Opsoclonus Myoclonus syndrome

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Clinic

  • OMS is a rare neurological disorder probably due to Autoimmune disease / Infectious disease.
  • OMS is occurred with neuroblastoma and Celiac disease.
  • OMS is an inflammatory disease which involves Cerebellum.
  • It is characterized by
    • Involuntary, conjugate, multi directional eye movements (Saccades)
    • Myoclonus: Involuntary movements of limb or face
    • Ataxia
    • Dysarthria
    • Irritability
    • Dementia
    • Altered level of consciousness

Entities

  • Opsoclonus
  • Myoclonus: Brief, involuntary twitching of a muscle or a group of muscles
  • Cerebellar ataxia: Both truncal and appendicular
  • Aphasia: A language disorder in which there is an impairment of speech and of comprehension of speech, caused by brain damage
  • Mutism: A language disorder in which a person does not speak despite evidence of speech ability in the past, often part of a larger neurological or psychiatric disorder
  • Dysarthria


Sign / Symptoms

  • Lethargy , Irritability or malaise
  • Drooling
  • Strabismus
  • Vomiting
  • Sleep disturbance
  • Emotional disturbances including fits of rage


Related Disease

  • Neuroblastoma
  • Breast carcinoma
  • Small-cell lung carcinoma
  • Paraneoplastic syndromes


Miasms

  1. Kuban KC, Ephros MA, Freeman RL, Laffell LB, Bresnan MJ. Syndrome of opsoclonus-myoclonus caused by Coxsackie B3 infection. Ann Neurol. 1983 Jan;13(1):69-71. doi: 10.1002/ana.410130115. PMID: 6299176.
  2. J Clin Neurol 2014;10(3):272-275 Opsoclonus-Myoclonus Syndrome Associated with Mumps Virus Infection Bong-Hui Kang,a Jae-Il Kima,b