Chronic progressive external ophthalmoplegia (CPEO): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Chronic progressive external ophthalmoplegia (CPEO): clinical features. CPEO: this is isolated PEO. Fully referenced neurology checklist.

PEO syndromes

  • CPEO: this is isolated PEO
  • Kearns Sayre syndrome (KSS)
  • Dominant optic atrophy (DOA)
  • Sensory ataxic neuropathy with dysarthria and ophthalmoparesis (SANDO)
  • POLG mutation syndromes
  • MELAS
  • MNGIE
  • Infantile-onset spinocerebellar ataxia (IOSCA)
  • MYH2 myopathy
  • Sporadic late-onset nemaline myopathy (SLONM)

Ophthalmic features

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Other neurological features

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Cardiac features

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Endocrine features

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Other features

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Differential diagnosis

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Acronyms

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References

  1. McClelland C, Manousakis G, Lee MS. Progressive external ophthalmoplegia. Curr Neurol Neurosci Rep 2016; 16:53.
  2. Maghbooli M, Ghaffarpour M, Ghazizadeh T, Shalbaf NA, MalekMahmoudi G. Clinicogenetical variants of progressive external ophthalmoplegia - an especial review of non-ophthalmic manifestations. Neurol India 2020; 68:760-768. 
  3. Baskar D, Vengalil S, Nashi S, et al. MYH2-related myopathy: expanding the clinical spectrum of chronic progressive external ophthalmoplegia (CPEO). J Neuromuscul Dis 2023; 10:727-730.
  4. Wengert O, Meisel A, Kress W, et al. Progressive external ophthalmoplegia as initial manifestation of sporadic late-onset nemaline myopathy. J Neurol 2011; 258:915-917. 
  5. Maeda K, Idehara R. Paralytic exophthalmos in chronic progressive external ophthalmoplegia. Intern Med 2012; 51:989.
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