Dancing Eyes

A 25-month-old boy presented with abnormal eye movements, a history of myoclonic jerks progressing to near-continuous tremulousness, and unsteadiness of gait for the last month. He also had irritability, reduced sleep, and feeding difficulties. He was born to nonconsanguineous parents, had a smooth perinatal transition, and was developmentally normal before this presentation. Examination revealed normal head size, extreme irritability, truncal ataxia, peculiar eye movements, and tremulousness (Video; available at www.jpeds.com), which led to a syndromic diagnosis of opsoclonus myoclonus ataxia syndrome.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Rediscovering the Physical Exam Source Type: research