Table of Contents

Neuro-Opthalmic Signs in Children with Ataxia

Causes of Ataxia

Common Associations

Neuronal-ophthalmic Finding Frequency
Afferent
Decreased visual acuity 9%
Abnormal optic discs 9%
Abnormal pupils 3%
Abnormal Visual Fields 1%
Efferent
Strabismus 30%
Pathologic nysagmus 28%
Gaze evoked nystagmus 15%
Impaired smooth pursuit 23%
Hypometric saccades 10%
Hypermetric saccades 2%
Impaired Ductions 2%
Ataxia Disorder Most Common Association
Hypoxic-Ischemic encephalopathy Strabismus
Episotic ataxia Nystagmus
Neuronal ceroid lipofuscinosis Abnormal Optic discs
Joubert Syndrome Strabismus
Neuronal Migration Disorder Strabismus
Ischemic Stroke Nystagmus
Friedreich Ataxia Impaired Saccades
Mitochondrial Disease Strabismus/Nystagmus
Severe epilepsy Decreased Visual acuity
Ataxia Telangiectasia Impaired smooth pursuit
Angelman Syndrome Strabismus

- Adapted from Salman et. al. Neuroophthalmology. 2015;39(3):125-131

References