Abstract

NARANJO FERNANDEZ, Rosa M; RODRIGUEZ, Pedra; ESTEVEZ MIRANDA, Yaimir  and  MENDEZ SANCHEZ, Teresita de J. Congenital oculomoror apraxia. Rev Cubana Oftalmol [online]. 2010, vol.23, suppl.1, pp. 649-653. ISSN 1561-3070.

The congenital ocular motor apraxia, also known as Cogan´s Syndrome, is a rare heredity disease that affects the eye in that to the extent that it can not move horizontally at will. Of unknown etiology, it was described by Cogan in 1952 and, classically considered as a sporadic disease with dominant autosomal heredity in some cases, and as an indicator of partial metabolic alterations or neurological development defects in others. An 8 month-old male patient was seen at the pediatric ophthalmology department. On the ocular motility exam, it was found that the child attempted to move his eyes towards an object that got his attention, but instead of this, he moved his head laterally and abruptly. Some studies based on neuroimaging and electroencephalograms were performed; No alteration was found. This is an exclusion diagnosis because other causes of fixation defects and anomalous head movements should be ruled out. Presently, the patient is 2 years old and has improved due to decrease in sudden head movements. However, his retarded psychomotor development, particularly speaking, does require special education. This disease is not common, that is why early detection may contribute to a better visual prognosis.

Keywords : Ocular motor apraxia; congenital; Cogan syndrome; child.

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