Performing a standard eye examination in neurology

Michael Strupp, MD, FANA

Introduction

To correctly diagnose eye movement disorders it is important to:

  • Take a careful patient history.
  • Perform a systematic clinical bedside examination of the ocular motor and vestibular systems.

Recognizing ocular motor dysfunction is key to the diagnosis of inherited metabolic disorders such as Niemann-Pick type C because more than 95% of all patients with this disorder show an impairment of vertical saccades.

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