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TitleDescriptionType
1 Binocular Pendular NystagmusExample of a patient with binocular pendular nystagmus. Patient has somewhat dissociated nystagmus, with nystagmus seen more prominently in the left eye. Patient shows an occasional jerk nystagmus to the right in the right eye. Left eye oscillations are mostly pendular.Image/MovingImage
2 Superior Oblique MyokymiaClose-up video of a patient with superior oblique myokymia (no audio.)Image/MovingImage
3 Rebound NystagmusExample of a patient with rebound nystagmus, where the oscillations alternate direction as the patient shifts gaze in different directions. Discussion of relationship to disease and disorders of the cerebellum, including degenerations of the cerebellum, infarction, and demyelination.Image/MovingImage
4 Brun's NystagmusObservation of patient with Brun's Nystagmus. Shows patient gazing to the right and the nystagmus beating in the direction of the gaze.Image/MovingImage
5 Periodic Alternating NystagmusExample of a patient with periodic alternating nystagmus, showing an alternation between left-beats and right-beats as the patient maintains forward gaze. Nystagmus maintain horizontal direction regardless of position of gaze.Image/MovingImage
6 Retraction NystagmusPatient with retraction nystagmus (no audio)Image/MovingImage
7 Monocular Pendular NystagmusExample of a patient with monocular pendular nystagmus, with discussion of situations in which this condition is seen: acquired disorder of the visual-sensory pathway, and acquired disorder of the brain stem (e.g. multiple sclerosis).Image/MovingImage
8 See-saw NystagmusExample of a patient with see-saw nystagmus, showing how one eye elevates as the other depresses, with the elevating eye intorting as the depressing eye extorts. Shows vertical oscillations with pendular waveforms. Suggests a large structural lesion in the pericellar region (associated with bi-tempo...Image/MovingImage
9 Congenital NystagmusExample of patients with congenital nystagmus. First patient's nystagmus are mostly jerk and not pendular. Second patient's nystagmus are mostly pendular. Both patients show a uniform horizontal oscillation. Second patient also shows differences in frequency of oscillations depending on gaze, includ...Image/MovingImage
10 Congenital NystagmusPatient with congenital nystagmus (no audio)Image/MovingImage
11 Spasmus NutansExample of patient with spasmus nutans. Discussion of characteristics of this disorder, such as dissociated or monocular nystagmus, abnormal head position, and to-and-fro head oscillation. Sometimes an eccentric gaze is seen as well (as in patient). Patient has a monocular horizontal nystagmus in th...Image/MovingImage
12 Before TensilonExample of patient with myasthenia gravis. Demonstration of baseline examination, followed by administration of 2mg of tensilon, which is a test dose. Procedure for administration of tensilon test is described, including variations. Patient is then shown after being given 4mg of tensilon, with very ...Image/MovingImage
13 Progressive Supranuclear PalsyExample of patient with progressive supranuclear palsy. Discussion of difference between saccadic movement in supranuclear palsy and nystagmus. Shows saccadic intrusions in forward gaze, pursuit, saccades, and doll's head maneuver.Image/MovingImage
14 BlepharospasmExample of patient with blepharospasm. Patient is led through instructions for direction of gaze and opening and closing of eyes. Patient is led through same exercises again after receiving indomethacin treatment.Image/MovingImage
15 Bilateral PtosisVideo of patient with bilateral ptosis.Image/MovingImage
16 Central Retinal Artery OcclusionVideo of central retinal artery occlusion.Image/MovingImage
17 Rotary NystagmusExample of a patient with rotary nystagmus, showing occasional counterclockwise rotary movements of both eyes. Seen more in intrinsic disorders of the brainstem.Image/MovingImage
18 Spasmus NutansExample of patient with spasmus nutans.Image/MovingImage
19 Rotary DownbeatPatient with rotary downbeat nystagmus (no audio)Image/MovingImage
20 Ocular FlutterTwo examples of patients, the first with rotary, flutter-like movements, but not ocular flutter, and the second with genuine ocular flutter. Discussion of difference between ocular flutter and nystagmus, and how to elicit ocular flutter.Image/MovingImage
21 Flutter in DowngazeExamination of patient with flutter in downgaze (no audio)Image/MovingImage
22 Square Wave JerksExample of patient with square wave jerks. Discussion of difference between square wave jerks (saccadic oscillations) and horizontal nystagmus.Image/MovingImage
23 Intermittent Square Wave JerksPatient with intermittent square wave jerks (no audio)Image/MovingImage
24 OpsoclonusExample of patients with opsoclonus, a saccadic abnormality. Discussion of characteristics of opsoclonus, such as involuntary, rapid, brief, random, conjugate saccades. Discussion of possible causes, including brain stem encephalitis (as in first patient), a paraneoplastic effect, tumors, and drug t...Image/MovingImage
25 Pulsating ExophthalmosExample of a patient with neurofibromatosis with an absent sphenoid wing. Shows left eye pulsating back and forth with the pulse from front and side views.Image/MovingImage
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