• oculopalatal myoclonus

Oculopalatal myoclonus is characterised by rhythmic pendular vertical eye movements associated with synchronous contraction of the soft palate.¹ It produces intractable oscillopsia,² and is normally the result of brainstem haemorrhage.² However, it is does not usually become manifest until several months or even years later, with the longest recorded interval being 49 months.³ We present an unusual case of a patient who sustained a brainstem haemorrhage following trauma. Eight years later he was incidentally noted to …