Drug-induced reverse ocular dipping

Kitagawa, Naoyuki; Sakurai, Michio

doi:10.1136/bcr-2014-206951

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“…2 It is a nonlocalizing sign seen in coma of various metabolic and toxic etiologies. 3 To the best of our knowledge, reverse ocular dipping has not been reported in a postinfectious setting.…”

mentioning

confidence: 93%

Reverse Ocular Dipping in Post–Varicella Zoster Cerebellitis Demonstrated by a Novel Video Technique

James,

Jose,

Gafoor

et al. 2023

Journal of Neuro-Ophthalmology

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mentioning

confidence: 93%

Reverse Ocular Dipping in Post–Varicella Zoster Cerebellitis Demonstrated by a Novel Video Technique

James,

Jose,

Gafoor

et al. 2023

Journal of Neuro-Ophthalmology

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Eye Movements in Coma

Shaikh

Wang

2021

Eye Movements in the Critical Care Setting

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Fentanyl

2015

Reactions Weekly

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Fentanyl Reverse ocular dipping: case reportA 19-year-old male patient developed an abnormal eye movement known as reverse ocular dipping following treatment with fentanyl.The man had undergone a laminectomy for lumbar disc herniation. He received treatment with droperidol and fentanyl [dosage not stated] by continuous infusion for pain relief. The next day he reported involuntary upward movement in his eyes and his eyes exhibited conjugate upward movement that was followed by a brief tonic phase then rapid downward movement to the primary position. This cycle was repeated at irregular intervals. A brain CT and blood test showed no abnormalities.The man's treatment was withdrawn and his abnormal eye movements resolved within 2-3 hours.Author comment: "In our case, fentanyl may have induced reverse ocular dipping". Kitagawa N, et al. Drug-induced reverse ocular dipping. BMJ Case Reports

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Drug-induced reverse ocular dipping

Cited by 4 publications

References 3 publications

Reverse Ocular Dipping in Post–Varicella Zoster Cerebellitis Demonstrated by a Novel Video Technique

Reverse Ocular Dipping in Post–Varicella Zoster Cerebellitis Demonstrated by a Novel Video Technique

Eye Movements in Coma

Fentanyl

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