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Is Square Wave Jerk Of The Eyes Indicative Of Parkinson's Disease?

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Posted on Fri, 6 Jan 2017
Question: I would like to talk to a neurologist that has experience with A person with Square Wave Jerk of their eyes. I am a 46 year old female diagnosed with this . All of my lab tests are normal except vitamin D is a little low. I have only ever taken one prescription. I have been taking Spiranolactone for unexplained edema for the last 3.5 years. When I noticed the Nystagmus I immediately stopped taking it, because I had read a blog of someone claiming it was associated . It's actually been good because I didn't realize it was a hormone, and that explains a lot of why I always had hot flashes. Can this diagnosis be associated with MS or Parkinson disease? the neuro I saw was vague and stated it
was usually seen in elderly people and there "Wasn't much to do here" . after I paid him $610 for 15 minutes of his time.
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Answered by Dr. Dariush Saghafi (4 hours later)
Brief Answer:
Square wave jerks

Detailed Answer:
Square wave jerks are typically seen in people who have eye movement problems that originate either in the BRAINSTEM or CEREBELLUM although technically speaking any part of the brain can be involved or injured and affect or induce something called SQUARE WAVE JERKS (SQJ).

Square wave jerks is a phenomenon seen in people with damaged or diseased brainstems which can be seen in Multiple Sclerosis but generally, we do not associate SWJ's with Parkinson's disease. If there are problems in the vertical saccades then, we could be talking about a midbrain lesion. If it is with lateral movements or nystagmus then, it certainly could be the larger PONTINE area causing trouble. SWJ's can be seen in younger individuals as well.

If your question was adequately responded to could you do me the favor of CLOSING THIS QUERY?

In any future query if you would like to actually upload the MRI reports I would happy to read them in their entirety.

This query has utilized a total of 20 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 2473 Questions

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Is Square Wave Jerk Of The Eyes Indicative Of Parkinson's Disease?

Brief Answer: Square wave jerks Detailed Answer: Square wave jerks are typically seen in people who have eye movement problems that originate either in the BRAINSTEM or CEREBELLUM although technically speaking any part of the brain can be involved or injured and affect or induce something called SQUARE WAVE JERKS (SQJ). Square wave jerks is a phenomenon seen in people with damaged or diseased brainstems which can be seen in Multiple Sclerosis but generally, we do not associate SWJ's with Parkinson's disease. If there are problems in the vertical saccades then, we could be talking about a midbrain lesion. If it is with lateral movements or nystagmus then, it certainly could be the larger PONTINE area causing trouble. SWJ's can be seen in younger individuals as well. If your question was adequately responded to could you do me the favor of CLOSING THIS QUERY? In any future query if you would like to actually upload the MRI reports I would happy to read them in their entirety. This query has utilized a total of 20 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.