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Convergence-retraction nystagmus

MedGen UID:
754425
•Concept ID:
C2939429
•
Disease or Syndrome
Synonym: Convergence retraction nystagmus
SNOMED CT: Convergence retraction nystagmus (373590007)
 
HPO: HP:0025711

Definition

Convergence-retraction nystagmus is an irregular, jerky nystagmus in which both eyeballs rhythmically converge and retract into the orbit, particularly on attempting an upward gaze. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVConvergence-retraction nystagmus

Conditions with this feature

Cerebral palsy, spastic quadriplegic, 3
MedGen UID:
934734
•Concept ID:
C4310767
•
Disease or Syndrome
Any spastic quadriplegia in which the cause of the disease is a mutation in the ADD3 gene.
See: Condition Record
Cerebral palsy, spastic quadriplegic, 3

Recent clinical studies

Etiology

Children with dorsal midbrain syndrome as a result of pineal tumors.
Hoehn ME, Calderwood J, O'Donnell T, Armstrong GT, Gajjar A
J AAPOS 2017 Feb;21(1):34-38. Epub 2017 Jan 7 doi: 10.1016/j.jaapos.2016.09.024. PMID: 28069468Free PMC Article
Parinaud syndrome: a 25-year (1991-2016) review of 40 consecutive adult cases.
Shields M, Sinkar S, Chan W, Crompton J
Acta Ophthalmol 2017 Dec;95(8):e792-e793. Epub 2016 Oct 24 doi: 10.1111/aos.13283. PMID: 27778456
Dorsal midbrain syndrome with loss of motor fusion: a rare association.
Gregory ME, Rahman MQ, Cleary M, Weir CR
Strabismus 2011 Mar;19(1):17-20. Epub 2011 Jan 27 doi: 10.3109/09273972.2010.545468. PMID: 21271797
Long-term ophthalmological follow-up of children with Parinaud syndrome.
Goldenberg-Cohen N, Haber J, Ron Y, Kornreich L, Toledano H, Snir M, Cohen IJ, Michowiz S
Ophthalmic Surg Lasers Imaging 2010 Jul-Aug;41(4):467-71. doi: 10.3928/15428877-20100426-02. PMID: 20438046
A diplopia dilemma.
Saunders M, Guinane C, MacFarlane M, Tarr K, Bhatti MT, Pincus DW
Surv Ophthalmol 2006 Jan-Feb;51(1):68-74. doi: 10.1016/j.survophthal.2005.11.004. PMID: 16414363

Diagnosis

Parinaud's syndrome due to an unilateral vascular ischemic lesion.
Serino J, Martins J, Páris L, Duarte A, Ribeiro I
Int Ophthalmol 2015 Apr;35(2):275-9. Epub 2015 Feb 4 doi: 10.1007/s10792-015-0045-y. PMID: 25649259
Leigh's disease associated with a dorsal midbrain syndrome.
West SK, Connors L, Cox TC, Coker TP
J Pediatr Ophthalmol Strabismus 2009 Sep-Oct;46(5):304-5. Epub 2009 Sep 22 doi: 10.3928/01913913-20090903-09. PMID: 19791729
A diplopia dilemma.
Saunders M, Guinane C, MacFarlane M, Tarr K, Bhatti MT, Pincus DW
Surv Ophthalmol 2006 Jan-Feb;51(1):68-74. doi: 10.1016/j.survophthal.2005.11.004. PMID: 16414363
The pretectal syndrome: 206 patients.
Keane JR
Neurology 1990 Apr;40(4):684-90. doi: 10.1212/wnl.40.4.684. PMID: 2320246
Ocular oscillations.
Daroff RB
Ann Otol Rhinol Laryngol 1977 Jan-Feb;86(1 Pt 1):102-7. doi: 10.1177/000348947708600118. PMID: 835966

Therapy

Immune-mediated ophthalmoparesis with anti-GD1a antibodies.
McKean N, Chircop C
BMJ Case Rep 2021 Nov 18;14(11) doi: 10.1136/bcr-2021-244273. PMID: 34794976Free PMC Article
Children with dorsal midbrain syndrome as a result of pineal tumors.
Hoehn ME, Calderwood J, O'Donnell T, Armstrong GT, Gajjar A
J AAPOS 2017 Feb;21(1):34-38. Epub 2017 Jan 7 doi: 10.1016/j.jaapos.2016.09.024. PMID: 28069468Free PMC Article
See-saw nystagmus, convergence-retraction nystagmus and contraversive ocular tilt reaction from a paramedian thalamomesencephalic infarct.
Man BL, Fu YP
BMJ Case Rep 2014 Nov 28;2014 doi: 10.1136/bcr-2014-206851. PMID: 25432932Free PMC Article
Isolated vertical diplopia as the initial manifestation of presumed pretectal and anterior hypothalamic germinomas.
Moon SY, Kim JS, Choi KD, Park SH, Hwang JM, Park M
J Neuroophthalmol 2005 Jun;25(2):105-8. doi: 10.1097/01.wno.0000165314.44815.f1. PMID: 15937432
Convergence retraction nystagmus: a disorder of vergence?
Rambold H, Kömpf D, Helmchen C
Ann Neurol 2001 Nov;50(5):677-81. doi: 10.1002/ana.1263. PMID: 11706977

Prognosis

Immune-mediated ophthalmoparesis with anti-GD1a antibodies.
McKean N, Chircop C
BMJ Case Rep 2021 Nov 18;14(11) doi: 10.1136/bcr-2021-244273. PMID: 34794976Free PMC Article
Parinaud syndrome: a 25-year (1991-2016) review of 40 consecutive adult cases.
Shields M, Sinkar S, Chan W, Crompton J
Acta Ophthalmol 2017 Dec;95(8):e792-e793. Epub 2016 Oct 24 doi: 10.1111/aos.13283. PMID: 27778456
Long-term ophthalmological follow-up of children with Parinaud syndrome.
Goldenberg-Cohen N, Haber J, Ron Y, Kornreich L, Toledano H, Snir M, Cohen IJ, Michowiz S
Ophthalmic Surg Lasers Imaging 2010 Jul-Aug;41(4):467-71. doi: 10.3928/15428877-20100426-02. PMID: 20438046
A diplopia dilemma.
Saunders M, Guinane C, MacFarlane M, Tarr K, Bhatti MT, Pincus DW
Surv Ophthalmol 2006 Jan-Feb;51(1):68-74. doi: 10.1016/j.survophthal.2005.11.004. PMID: 16414363
The pretectal syndrome: 206 patients.
Keane JR
Neurology 1990 Apr;40(4):684-90. doi: 10.1212/wnl.40.4.684. PMID: 2320246

Clinical prediction guides

Spontaneous Resolution of Dorsal Midbrain Syndrome Caused by a Pineal Cyst.
Lukewich MK, Alshafai L, Micieli JA
World Neurosurg 2020 Apr;136:289-292. Epub 2020 Jan 27 doi: 10.1016/j.wneu.2020.01.144. PMID: 32001401
Parinaud syndrome: a 25-year (1991-2016) review of 40 consecutive adult cases.
Shields M, Sinkar S, Chan W, Crompton J
Acta Ophthalmol 2017 Dec;95(8):e792-e793. Epub 2016 Oct 24 doi: 10.1111/aos.13283. PMID: 27778456
Endoscopic third ventriculotomy improves parkinsonism following a ventriculo-peritoneal shunt in a patient with non-communicating hydrocephalus secondary to idiopathic aqueduct stenosis.
Hashizume A, Watanabe H, Matsuo K, Katsuno M, Tanaka F, Nagatani T, Sobue G
J Neurol Sci 2011 Oct 15;309(1-2):148-50. Epub 2011 Aug 12 doi: 10.1016/j.jns.2011.07.025. PMID: 21839479
Long-term ophthalmological follow-up of children with Parinaud syndrome.
Goldenberg-Cohen N, Haber J, Ron Y, Kornreich L, Toledano H, Snir M, Cohen IJ, Michowiz S
Ophthalmic Surg Lasers Imaging 2010 Jul-Aug;41(4):467-71. doi: 10.3928/15428877-20100426-02. PMID: 20438046
Bimedial rectus hypermetabolism in convergence spasm as observed on positron emission tomography.
Jeong SH, Oh YM, Kim CY, Kim JS
J Neuroophthalmol 2008 Sep;28(3):217-8. doi: 10.1097/WNO.0b013e3181772b02. PMID: 18769288

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