KMID : 1036520130030020110
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Clinical Neuro-Ophthalmology 2013 Volume.3 No. 2 p.110 ~ p.112
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Pendular See-saw Nystagmus as a Delayed Complication of Traumatic Brain Injury
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Park Jae-Han
Huh Young-Eun Kim Ji-Soo
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Abstract
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A 54-years-old man presented with oscillopsia for 9 months. He had sustained head trauma due to a motor vehicle accident 15 years before. Examination showed bilateral optic atrophy, and pendular see-saw nystagmus that markedly decreased during convergence. Brain MRI disclosed encephalomalacia of both frontal lobes, hydrocephalus, and atrophic optic chiasm. Pendular seesaw nystagmus may be a delayed complication of traumatic brain injury. Suppression of pendular see-saw nystagmus during convergence may be explained by an adaptive mechanism for the increasing diplopia due to seesaw nystagmus while near viewing.
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KEYWORD
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Oscillopsia, Nystagmus, Optic chiasm, Head trauma
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