{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T19:39:56Z","timestamp":1790969996278,"version":"4.1.0"},"reference-count":117,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,11,28]],"date-time":"2018-11-28T00:00:00Z","timestamp":1543363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["movementdisorders.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Movement Disorders"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Inborn errors of metabolism in adults are still largely unexplored. Despite the fact that adult\u2010onset phenotypes have been known for many years, little attention is given to these disorders in neurological practice. The adult\u2010onset presentation differs from childhood\u2010onset phenotypes, often leading to considerable diagnostic delay. The identification of these patients at the earliest stage of disease is important, given that early treatment may prevent or lessen further brain damage. Neurological and psychiatric symptoms occur more frequently in adult forms. Abnormalities of eye movements are also common and can be the presenting sign. Eye movement disorders can be classified as central or peripheral. Central forms are frequently observed in lysosomal storage disorders, whereas peripheral forms are a key feature of mitochondrial disease. Furthermore, oculogyric crisis is an important feature in disorders affecting dopamine syntheses or transport. Ocular motor disorders are often not reported by the patient, and abnormalities can be easily overlooked in a general examination. In adults with unexplained psychiatric and neurological symptoms, a special focus on examination of eye movements can serve as a relatively simple clinical tool to detect a metabolic disorder. Eye movements can be easily quantified and analyzed with video\u2010oculography, making them a valuable biomarker for following the natural course of disease or the response to therapies. Here, we review, for the first time, eye movement disorders that can occur in inborn errors of metabolism, with a focus on late\u2010onset forms. We provide a step\u2010by\u2010step overview that will help clinicians to examine and interpret eye movement disorders. \u00a9 2018 The Authors. <jats:italic>Movement Disorders<\/jats:italic> published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder Society.<\/jats:p>","DOI":"10.1002\/mds.27484","type":"journal-article","created":{"date-parts":[[2018,11,28]],"date-time":"2018-11-28T14:48:10Z","timestamp":1543416490000},"page":"1844-1856","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Eye movement disorders and neurological symptoms in late\u2010onset inborn errors of metabolism"],"prefix":"10.1002","volume":"33","author":[{"given":"Lisette H.","family":"Koens","sequence":"first","affiliation":[{"name":"University of Groningen, University Medical Center Groningen, Department of Neurology  Groningen The 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