Heimann-Bielschowsky phenomenon (HBP) refers to unilateral vertical nystagmoid eye movements associated with long-standing monocular poor vision. The monocular vertical oscillations of HBP occasionally have large amplitudes and may be cosmetically objectionable and/or functionally disturbing. We report 2 cases of HBP in which recession of the superior rectus, inferior rectus, and inferior oblique muscles were successful in ameliorating the amplitude of oscillations.
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http://dx.doi.org/10.1016/j.jaapos.2010.11.012 | DOI Listing |
Mult Scler Relat Disord
February 2022
Department of Neurology, University of Athens, Eginition Hospital, Athens, Greece.
A 32-year-old woman with relapsing-remitting multiple sclerosis and a right optic neuritis with incomplete remission presented with unique neuro-ophthalmologic abnormality consisting of a spontaneous, pendular, vertical movement of the right eye consistent with the Heimann-Bielschowsky phenomenon (HBP). This rare form of dissociated nystagmus probably reflects a "dual abnormality mechanism" comprising the coexistence of an asymmetric conduction delay in the optic nerve and a strategic network disruption in brainstem gaze holding centres. For the clinician it is important to recognize this rare neuro-ophthalmologic syndrome and be aware of its benign nature.
View Article and Find Full Text PDFSci Rep
May 2021
College of Engineering, Mathematics and Physical Sciences, University of Exeter, Exeter, UK.
We present a new computational approach to analyse nystagmus waveforms. Our framework is designed to fully characterise the state of the nystagmus, aid clinical diagnosis and to quantify the dynamical changes in the oscillations over time. Both linear and nonlinear analyses of time series were used to determine the regularity and complexity of a specific homogenous phenotype of nystagmus.
View Article and Find Full Text PDFJ Fr Ophtalmol
November 2020
Exploration de la vision et neuro-ophtalmologie, CHU de Lille, 59000 Lille, France; Faculté de médecine, université de Lille, 1, place de Verdun, 59000 Lille, France.
Top Companion Anim Med
August 2020
Neurology & Neurosurgery Service, Dick White Referrals, Cambridgeshire, United Kingdom.
A 6-year-old female-neutered vaccinated Cocker Spaniel presented for preadoption neurological evaluation due to abnormal left-eye movements that had been noticed since young age. Clinical examination revealed left-eye cataract with a nonvisible left and a normal right retina on ophthalmoscopy. Neurological examination revealed absent left-sided menace response and cataract-related ipsilateral visual impairment, and intermittent left-sided abnormal eye movements consisted of intermittent, slow, coarse, variable amplitude, vertical movements of the eye that they were giving the impression of random movements of the eye within the globe as it was floating ("wandering" eye) interchangeable with periods of rest.
View Article and Find Full Text PDFBMC Ophthalmol
June 2020
Department of Ophthalmology, School of Medicine, Kyungpook National University, Daegu, South Korea.
Background: The Heimann-Bielschowsky phenomenon (HBP) is an underrecognized condition characterized by slow, pendular, vertical oscillations of the eye accompanying monocular vision loss. Hypotropic dissociated vertical deviation (DVD) is another rare condition induced by asymmetric visual input. This report documents a rare case of HBP with hypotropic DVD.
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