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TitleDescriptionType
1 Vestibular NystagmusDiscussion of vestibular nystagmus. Seen with peripheral disorders and central disorders, and in two varieties: spontaneous and positional. Horizontal jerk with small amplitude.Image/MovingImage
2 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
3 Abducting (Dissociated) NystagmusExample of a patient with abducting (dissociated) nystagmus. Patient has a subtle internuclear ophthalmoplegia. Right eye has right-beating jerk nystagmus, with smaller oscillations in the left eye. Disease/Diagnosis: Abducting NystagmusImage/MovingImage
4 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
5 Physiologic (End-Gaze) NystagmusDemonstration of physiological nystagmus, where oscillations do not represent pathology, but occur when the patient's gaze is drawn too far laterally.Image/MovingImage
6 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
7 Latent NystagmusExample of a patient with latent nystagmus. Demonstrates a lack of oscillations in forward gaze, followed by the occlusion of each eye, showing how this generates a jerking oscillation in the non-occluded eye away from the occluded eye.Image/MovingImage
8 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
9 Congenital NystagmusPatient with congenital nystagmus (no audio)Image/MovingImage
10 Dissociated NystagmusExample of a patient with dissociated nystagmus. Demonstrates difference in movements between each eye.Image/MovingImage
11 Downbeat NystagmusExample of patients with downbeating jerk nystagmus. Demonstrates how oscillations grow more prominent when the patient gazes down or laterally. Discusses some causes, including Arnold-Chiari malformation, infarction, and demyelination.Image/MovingImage
12 Downbeat NystagmusExample of patient with downbeat nystagmus. Patient is led through instructions of where to gaze. (no audio)Image/MovingImage
13 Downbeat NystagmusExample of patient with downbeat nystagmus. Patient is led through instructions of where to gaze.Image/MovingImage
14 Retraction NystagmusPatient with retraction nystagmus (no audio)Image/MovingImage
15 Vestibular NystagmusExample of patient with vestibular nystagmus. Patient is led through instructions for direction of gaze. Shown also with Frenzel goggles.Image/MovingImage
16 Light-near DissociationLight-near dissociation in a 51-year-old woman with multiple sclerosis who experienced double vision for 1 week. Her pupils are 5 mm in diameter in room light (top), react poorly in response to direct light reaction (middle), but constrict promptly in response to near stimulation (bottom). She also ...Image
17 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
18 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
19 Rotary DownbeatPatient with rotary downbeat nystagmus (no audio)Image/MovingImage
20 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
21 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
22 See-saw Nystagmus7-year-old female whose mother noticed her eyes "bouncing" for 2 months. Visual acuity 20/70 OD and 20/40 OS, reduced color vision OU, and no afferent pupillary defect. See-saw nystagmus documented with videography. Manual perimetry revealed a complete right homonymous hemianopia. MRI revealed a lar...Image/MovingImage
23 See-saw Nystagmus MRI 1MRI; See-saw NystagmusImage
24 See-saw Nystagmus MRI 2MRI; See-saw NystagmusImage
25 Upbeat NystagmusExample of a patient with upbeat nystagmus. Shows vertical jerk nystagmus with fast phases in the up direction. Localizes to brain stem, and occurs with strokes, demyelination, and tumors.Image/MovingImage
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