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• W2056514105 abstract "A 9-month-old boy with multiple anomalies and West syndrome associated with periventricular leukomalacia had upbeat nystagmus with a left-torsional component elicited by loud noises or voices (Figure, A and B; Video 1 available at www.jpeds.com), consistent with Tullio phenomenon.1Kaski D. Davies R. Luxon L. Bronstein A.M. Rudge P. The Tullio phenomenon: a neurologically neglected presentation.J Neurol. 2012; 259: 4-21Crossref PubMed Scopus (36) Google Scholar His eyes also deviated to the left when he smiled (Figure, C and D; Video 2 available at www.jpeds.com). These activities were not associated with any epileptic activities on electroencephalography. Bilateral temporal bone computed tomography revealed no obvious superior semicircular canal dehiscence. It is important to be aware of the existence of Tullio phenomenon to avoid inappropriate intervention in children,1Kaski D. Davies R. Luxon L. Bronstein A.M. Rudge P. The Tullio phenomenon: a neurologically neglected presentation.J Neurol. 2012; 259: 4-21Crossref PubMed Scopus (36) Google Scholar although the infantile form is extremely rare. The physician should consider and rule out conditions such as reflex epilepsy and the variant form of infantile spasms with nystagmoid eye movements when encountering such symptoms.2Watanabe K. Negoro T. Okumura A. Symptomatology of infantile spasms.Brain Dev. 2001; 23: 453-466Abstract Full Text Full Text PDF PubMed Scopus (46) Google Scholar The key findings that should be considered by pediatricians to reach the correct diagnosis of Tullio phenomenon are nystagmus elicited with voice or sound and no electrical seizure on electroencephalography during the event.Peculiar eye movements associated with mouth movement can accompany Tullio phenomenon. Although an abnormal neuronal connection might be present for these peculiar symptoms, the detailed mechanism remains unclear but may be clarified with an accumulation of cases. A 9-month-old boy with multiple anomalies and West syndrome associated with periventricular leukomalacia had upbeat nystagmus with a left-torsional component elicited by loud noises or voices (Figure, A and B; Video 1 available at www.jpeds.com), consistent with Tullio phenomenon.1Kaski D. Davies R. Luxon L. Bronstein A.M. Rudge P. The Tullio phenomenon: a neurologically neglected presentation.J Neurol. 2012; 259: 4-21Crossref PubMed Scopus (36) Google Scholar His eyes also deviated to the left when he smiled (Figure, C and D; Video 2 available at www.jpeds.com). These activities were not associated with any epileptic activities on electroencephalography. Bilateral temporal bone computed tomography revealed no obvious superior semicircular canal dehiscence. It is important to be aware of the existence of Tullio phenomenon to avoid inappropriate intervention in children,1Kaski D. Davies R. Luxon L. Bronstein A.M. Rudge P. The Tullio phenomenon: a neurologically neglected presentation.J Neurol. 2012; 259: 4-21Crossref PubMed Scopus (36) Google Scholar although the infantile form is extremely rare. The physician should consider and rule out conditions such as reflex epilepsy and the variant form of infantile spasms with nystagmoid eye movements when encountering such symptoms.2Watanabe K. Negoro T. Okumura A. Symptomatology of infantile spasms.Brain Dev. 2001; 23: 453-466Abstract Full Text Full Text PDF PubMed Scopus (46) Google Scholar The key findings that should be considered by pediatricians to reach the correct diagnosis of Tullio phenomenon are nystagmus elicited with voice or sound and no electrical seizure on electroencephalography during the event. Peculiar eye movements associated with mouth movement can accompany Tullio phenomenon. Although an abnormal neuronal connection might be present for these peculiar symptoms, the detailed mechanism remains unclear but may be clarified with an accumulation of cases. Supplementary Data Download .mov (6.41 MB) Help with mov files Video 1The nystagmus elicited by a noise or voice was prominent initially and became less prominent within seconds, even when the stimulus persisted. Download .mov (6.22 MB) Help with mov files Video 2The patient showed peculiar deviation of both eyes leftward when he smiled; this was not associated with loss of consciousness. Download .mov (6.41 MB) Help with mov files Video 1The nystagmus elicited by a noise or voice was prominent initially and became less prominent within seconds, even when the stimulus persisted. Download .mov (6.22 MB) Help with mov files Video 2The patient showed peculiar deviation of both eyes leftward when he smiled; this was not associated with loss of consciousness." @default.
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• W2056514105 date "2013-04-01" @default.
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• W2056514105 title "Infantile Tullio Phenomenon" @default.
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• W2056514105 doi "https://doi.org/10.1016/j.jpeds.2012.10.049" @default.
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