Grant Arthur C, Jain Vivek, Bose Swaraj
Department of Neurology, UCI Medical Center, Neurodiagnostic Laboratory, Orange, CA 92868, USA.
Neurology. 2002 Nov 12;59(9):1438-41. doi: 10.1212/wnl.59.9.1438.
The authors describe a case of epileptic monocular nystagmus in a cognitively intact adult with normal vision. Focal seizures originated in the occipital lobe contralateral to the involved eye, and an associated structural lesion was thought to represent a forme fruste of Sturge-Weber syndrome. It is hypothesized that the seizure discharge either activated a cortical saccade region and caused simultaneous supranuclear inhibition of ipsilateral eye movement or triggered monocular eye movement commands.
