An Abnormal Finger-Nose-Finger Exam

A previously healthy 6-year-old girl presented with a complaint of intermittent “fuzzy” vision provoked by reading. There was no history of eye pain, redness, or tearing; headache; ataxia; weakness; or vomiting. Examination revealed decreased visual acuity (best estimate 20/50 OU with variable performance), irregular responses to questions about the number of objects being displayed, and an abnormal finger-nose-finger test. The patient accurately touched the first stationary finger target, but as the examiner’s finger moved, she consistently pointed to the previous location where the finger had been and then traced the path to the current location of the finger (Figure and Video [available at www.jpeds.com]).

source https://www.jpeds.com/article/S0022-3476(21)00897-0/fulltext?rss=yes

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