Superior oblique myokymia.

Abstract

Superior oblique myokymia is an unusual eye movement phenomenon generally considered to be a uniocular rotary microtremor easily treated with carbamazepine. Eleven new cases are presented, one with a unique combination of motility problems, emphasizing that the disorder may have varying clinical manifestations. Long-term follow-up of the patients revealed a natural history of recurrent spontaneous remissions and relapses. Treatment with carbamazepine was of short-term benefit in most patients but failed to affect the long-term course of the disease. No patient developed other evidence of neurological disease. The condition seems to be a benign, permanent condition limited in its manifestations to the superior oblique muscle.

• Authors: M L Rosenberg, J S Glaser
• Journal: Annals of neurology (Ann Neurol) Vol. 13 Issue 6 Pg. 667-9 (Jun 1983) ISSN: 0364-5134 [Print] United States
• PMID: 6881928 (Publication Type: Case Reports, Journal Article)

Chemical References

• Carbamazepine

Topics

• Adult
• Carbamazepine (therapeutic use)
• Eye Movements
• Female
• Humans
• Hyperkinesis (diagnosis, drug therapy)
• Male
• Middle Aged
• Myoclonus (diagnosis, drug therapy)
• Oculomotor Muscles (drug effects)
• Tremor (diagnosis, drug therapy)