Oculogyric crisis is an episodic disorder of ocular motility that can be distressing for the patient.
Clinical features:
(1) involuntary tonic deviations of the both eyes lasting from seconds to minutes
(2) movement is usually upwards but occasionally occurs laterally
(3) an episode may last from 1 to 2 hours (range minutes to several hours)
The most common cause for oculogyric crisis is therapy with haloperidol or other neuroleptic agent. This type of oculogyric crisis is accompanied by anxiety, agitation and other disturbing emotional symptoms.
Other cause for an oculogyric crisis:
(1) disorder involving the cerebellum or fourth ventricle
(2) other drugs
(3) encephalitis
(4) multiple sclerosis
(5) Parkinson's disease
(6) late syphilis
(7) head trauma
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