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What is Opsoclonus-Myoclonus Syndrome?

Opsoclonus-Myoclonus Syndrome (OMS) is a rare neurological condition characterized by sudden, rapid eye movements (opsoclonus) and involuntary muscle jerks (myoclonus).

It can affect both children and adults, but is more commonly observed in children, often presenting suddenly and progressing rapidly.

Side Effects of Opsoclonus-Myoclonus Syndrome

The symptoms of Opsoclonus-Myoclonus Syndrome can vary widely but typically include:

  • Opsoclonus: Rapid, chaotic eye movements in multiple directions.
  • Myoclonus: Sudden, brief, shock-like muscle jerks.
  • Ataxia: Problems with coordination and balance.
  • Behavioral changes: Irritability, sleep disturbances, and cognitive difficulties.

In severe cases, Opsoclonus-Myoclonus Syndrome can lead to significant disability and affect daily activities, making timely diagnosis and treatment crucial.

How is Opsoclonus-Myoclonus Syndrome Diagnosed?

Diagnosing Opsoclonus-Myoclonus Syndrome involves a thorough evaluation by a neurologist or pediatric neurologist. The diagnosis is based on clinical symptoms and supported by specific tests, which may include:

  • Neurological examination: Assessing eye movements, reflexes, and coordination.
  • MRI or CT scan: Imaging tests to rule out other neurological conditions.
  • Electroencephalogram (EEG): Recording brain activity to detect abnormal patterns.
  • Blood and urine tests: To check for infections or autoimmune markers.

A definitive diagnosis often involves excluding other possible causes of similar symptoms, such as infections or tumors, through these tests.

Potential Treatment of Opsoclonus-Myoclonus Syndrome

Treatment of Opsoclonus-Myoclonus Syndrome typically involves a multidisciplinary approach, including neurologists, immunologists, and rehabilitation specialists. The goals of treatment are to:

  • Control symptoms: Medications such as corticosteroids, immunotherapy (like IV immunoglobulin or rituximab), or ACTH (adrenocorticotropic hormone) may be used to suppress the autoimmune response thought to cause OMS.
  • Supportive care: Physical therapy, occupational therapy, and speech therapy can help manage symptoms and improve daily functioning.
  • Long-term management: Regular follow-up visits are important to monitor progress and adjust treatment as needed.


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