Abstract
This paper reported a 66 years old patient, with eye movements alteration associated to myoclonus, cerebellar ataxia and dysarthria, secondary to a parainfectious process by cytomegalovirus. The physiopathology of the opsoclonus myoclonus ataxia syndrome, its etiologies and the available therapeutic options were checked, and turned out that it is not very common since only one previous published case associated to cytomegalovirus was found.
References
ZAGANAS, PRINIANAKIS G, XIROUCHAKI N, MAVRIDIS M. Opsoclonus-myoclonus síndrome associated with cytomegalovirus encephalitis. Neurology. 2007; 68: 1636.
BARRAGÁN-PÉREZ E, VEÑARDE-ESPINOSA S, GARZA-MORALES S, HERNÁNDEZ-AGUILAR J. Causas no oncológicas del Síndrome de Kins-bourne. Bol Med Hosp Infant Mex. 2005; 62.
GABALDÓN-TORRES L, FERNÁNDEZ-DOMÍNGUEZ J, SALAS-FELIPE J, CAMI-NOA-LIZARRALDE A, PALOMA-FERRER F, GUTIÉRREZ-MOLINA M, BASTOS-MORALES C, SARRIÁ-LUCAS MJ, ARPA-GUTIERREZ FJ. Síndrome de Opsoclono-mioclono-ataxia: dos casos anatomoclínicos. Rev Neurol 2009; 48: 137-140.
PANG K, DE SOUSA C, ANG B, PIKE M. A prospective study of the presentation and management of dancing eye síndrome/opsoclonus-myoclonus síndrome in the United Kingdom. EJPN. 2010; 14: 156-161.
DÁVILA-GUTIERREZ G, PALACIOS-ACOSTA J, GUZMÁN-MARTÍNEZ A, RODRÍGUEZ-ABARCA F, SHALKOW-KLINCOVSTEIN J, CARRASCO-DAZA D. Síndrome de Opsoclonos mioclonos causado por un neuroblastoma. Informe de un caso. Actapediatr mex. 2010; 31: 36-41.
LEWIS M, HARTMANN L, LACHANCE D, JIMENEZ R. Opsoclonus as a suspected paraneo-plastic syndrome of endometrial cancer. Rare Tumors 2020; 2: e42.
BIER S, HILE D. Clinical Communications: Adults. Emergency department presentation of a rare neurological disorder. The Journal of Emergency Medicine. 2010; 38: 452-455.
KORNAL I, VORA J. Case report. Dancing eyes-dancing feet. lancet 1999; 354:390.
AGUILERA S, BOTELLA M, SALADO C, BOSQUE A, MONTIANO J. Sindiome opsoclono-mioclono-ataxico paraneoplasico. An Sist Sanit Navar. 2009; 32: 91-95.
FITZPATRICK AS, GRAY OM, MCCONVILLE J, MCDONNELL GV. Clinical Notes Opsoclonus-Myoclonus Syndrome Asociated with bening ovarian teratoma. Neurology. 2008; 70: 1289-1293.
MATSUMOTO H, UGAWA Y. Paraneoplastic Opsoclonus-Myoclonus Syndrome a review. Brain and nerve. 2010; 62: 365-369.
WONG A, MUSALLAM S, TOMLINSON RD, SHANNON P, SHARPE J. Opsoclonus in three dimensions: oculographic, neuropathologic and modeling correlates. Journal of the Neurological Sciences. 2001; 189: 71-81.
HELMCHEM C, RAMBOLD H, SPRENGER A, ERDMANN C, BINKOSFSKI F. Cerebellar activation in ospsoclonus. An fMRI study Neurology. 2003; 61: 412-415.
TOORN R, RABIE H, WARWICK J. Opsoclonus-Myoclonus in an HIV-infected child on antiretroviral therapy- possible immune reconstitution inflammatory syndrome. European Journal Of Peadiatric Neurology. 2005; 9: 423-436.
DE BROUCKER T, ZUBER A. The Opsoclonus Myoclonus Syndrome. Rev Neurol2000; 156: 73-75.
PRANZATELLI MR, TATE ED, SWAN JA, TRAVELSTEAD AL, COLLIVER JA, VERHULST SJ, CROSLEY CJ, GRAF WD, JOSEPH SA, KELFER HM, RAJU GR. B cell depletion therapy for new-onset opsoclonus-myoclonus. Movement Disorders. 2008;25:238-242.
RRANZATELLI MR. The Neurobiology of the Opsoclonus-Myoclonus Síndrome. Clin. Neurophar-macol. 1992; 15: 186-228.
RALIWAL VK. Clonazepam reponsive opsoclonus myoclonus syndrome: additional evidence in favour of fastigial nucleus disinhibition hypothesis?. J Neural Transm 2010; 117:613-615.
KURIAN M. Opsoclonus-Myoclonus Syndrome in Anti N-Methyl-D-Aspartate Receptor Encephalitis. Arch Neurol. 2010;67:118-121.
KI RANG K. Dancing Eye Syndrome associated with spontaneous recovery and normal neurodevelopment. European Journal of Paediatric Neurology 2010;14: 178 -181.
KANJANASUT, N. HIV-related opsoclonus- myoclonus-ataxia syndrome: Report on two cases. Clinical Neurology and Neurosurgery 2010; 112: 572-574.
RRANZATELLI MR, TRAVELSTEAD AL, TATE ED, ALLISON TJ, MOTICKA EJ, FRANZ DN, ET AL. Band B - and T-cell markers in opsoclonus-myoclonus syndrome: immunophenotyping of CSF lymphocytes. Neurology 2004;62:1526-1532.
BURCA, G, KUTLUK, T, BUYUKRAMUKCU, M, AKYUZ, C, ET AL. Neurological complications of neuroblastic tumors: experience of a single center. Childs Nerv Syst 2010; 26:359-365.

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.