Abnormal Eye Movement

Consult Page

5Y female presenting with eye movement abnormalities. MRI with Chiari malformation.

Initial Imaging

Walking Thoughts

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  What type of eye movement abnormality does she have? Does she have any other symptoms (e.g. headache, paresthesias, weakness)?

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  Does the patient have any signs or symptoms of hydrocephalus?

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  Does the patient have any signs or symptoms of brainstem compression?

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  Do these symptoms worsen with Valsalva maneuvers?

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  Does the patient’s history and exam correlate with the imaging findings? Is she symptomatic from her Chiari I malformation or is it an incidental finding?

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  What is her prior medical history? Does she have any congenital malformations (e.g. spina bifida)?

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  Does she need additional imaging (e.g. MRI of the spine)?