Al examen fisico se la encontro en aceptables condiciones generales, muy irritable, con opsoclonus
que se exacerbaba con la ansiedad, ataxia, dismetria, reflejos musculotendinosos ++/++++ simetricos, fuerza y tono conservados.
On April 24th, 2013, Baby Jonathan "Tell" was diagnosed with Opsoclonus
Myoclonus Ataxia Syndrome (OMS) at the young age of 20 months old.
, characterized by rapid, multidirectional saccadic eye movements, is a paraneoplastic syndrome that is associated with neuroblastoma but not necessarily orbital involvement.
In contrast, a specialist referral might be appropriate for the child with more severe gastroesophageal reflux, opsoclonus
(rapid and irregular eye movements), or one of the psychiatric disorders with manifestations that can mimic epileptic seizures.
De la misma manera, debe tenerse en cuenta el opsoclonus
y el nistagmo vertical inferior, asi como la valoracion de la musculatura cervical en busqueda de signos de torticolis.
No vertical gaze movement restriction, vertical gaze nystagmus or burst of consecutive saccades (opsoclonus
) noted during clinical examination.
Acthar Gel is an injectable drug that is approved for the treatment of exacerbations associated with multiple sclerosis, infantile spasms, opsoclonus
myoclonus syndrome, and nephrotic syndrome.
El Sindrome del Opsoclonus-Mioclonus (SOM) en la infancia es una enfermedad neurologica poco frecuente que se caracteriza por mioclonias de aparicion brusca, junto con opsoclonus
y ataxia (1).
In addition to presenting with a palpable neck mass, patients may present with feeding difficulties, airway symptoms, or opsomyoclonus (opsoclonus
, myoclonus, and cerebellar ataxia), which is thought to be a paraneoplastic syndrome.
None of the patients had myoclonus or opsoclonus
. Cerebellar symptoms lasted between 7 and 20 days, resolving spontaneously in all patients.
An interesting finding opsoclonus
is seen in one case.
Jordan was born with Down syndrome and opsoclonus
. His mom, MaryBeth, retired early to stay at home and provide special instruction.