Kincade Madison
a Division of Ophthalmology, Children's Hospital of Philadelphia , Philadelphia , Pennsylvania.
J Binocul Vis Ocul Motil. 2019 Jul-Sep;69(3):98-101. doi: 10.1080/2576117X.2019.1622969.
When a new patient presents with a chief complaint of nystagmus, the clinician must know what further action is necessary in order to identify vision or life-threatening diseases. Some types of acquired nystagmus include upbeat nystagmus, downbeat nystagmus, see-saw nystagmus, and period alternating nystagmus. By identifying the characteristics and causes, acquired nystagmus can be recognized as a "red flag." In contrast, children diagnosed with infantile or physiological nystagmus generally will not need neurological testing. As crucial as it is to recognize acquired nystagmus, it is equally important to differentiate among the specific subtypes and to be familiar with the key features of infantile nystagmus.
当新患者以眼球震颤为主诉前来就诊时，临床医生必须清楚需要采取哪些进一步措施，以识别视力问题或危及生命的疾病。某些类型的后天性眼球震颤包括上跳性眼球震颤、下跳性眼球震颤、跷跷板样眼球震颤和周期性交替性眼球震颤。通过识别其特征和病因，后天性眼球震颤可被视为一个“危险信号”。相比之下，被诊断为婴儿型或生理性眼球震颤的儿童通常不需要进行神经学检查。识别后天性眼球震颤固然至关重要，但区分具体亚型并熟悉婴儿型眼球震颤的关键特征同样重要。
