Jerk Seesaw Nystagmus after Posterior Cranial Fossa Decompression with Cerebellar Tonsillectomy for Chiari i Malformation

Tan Aik Kah, Charng Jeng Toh, Mallika Premsenthil

Research output: Contribution to journalArticle

Abstract

We report a case of jerk seesaw nystagmus that developed after posterior cranial fossa decompression with cerebellar tonsillectomy for Chiari I malformation. A 40-year-old female was diagnosed to be suffering from a Chiari I malformation associated with syringomyelia. Posterior cranial fossa decompression with cerebellar tonsillectomy was performed. Three months later, she developed oscillopsia and jerk seesaw nystagmus. The oscillopsia improved substantially with oral gabapentin. We conclude that oscillopsia and acquired nystagmus are rare but potentially disabling complications following posterior cranial fossa decompression. Oral gabapentin may be effective in the management of oscillopsia secondary to acquired jerk seesaw nystagmus.

Original languageEnglish
Pages (from-to)198-202
Number of pages5
JournalNeuro-Ophthalmology
Volume36
Issue number5
DOIs
Publication statusPublished - Oct 2012

Fingerprint

Pathologic Nystagmus
Posterior Cranial Fossa
Tonsillectomy
Decompression
Syringomyelia
gabapentin

Keywords

  • Chiari I malformation
  • Gabapentin
  • Jerk seesaw nystagmus
  • Oscillopsia
  • Posterior cranial fossa decompression

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology

Cite this

Jerk Seesaw Nystagmus after Posterior Cranial Fossa Decompression with Cerebellar Tonsillectomy for Chiari i Malformation. / Kah, Tan Aik; Toh, Charng Jeng; Premsenthil, Mallika.

In: Neuro-Ophthalmology, Vol. 36, No. 5, 10.2012, p. 198-202.

Research output: Contribution to journalArticle

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