Primary congenital glaucoma presenting with infantile nystagmus: a case report
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Acute-onset nystagmus in pediatric patients is a rare but concerning presentation encountered in emergency departments. The differential diagnosis for pediatric nystagmus is broad. However, the appropriate work-up can lead to early recognition of acute pathology and better long-term prognosis. This case involves an isolated positional nystagmus in an infant who was subsequently diagnosed with primary congenital glaucoma, illustrating a rare presentation of the infantile condition. This case report may help increase emergency medicine providers’ awareness of the differential diagnosis and associated red-flag symptoms of pediatric nystagmus, facilitating appropriate evaluation and expedited diagnosis.
Abstract
Acute-onset nystagmus in pediatric patients is a rare but concerning presentation encountered in emergency departments. The differential diagnosis for pediatric nystagmus is broad. However, the appropriate work-up can lead to early recognition of acute pathology and better long-term prognosis. This case involves an isolated positional nystagmus in an infant who was subsequently diagnosed with primary congenital glaucoma, illustrating a rare presentation of the infantile condition. This case report may help increase emergency medicine providers’ awareness of the differential diagnosis and associated red-flag symptoms of pediatric nystagmus, facilitating appropriate evaluation and expedited diagnosis.