An Abnormal Finger–Nose–Finger Examination

Published:September 22, 2021DOI:
      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 both eyes 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]). She described seeing a finger in both locations with a blur between, consistent with illusory palinopsia. The remainder of her examination, including neurologic examination, was normal.
      Figure thumbnail gr1
      FigureDuring finger–nose–finger testing, the patient consistently pointed to the previous location where the examiner's finger had been and then traced the path the examiner's finger had taken to its current location.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic and Personal
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to The Journal of Pediatrics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Gersztenkorn D.
        • Lee A.G.
        Palinopsia revamped: a systematic review of the literature.
        Surv Ophthalmol. 2015; 60: 1-35
        • Schankin C.J.
        • Viana M.
        • Goadsby P.J.
        Persistent and repetitive visual disturbances in migraine: a review.
        Headache. 2017; 57: 1-16