Spasmus Nutans on Ocular Examination At first I thought it was Pendular But a closer look reveals them to be more shimmering and horizonto-Rotary. Then she says: I’ve had this since childhood and I used to tilt my head constantly to the left side and sometimes my head used to Bob up and down to get a better look Spasmus nutans is an acquired form of nystagmus that occurs in children typically within the first 2 years of life. It presents as a clinical triad of 1) nystagmus 2) head bobbing 3) torticollis. Head bobbing and torticollis are mechanisms to improve vision. Dr. Boby Varkey Maramattom @bobvarkey #Spasmus #Nutans #Ocular #PhysicalExam #clinical #video #ophthalmology #neurology
