Guest guest Posted September 9, 2004 Report Share Posted September 9, 2004 I recently had my 27 mo. Old evaluated by a nuero opthamologist per the request of Dr. Cohen, my daughters mito doc. It was VERY helpful. She has several eye movement irregularities although her vision is completely functional. It is my understanding that abnormal eye movement disorders are inherent to mito, BUT they can have two different causes. 1) being lack of energy – which is why vision is often affected by mito- you may notice as I do, your childs eye movements worsen during illnesses, fatigue periods etc. and 2 ) nuerological in origin- the important thing is to determine if there is opthomoplegia present, or any atrophy to the optic nerve or retina etc. etc… Only a nuero-opthamologist can give you the most detailed appraisal of cause or extent of the eye muscles being affected vs. an opthamologist or a nuerologist. There are about 300 in the country. I saw one in Phoenix that was comfortable seeing a 2 year old and the results were helpful. If you have a decent insurance policy, or access to a nuero opthamologist through a clinic I would pursue this. They will probably want a complete nuerological history with recent MRI’s or EEG’s also. Hope this helps!! Suzanne From: Kilbride Sent: Thursday, September 09, 2004 7:26 AM To: mito support group Subject: Does anyone have similar eye activity? Hi friends; I'm puzzled about something that's been happening with Kirkland lately and I'm wondering whether it's more mito-related than seizure. Hopefully, I may find someone in the group who can shed some light on this for me. Lately, Kirkland's had a lot of episodes where his eyes are pointed upward for long periods of times (1 hr+). Often his seizures present with that type of eye positioning but this is different. When he has a seizure, his eyes definitely fixate upwards until he comes out of it but then they come back down and he starts to become aware again after about 1 minute. I ask him to look at me to tell whether he's out or not and if he's out, he'll look at me. What happens in these new episodes is: his eyes go up and he can't move them back down BUT he doesn't have the other seizure behavior. He seems to hear us, moves around as if he's responsive, makes regular sounds, reacts to touches he doesn't like etc. but he can't bring his eyes down. His pupils usually aren't responsive during these episodes and his eyes don't move in the opposite direction when his head is turned (as with a doll). It's really concerning me because these episodes are happening more and more frequently. I've tried to draw connections between med changes, constipation, or other factors that might be causing it but to no avail. That's why I thought I'd see if anyone else has this type of problem. I don't know a lot about dysautonomia but am I right that some of you were talking recently about your kids not being able to move parts of their bodies? I thought I remembered some talk of the eyes in these instances?? He does have other autonomic issues: temperature regulation probs (excessive sweating), motility issues. Could this type of eye activity be a sign of dysautonomia as well? I'd appreciate hearing from any of you that have any suggestions. I'd hate for this to be seizure-activity and I'm missing it. It's just not typical and our neuro isn't sure either. Thanks a bunch, , mom to Kirkland 3.5 yrs, Complex One, devt'l delays, seizures, g-j tube, O2, CVI, __________________________________________________ Quote Link to comment Share on other sites More sharing options...
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