Superior oblique myokymia

superior oblique muscle n. A muscle with origin above the medial margin of the optic canal, with insertion by a tendon passing through the trochlea to the sclera between the superior rectus and lateral rectus muscles, with nerve supply from the trochlear nerve, and whose action directs the pupil of the eye downward and outward. "superior oblique muscle." The American Heritage Stedman's Medical Dictionary. Houghton Mifflin Company, 2002. Answers.com GuruNet Corp. 07 Jul. 2005. http://www.answers.com/topic/superior-oblique-muscle

superior oblique muscle The superior oblique muscle is a muscle in the orbit that causes the eye to look downwards when it is already directed medially (looking towards the nose). It is the only muscle supplied by the trochlear nerve. The superior oblique loops through a pulley like structure (the trochlea) to get the desired movement. "superior oblique muscle." Wikipedia. Wikipedia, 2005. Answers.com GuruNet Corp. 07 Jul. 2005. http://www.answers.com/topic/superior-oblique-muscle

Here are SOM related links to abstracts, articles and other citations of material that are informative. Please share these references with your doctor. It is important to note that these resources are here only because the sources have been generous in giving us permission to link to the information. Many resources do not allow us to link directly to the document, but permit a link to their main/home page. In those cases, instructions will accompany the link information. For those of us with dial-up connections, this can certainly be more work, but it cannot be avoided.

Name of the source, as well as Volume, Issue and page numbers are included so that you will be able to find the information even if (most likely 'when') the journal revamps their website and the link stops working.

Medications

Superior oblique myokymia: Efficacy of medical treatment
Jaapos
Journal of the American Association for Pediatric Ophthalmology and Strabismus
June 2007, Volume 11, Issue 3, Pages 254-257
Pamela E. Williams, MD
Valerie A. Purvin, MD
Aki Kawasaki, MD
Report of a study regarding the use of several medications.
http://www.journals.elsevierhealth.com/periodicals/ympa/article
/PIIS1091853106006173/abstract

Gabapentin attenuates superior oblique myokymia
American Journal of Ophthalmology
May 2002, Vol. 133, Issue 5, Pages 721-723
Drs.:
Robert L Tomsak
Gregory S. Kosmorsky
R. John Leigh
Report of successful use of garbapentin to treat SOM
http://www.ajo.com/article/PIIS0002939402013430/abstract

Science Direct, Elsivier: Two citations
1. JAAPOS
Resolution of superior oblique myokymia with memantine
Feruary 2008, Volume 12, Issue 1, Pages 87-88
Drs.
Saurabh Jain Sheguffa
Shegufta J. Farooq
Irene Gottlob
Very short, but with some side effects noted.
2. JAAPOS
Superior oblique myokymia: Efficacy of medical treatment
June 2007, Volume 11, Issue 3, Pages 254-257
http://www.sciencedirect.com/science?_ob=ArticleListURL&_method=list&_
ArticleListID=705158404&_sort=d&_
acct=C000050221&_version=1&_urlVersion=0&_
userid=10&md5=52b8b67976ed7ef50a6d642ec3565f02&view=f

Superior Oblique Myokymia: Characteristics and Treatment Options
American Orthoptic Journal
January 2004, Volume 54, Number 1, Pages 146-151
Drs.
Daren Mickelson
Neil Lucchese
Mansoor Movaghar
Mention of anti-depressant mirtazapine/Remeron
http://aoj.uwpress.org/cgi/gca?allch=&SEARCHID=1&VOLUME=54&FIRSTPAGE=
146&FIRSTINDEX=0&hits=10&RESULTFORMAT=1&gca=wpaoj%3B54%2F1%2F146

Superior oblique myokymia: Efficacy of medical treatment
Journal of AAPOS
Volume 11, Issue 3, Pages 254-257 (June 2007)
Drs.
Pamela E. Williams
Valerie A. Purvin
Aki Kawasaki
Use of gabapentin and memantine for som
http://www.journals.elsevierhealth.com/periodicals/ympa/article/S1091-8531(06)00617-3/abstract#

Important Announcement The MSN Groups service will close in February 2009. You can move your group to Multiply, MSN’s partner for online groups. Learn More
Superior oblique myokymia	[email protected]