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Oculogyric crisis (OGC) is a rare sudden, paroxysmal, dystonic reaction that may manifest in response to specific drugs, particularly neuroleptics, or medical conditions, such as movement disorders. This neurological phenomenon is characterized by a sustained dystonic, conjugate, involuntary upward deviation of both eyes lasting seconds to hours.
Fast-phase horizontal eye movement vision Fast-phase vertical eye movement vision. Nystagmus is highly noticeable but rarely recognized. Nystagmus can be clinically investigated by using a number of non-invasive standard tests. The simplest one is the caloric reflex test, in which one ear canal is irrigated with warm or cold water or air.
The initial four criteria for classifying AHC were that it begins before 18 months of age, includes attacks of both hemiplegia on either side of the body, as well as other autonomic problems such as involuntary eye movement (episodic monocular nystagmus), improper eye alignment, choreoathetosis, and sustained muscle contractions (dystonia).
The condition should be distinguished from the more common, and milder, involuntary quivering of an eyelid, known as myokymia or fasciculation. Blepharospasm is one form of a group of movement disorders called dystonia. [4] It may be a primary or secondary disorder.
A change in the magnitude of the vestibulo-ocular reflex due to vestibular disease can also lead to oscillopsia during rapid head movements. [3] Oscillopsia may also be caused by involuntary eye movements such as nystagmus , or impaired coordination in the visual cortex (especially due to toxins ) and is one of the symptoms of superior canal ...
opsoclonus (rapid, involuntary, multivectorial (horizontal and vertical), unpredictable, conjugate fast eye movements without intersaccadic [quick rotation of the eyes] intervals) myoclonus (brief, involuntary twitching of a muscle or a group of muscles) cerebellar ataxia, both truncal and appendicular
Late-onset dyskinesia, also known as tardive dyskinesia, occurs after long-term treatment with an antipsychotic drug such as haloperidol (Haldol) or amoxapine (Asendin). The symptoms include tremors and writhing movements of the body and limbs, and abnormal movements in the face, mouth, and tongue – including involuntary lip smacking, repetitive pouting of the lips, and tongue protrusions.
Notably, hippos in antiquity referred to involuntary eye movements which are nowadays called nystagmus. [4] It is particularly noticeable when pupil function is tested with a light, [2] but is independent of eye movements or changes in illumination. [1] It is usually normal, however pathological hippus can occur. [2] [3]