Neuro-ophthalmology of movement disorders

Olga Waln MD (Dr Waln of Houston Methodist Neurological Institute has no relevant financial relationships to disclose.)
Joseph Jankovic MD, editor. (Dr. Jankovic, Director of the Parkinson's Disease Center and Movement Disorders Clinic at Baylor College of Medicine, received research funding from Allergan, Allon, Ceregene, Chelsea, EMD Serono, Impax, Ipsen, Lundbeck, Medtronic, Merz, and Teva, and compensation for his services as a consultant or an advisory committee member by Allergan, Auspex, EMD Serono, Lundbeck, Merz, Neurocrine Biosciences, and Teva.)
Originally released February 10, 2012; last updated February 18, 2017; expires February 18, 2020

Overview

In this article, the author reviews neuro-ophthalmologic manifestations of the most common movement disorders, including Parkinson disease and atypical parkinsonism, dystonia, Huntington disease, Tourette syndrome, cerebellar disorders, and psychogenic and pediatric movement disorders. This article discusses phenomenology, pathophysiology, and management of the ocular symptoms that can be encountered in patients with movement disorders.

Key points

 

• Ophthalmologic symptoms are common in patients with movement disorders.

 

• Ophthalmologic symptoms are often underestimated but may be troublesome for the patients and adversely impact their quality of life.

 

• Pathophysiology of some neuro-ophthalmologic manifestations in movement disorders is complex and poorly understood.

 

• Recognition and treatment of the ocular symptoms are important when managing patients with a variety of movement disorders.

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