“…Regarding the observed ocular motility deficits (pendular nystagmus and ocular muscles hypofunctions), we agree with the already reported finding in isolated CCA (3). For instance, Ramelli et al (3) observed one case of pendular nystagmus in a cohort of 6 CCA-affected children. Pendular nystagmus, rarely seen associated to CCA, is usually observed in demyelinating disorders and other deficits, such as pharmacological intoxication, metabolic, genetic, and granulomatous disorders.…”