Gabapentin and Superior Oblique Myokymia

Abstract

Superior oblique myokymia (SOM) is an uncommon disorder characterized by episodic monocular oscillopsia. Though the mechanism of SOM is not fully established, recent reports focus on the role of vascular compression. Several medications have been reported to be of benefit but a standard protocol for SOM has not been established. This case report documents a complete symptom relief in SOM with a documented vascular compression using gabapentin.

KEYWORDS::

• Gabapentin
• superior oblique myokymia
• trochlear nerve

ACKNOWLEDGMENTS

Declaration of interest: The author reports no conflicts of interest. The authors alone are responsible for the content and writing of the paper.