Tuesday, November 3, 2015

An infant with abnormal head movements

A healthy 9-month-old girl was referred for an ophthalmology evaluation due to abnormal head movements. She was born full-term from an uncomplicated pregnancy to a 20-year-old mother. Her mother described that when her daughter tries to look at something, she turns her head either right or left and moves her eyes to the side. Her mother did not believe that her daughter could follow objects well with her eyes, and she thought it took some time for her daughter to focus on objects.

On physical examination, the patient reacted appropriately to light. She was able to fix and follow and was visually alert. She was orthophoric, and motility was full with doll's head maneuver. The pupils and anterior and posterior segment examinations were normal. No significant refractive error was noted.

Her examination was remarkable for the following head movements (Video).

See:  http://www.medscape.com/viewarticle/848847?nlid=90229_3001&src=wnl_edit_medp_neur&uac=60196BR&spon=26&impID=875225&faf=1

Nice video and subsequent discussion.

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