anatomical and etiological diagnosis.

(CLINICA NEUROL, 43: 765|768, 2003)
key words: abnormal eye movements, nystagmus, smooth persuit, saccade, supranuclear palsy

(Received: 17-May-03)