An interesting case of ocular flutter, myoclonus, and ataxia in the postpartum period

Abstract

Opsoclonus–myoclonus–ataxia syndrome is a well-established neurologic syndrome with paraneoplastic, postinfectious, immune-mediated, or idiopathic etiology. Ocular flutter and opsoclonus are in the same continuum with a common pathophysiology; however, their phenomenology is distinct. While eye movements in ocular flutter are strictly confined to the horizontal plane, those in opsoclonus are multidirectional. There are few case reports describing the combination of ocular flutter, myoclonus, and ataxia. In this case report, we describe a woman with the abovementioned features in the postpartum period with dramatic response to immunotherapy.