Ocular flutter and ataxia associated with AIDS-related complex

Henry J. Kaminski Departments of Neurology, Cleveland Veterans Affairs Medical Center, University Hospitals of Cleveland, Cleveland, OH, USA

David S. Zee Departments of Neurology, Cleveland Veterans Affairs Medical Center, University Hospitals of Cleveland, Cleveland, OH, USA; Johns Hopkins Hospital, Baltimore, MD, USA

R. John Leigh Departments of Neurology, Cleveland Veterans Affairs Medical Center, University Hospitals of Cleveland, Cleveland, OH, USA

Mario F. Mendez Departments of Neurology, Cleveland Veterans Affairs Medical Center, University Hospitals of Cleveland, Cleveland, OH, USA; Department of Neurology, St. Paul Ramsey Medical Center, Jackson at University, St Paul, MN, USA

Abstract

Saccadic oscillations and ataxia have been described in association with viral encephalitis. The authors describe two patients with AIDS-related complex who developed ocular flutter and ataxia. CSF analysis revealed a pleocytosis. Magnetic resonance imaging of the brain in one showed cerebellar atrophy. Ocular flutter, prominent with horizontal saccadic eye movements, was documented by electro-oculography. Blinking induced flutter in one patient while convergence induced it in the other. This is the first report of patients with probable HIV-related brainstem encephalitis suffering ocular flutter.

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Ocular flutter and ataxia associated with AIDS-related complex

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Ocular flutter and ataxia associated with AIDS-related complex

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