Hypomagnesemia-induced encephalopathy with transient torsional nystagmus evolving into downbeat nystagmus: a rare complication of ileostomy

Paramasivan, Naveen Kumar; Yallapalli, Manisha K; Sundaram, Soumya; Vijayaraghavan, Asish; Sukumaran, Sajith

doi:10.1007/s13760-022-01997-y

Cited by 2 publications

(2 citation statements)

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“…Eye movement abnormalities reported in association with hypomagnesemia include vertical nystagmus, 6 horizontal nystagmus, 7 transient torsional nystagmus 9 . DBN is a spontaneous nystagmus that occurs in primary gaze fixation and is characterized by fast downward and slow upward phases 10 …”

Section: Discussionmentioning

confidence: 99%

“…3 Eye movement abnormalities reported in association with hypomagnesemia include vertical nystagmus, 6 horizontal nystagmus, 7 transient torsional nystagmus. 9 DBN is a spontaneous nystagmus that occurs in primary gaze fixation and is characterized by fast downward and slow upward phases. 10 In a study of 117 patients, DBN was associated most commonly with neurodegenerative conditions such as spinocerebellar ataxia and treatable conditions such as posterior fossa lesion, paraneoplastic etiology associated with anti Yo antibodies, vitamin B12 11 and thiamine deficiency.…”

Section: Discussionmentioning

confidence: 99%

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Hypomagnesemia: A Rare Cause of Movement Disorders, Myopathy and Vertical Nystagmus

Ray¹,

Kamath²,

Jadhav³

et al. 2023

Movement Disord Clin Pract

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The incidence of hypomagnesemia has been reported as 12% among hospital admissions but hypomagnesemia is frequently underdiagnosed. 1 Neurological symptoms include nausea, headache, vertigo, cognitive impairment, neuronal hyperexcitability, cerebellar and eye signs. 2,3 We report a patient with hypomagnesemia presenting with ataxia, tremors, myoclonus, downbeat nystagmus (DBN) and proximal myopathy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%