Abstract
A 16-year-old girl with fever of unknown origin was found comatose in the morning. Examination disclosed periodic eye movements with an initial downward deviation followed by rapid upward correction (dipping), which lasted 10 to 15 seconds (figure, A; video E-1, on the Neurology Web site at www.neurology.org). Intermittently, these movements were followed by slow to-and-fro horizontal eye motion (ping-pong gaze) immediately or with a latency of several seconds (figure, A, arrow; video E-1). During the dipping and roving eye motion, EEG …
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