Superior oblique myokymia; Transient monocular oscillopsia; Vertical diplopia
Daniel R. Gold, DO, Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, The Johns Hopkins School of Medicine
This is a patient with transient monocular oscillopsia OD and vertical diplopia noted to have many episodes of SOM in the office. There was not only myokymia OD, but also a 4 prism diopter left hypertropia during episodes (suggestive of mild depression OD from SO activation). Ocular motor and alignment examinations between attacks were normal. Routine MRI was normal, and unfortunately CISS/FIESTA images to evaluate for neurovascular compression could not be done. Symptoms gradually diminished spontaneously over time.
Spencer S. Eccles Health Sciences Library, University of Utah