Sending tons of prayers..... How did the appointment go yesterday
Tyvm.. this is from the neurology report. He said this could be anything from just a benign issue to a congenital or a cyst to a tumor. We can do a wait and see approach and monitor monthly due to the testing for this being so expensive but that could also do a lot more harm than good so we opted to move forward with the testing. He noticed her eyes do a rolling motion as well as the head bob. He also said he was glad to not see her head actually tilting in any direction and that not all her reflexes were delayed.
NEUROLOGIC EXAM: MENTATION: Bright, alert, responsive; mentally appropriate; CRANIAL
NERVES: Intermittent pendular rotary nystagmus with equal fast phase left and right; no head tilt;
divergent strabismus; somewhat sluggish vestibulo-ocular reflex; GAIT & POSTURE: Ambulating
without vestibular or cerebellar ataxia; no intention tremor seen despite the history; POSTURAL
REACTIONS: Normal hopping, proprioceptive placing, wheelbarrow, extensor postural thrust; SPINAL
REFLEXES: Normal withdrawal reflexes ×4; MUSCULATURE: Normal appendicular muscle size and
tone
GENERAL PE ABNORMALITIES: None
ANATOMIC DIAGNOSIS: Vestibulo-ocular system (VIII-MLF-III, IV, VI); cerebellum
DIFFERENTIAL DIAGNOSIS:
1. Congenital: Malformation, in-utero infection, ischemia (hypoxemia at birth), early trauma, toxin
exposure
2. Acquired: Inflammation, infection, idiopathic, neoplastic, neurodegenerative condition
ray: 
