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detecting_seizures_during_pediatric_eye_exam [2026/09/20 11:00] – [Visual (sensory) symptoms the child may report or draw] Scott Larsondetecting_seizures_during_pediatric_eye_exam [2026/09/20 11:02] (current) – [Other Benign Infantile Mimics] Scott Larson
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 One important **non-benign mimic** is **Glut1 deficiency syndrome**, in which paroxysmal eye-head movements often begin before 6 months and precede seizures; these gaze-saccade movements are distinguished from opsoclonus by a clear intermovement fixation interval and a same-direction head movement, and recognition matters because the condition is treatable ([[https://pubmed.ncbi.nlm.nih.gov/?term=Pearson+Paroxysmal+Eye-Head+Movements+Glut1+Deficiency|Pearson et al., Neurology 2017]]). One important **non-benign mimic** is **Glut1 deficiency syndrome**, in which paroxysmal eye-head movements often begin before 6 months and precede seizures; these gaze-saccade movements are distinguished from opsoclonus by a clear intermovement fixation interval and a same-direction head movement, and recognition matters because the condition is treatable ([[https://pubmed.ncbi.nlm.nih.gov/?term=Pearson+Paroxysmal+Eye-Head+Movements+Glut1+Deficiency|Pearson et al., Neurology 2017]]).
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 +Spasmus Nutans
 +Benign Tonic Gaze (upgaze or downgaze) 
  
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