Spasm of the near reflex: A case report

Spasm of the near reflex: A case report

Blog Article

Purpose: Spasm of click here the near reflex (SNR) is a triad of miosis, excess accommodation and excess convergence.Primary SNR is most often functional in origin We aim to highlight the clinical features which distinguish primary convergence from other conditions with a similar presentation but more sinister underlying aetiology, for example bilateral abducens nerve palsy.Observations: There is a paucity of published data on SNR, in particular diagnostic criteria and treatment.We report a case of SNR of functional origin in an otherwise healthy young female and discuss the clinical features that differentiate this condition from similar conditions with underlying neurological origin.Conclusion and importance: SNR is predominantly a clinical diagnosis, lock shock and barrel art and often leads to patients undergoing unnecessary investigations and sometimes treatment.

Recognising the salient features that differentiate it could potentially avoid this.