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Neurology 2002;59:1438-1441
© 2002 American Academy of Neurology
Brief Communications

Epileptic monocular nystagmus

Arthur C. Grant, MD PhD, Vivek Jain, MD and Swaraj Bose, MD

From the Department of Neurology, UCI Medical Center, Neurodiagnostic Laboratory, Orange, CA.

Address correspondence and reprint requests to Dr. Arthur C. Grant, Department of Neurology, UCI Medical Center, Neurodiagnostic Laboratory, Bldg 22C, 101 The City Drive, Orange, CA 92868; e-mail: grantac{at}uci.edu

The authors describe a case of epileptic monocular nystagmus in a cognitively intact adult with normal vision. Focal seizures originated in the occipital lobe contralateral to the involved eye, and an associated structural lesion was thought to represent a forme fruste of Sturge-Weber syndrome. It is hypothesized that the seizure discharge either activated a cortical saccade region and caused simultaneous supranuclear inhibition of ipsilateral eye movement or triggered monocular eye movement commands.




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C. Kellinghaus, T. Loddenkemper, H. O. Luders, A. C. Grant, V. Jain, and S. Bose
Epileptic monocular nystagmus
Neurology, July 8, 2003; 61(1): 145 - 147.
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