J Korean Neurol Assoc.  2020 Nov;38(4):293-297. 10.17340/jkna.2020.4.8.

Ocular Flutter in Hyperosmolar Hyperglycemic State during Treatment of Malignant Cerebral Edema

Affiliations
  • 1Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea

Abstract

Ocular flutter (OF) is a rare eye movement disorder with horizontal saccadic oscillations without inter-saccadic intervals. The OF can occur in various clinical settings. A 83-year-old female showed the OF in hyperosmolar hyperglycemic state (HHS) following malignant cerebral infarction. The pathophysiology of the OF is still unclear, but this case provides a new information that the OF can occur in the context of toxic-metabolic state such as HHS.

Keyword

Ocular flutter; Hyperglycemic hyperosmolar nonketotic coma; Cerebral infarction
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