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Journal Français d'Ophtalmologie
Volume 41, n° 9
pages 868-878 (novembre 2018)
Doi : 10.1016/j.jfo.2018.04.003
Received : 24 Mars 2018 ;  accepted : 4 April 2018
Revue générale

Le bilan étiologique d’un nystagmus chez l’enfant
Etiological assessment of a nystagmus in childhood

N. Gravier
 Unité de strabologie-polyclinique de l’Atlantique, avenue Claude-Bernard, BP 40419, 44819 Nantes-Saint-Herblain cedex, France 

Auteur correspondant.

En dehors du nystagmus latent témoin d’un trouble de développement de la vision binoculaire, tout nystagmus de l’enfant nécessite un bilan étiologique. La connaissance de la physiopathogénie des nystagmus permet d’orienter le bilan en fonction principalement de ses caractéristiques morphologiques. L’examen ophtalmologique clinique est complété par un OCT et un bilan électrophysiologique (ERG, PEV). En cas de normalité, une IRM est systématiquement demandée, ainsi qu’une analyse génétique.

The full text of this article is available in PDF format.

Apart from the latent nystagmus, which arises as a consequence of failure to develop binocular vision, every case of childhood nystagmus needs an etiological assessment. Knowledge of the pathogenesis of the various types of nystagmus guides this assessment, particularly considering the morphological characteristics of the nystagmus. The clinical ophthalmologic examination is complemented by OCT and electrophysiologic testing (ERG, VEP). If this testing is normal, an MRI and genetic assessment are required.

The full text of this article is available in PDF format.

Mots clés : Nystagmus, Nystagmus congénital, Nystagmus manifeste-latent, Spasmus nutans, Nystagmus neurologique, Bilan de nystagmus, Amblyopie nystagmique

Keywords : Nystagmus, Congenital nystagmus, Manifest latent nystagmus, Spasmus nutans, Acquired pendular nystagmus, Neurological nystagmus, Nystagmus work-up, Nystagmic amblyopia

 Retrouvez cet article, plus complet, illustré et détaillé, avec des enrichissements électroniques, dans EMC-Ophtalmologie : N. Gravier. Bilan d’un nystagmus. EMC–Ophtalmologie 2018;15(3):1-9 [Article 21-560-A-10].

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