Oculopalatal Tremor with Delayed Onset Ataxia

Oculopalatal myoclonus, more accurately described as oculopalatal tremor (OPT), consists of penduiar nystagmus with palatal tremor. OPT typically presents in a delayed fashion (median: ~10 months; range: 0 - 49 months) following an acute brainstem lesion. Although patients with OPT often exhibit symptoms related to the initial insult, the delayed sequelae are typically restricted to the eyes and palate