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        <title>Paroxysmal Tonic Gaze Vertical Gaze Phenomena of infancy</title>
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        <description>Paroxysmal Tonic Gaze Vertical Gaze Phenomena of infancy

see also: Paroxymsal Tonic DownGaze

Below is the response formatted in DokuWiki syntax. Since source URLs were not provided in the retrieved citations, the link targets are left as placeholders for insertion.

Benign Tonic Upgaze vs. Tonic Downgaze in Infants</description>
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        <title>Signs and Symptoms of Seizures detectable during the Pediatric Eye Exam - [Other Benign Infantile Mimics] </title>
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        <description>Signs and Symptoms of Seizures detectable during the Pediatric Eye Exam

Ictal eye and eyelid signs observable during examination

	*  Behavioral arrest with a fixed stare (pause/stare) and eye involvement
		*  Among the most frequent semiologic features of childhood absence epilepsy—eye involvement occurred in a substantial proportion of seizures, and staring was nearly universal.</description>
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        <title>Paroxysmal Tonic Downgaze in infants - [Causes] </title>
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Paroxysmal tonic downgaze (PTD) of infancy is a supranuclear gaze disorder marked by intermittent, conjugate downward deviation of the eyes. It occurs in a benign idiopathic form and a symptomatic form associated with CNS injury.</description>
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        <description>Spasmus Nutans

Definition

Spasmus nutans (SN) is a rare, self-limiting paroxysmal disorder of infancy classically defined by a clinical triad:

	*  Nystagmus — asymmetric, disconjugate, horizontal, pendular, small-amplitude and high-frequency (up to 15 Hz); may be monocular or, occasionally, bilateral or vertical (Bonnet et al.,</description>
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        <title>Triage Rules for Pediatric Eye and Adult Strabismus Clinics</title>
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        <description>Triage Rules for Pediatric Eye and Adult Strabismus Clinics

Same Day Emergent Referrals

Trauma:

	*  Penetrating/perforating
		*  Metal on metal
		*  Severe blunt trauma
		*  Mild blunt trauma with ocular symptoms


	*  If the patient has multiple injuries or is not being referred by a physician, they should report to the nearest Emergency Room</description>
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        <title>ROP Screening Guidelines- U Iowa</title>
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        <description>ROP Screening Guidelines- U Iowa

Any one of the following criteria qualifies the patient for ROP screening

	*  Infants with a birth weight of &lt; 1500 grams
	*  Infants with an estimated gestational age at birth of ≤ 30 weeks
	*  Infants who are considered high risk by the Neonatologist</description>
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        <description>Peri-Operative Medication Management

Cardiovascular and Hypertensive Medication

	*  Beta Blockers- continue through surgery 
	*  Alpha 2 Blockers (clonidine)- continue through surgery 
	*  Calcium Channel Blockers- continue through surgery
	*  Diuretics</description>
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BMI

	*  BMI Greater than 50.

Airway/Respiratory

	*  History of difficult airway or difficult airway on exam.
	*  Cervical fusion MAY mean difficult airway 
	*  Down&#039;s syndrome with an unstable neck. This means a difficult airway. We are not obtaining C-spine (flexion, extension) films on Down&#039;s patients every 2 years any longer.</description>
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