A collection of videos relating to the diagnosis and treatment of eye movement disorders. This collection includes many demonstrations of examination techniques.
Dan Gold, D.O., Associate Professor of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, Emergency Medicine, and Medicine, The Johns Hopkins School of Medicine.
A collection of videos relating to the diagnosis and treatment of eye movement disorders.
NOVEL: https://novel.utah.edu/
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Filters: Collection: ehsl_novel_gold
| Title | Description | Subject | ||
|---|---|---|---|---|
| 326 |
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Bruns Nystagmus Due to a Cerebellopontine Angle Tumor | 𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: This is a 15-yo-girl who experienced headache and imbalance leading to an MRI which showed a left sided cerebellopontine angle (CPA) tumor. Because of involvement of the left brainstem/cerebellum (e.g., dysfunction of the... | Jerk Nystagmus; Gaze Evoked Nystagmus; Vestibular Nystagmus |
| 327 |
 |
Paraneoplastic Downbeat Nystagmus and Cerebellar Ataxia Due to Small Cell Lung Carcinoma | 𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: This is a 61-year-old woman (non-smoker) who developed a gait disorder, dizziness and oscillopsia that was progressive over 2 months. Exam demonstrated spontaneous downbeat nystagmus with side pocket nystagmus in lateral ... | Jerk Nystagmus; Downbeat Nystagmus; Cerebellar Ataxia; Carcinoma |
| 328 |
 |
Upbeat Transitioning to Downbeat Nystagmus in Wernicke's Encephalopathy | This is a 30-year-old man with a history of alcohol abuse who presented to the hospital with inability to walk after several weeks of heavy drinking and malnutrition. While in the hospital, he noted that when he would look straight ahead, everything he saw would appear to be bouncing up and down - a... | Vertical Nystagmus; Upbeat Nystagmus; Downbeat Nystagmus |
| 329 |
 |
Anterior Canal BPPV | 𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: Although the anterior canal (AC) variant of benign paroxysmal positional vertigo (BPPV) is rare, mainly owing to its orientation relative to gravity (which makes otoconial debris much less likely to enter it), it can occu... | BPPV Anterior; BPPV Diagnosis; Jerk Nystagmus; Vestibular Nystagmus |
| 330 |
 |
The Apogeotropic Variant of Horizontal Canal BPPV | 𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: This is a patient with the apogeotropic (nystagmus beating towards the sky) variant of right horizontal canal (HC) benign paroxysmal positional vertigo (BPPV). In a patient with geotropic (nystagmus beating towards the gr... | BPPV Horizontal; BPPV Diagnosis; Jerk Nystagmus; Vestibular Nystagmus |
| 331 |
 |
Dix-Hallpike Maneuver in Posterior BPPV with Reversal of Nystagmus on Sitting Up | 𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: This is a patient with typical posterior canal (PC) benign paroxysmal positional vertigo (BPPV), which is provoked by the Dix-Hallpike maneuver. When the patient is moved into the right Dix-Hallpike maneuver, after a brie... | BPPV Posterior; BPPV Diagnosis; Jerk Nystagmus; Vestibular Nystagmus |
| 332 |
 |
Dorsal Midbrain Syndrome from Stroke - Collier's Sign & Pseudoabducens | This is a 70-yo-man who suffered a right midline thalamic/rostral midbrain hemorrhagic stroke causing a pretectal (Parinaud's) syndrome. There was prominent eyelid retraction (Collier's sign), a left pseudo-abducens, and upgaze palsy with convergence retraction nystagmus. There was no light-near dis... | OMS Mesenecephalon; Convergence Reaction Nystagmus; Upgaze Palsy; Abnormal Range; Sixth Nerve Palsy; Vertical Gaze Palsy; Eyelid Retraction; OMS Dorsal Midbrain |
| 333 |
 |
The Geotropic Variant of Horizontal Canal BPPV | 𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: This is a patient with the geotropic (nystagmus beating towards the ground) variant of left horizontal canal (HC) benign paroxysmal positional vertigo (BPPV). In a patient with geotropic (nystagmus beating towards the gro... | BPPV Horizontal; BPPV Diagnosis; Jerk Nystagmus; Vestibular Nystagmus |
| 334 |
 |
Ocular Motor Signs in Early Progressive Supranuclear Palsy | 𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: This is a 64-year old man who experienced imbalance and falls (usually backwards) for the last 6 months. He experienced difficulty navigating stairs and had become a messy eater (thought to be in large part due to his ver... | Abnormal Saccades; Abnormal Convergence; Abnormal Pursuit; Abnormal Range; Abnormal VORS; Vertical Gaze Palsy; Downgaze Palsy; OMS Mesencephalon |
| 335 |
 |
Posterior Canal BPPV Pre- and Post-Epley Maneuver | 𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: This is a patient with typical right posterior canal benign paroxysmal positional vertigo (BPPV), which was provoked by the Dix-Hallpike maneuver. When the patient was moved into the right Dix-Hallpike maneuver, after a b... | BPPV Posterior; BPPV Diagnosis; BPPV Treatment; Jerk Nystagmus; Vestibular Nystagmus |
| 336 |
 |
Posterior Canal BPPV Treated with Semont Maneuver | This is a patient with left posterior canal (PC) benign paroxysmal positional vertigo (BPPV), and upbeat-torsional (towards the left ear) nystagmus was provoked by left Dix-Hallpike maneuver and left side-lying maneuver. This video demonstrates treatment of her left PC BPPV with the Semont maneuver.... | BPPV Posterior; BPPV Diagnosis; BPPV Treatment; Jerk Nystagmus; Vestibular Nystagmus |
| 337 |
 |
Vertical Gaze Palsy and Saccadic Intrusions Due to Anti-Ri from Head and Neck Carcinoma | A 55-yo- woman was admitted for imbalance and double vision. Three weeks prior to presentation she first noticed swelling on the right side of her face and neck. CT of the head and neck showed right-sided cervical adenopathy and enlarged left retropharyngeal node. Ultrasound- guided biopsy of the n... | OMS Mesencephalon; Square Wave Jerks; Upgaze Palsy; Downgaze Palsy; Abnormal Range; Skew; Vertical Gaze Palsy |
| 338 |
 |
One-and-a-Half Syndrome Due to Pontine Hemorrhage | This is a 50-year-old woman who, while exercising in the gym, suddenly experienced vertigo, nausea, vomiting, tingling in the left arm, and diplopia. MRI demonstrated a brainstem hemorrhage that involved the right greater than left pons. Examination demonstrated a right horizontal gaze palsy due to ... | Abnormal Saccades; Sixth Nerve Palsy; INO; One-and-a-Half Syndrome; Jerk Nystagmus; Gaze Evoked Nystagmus |
| 339 |
 |
Test Your Knowledge - Acute Prolonged Vertigo | This is a 60-year old man with diabetes presenting with acute onset prolonged vertigo that was ongoing at the time of this examination. Which of the following statements are true with regard to the localization and/or etiology of this patient's symptoms? A. Whether or not symptoms worsen with head ... | Abnormal Alignment; Jerk Nystagmus; Vestibular Nystagmus; Acute Vestibular Syndrome; Video Head Impulse Test |
| 340 |
 |
Abnormal Visually-Enhanced VOR in Cerebellar Ataxia, Neuropathy, Vestibular Areflexia Syndrome (CANVAS) | A 67 year old woman presented with 1 year of progressive numbness, gait instability, and oscillopsia when walking or with head movements. Examination showed excessive square-wave jerks, bilateral horizontal gaze-evoked nystagmus, impairment of the visually-enhanced vestibular ocular reflex (vVOR - s... | Abnormal Pursuit; Abnormal VOR; Abnormal HIT; Cerebellar; Jerk Nystagmus; Gaze Evoked Nystagmus |
| 341 |
 |
Acute Vestibular Syndrome with Ocular Tilt Reaction Due to Bacterial Labyrinthitis | This is a patient who initially presented with the acute vestibular syndrome (AVS, e.g., acute prolonged vertigo, spontaneous nystagmus) and right sided hearing loss, and was diagnosed with bacterial labyrinthritis. Her HINTS (Head Impulse, Nystagmus, Test of Skew) testing indicated a central etiolo... | VOR HIT; Alignment; Jerk Nystagmus; Vestibular Nystagmus; Acute Vestibular |
| 342 |
 |
Acute Vestibular Syndrome With Skew Deviation and Positive Head Impulse Test Due to a Demyelinating Lesion | This is a patient who initially presented with the acute vestibular syndrome (AVS, e.g., acute prolonged vertigo, spontaneous nystagmus). ; See https://collections.lib.utah.edu/details?id=187730 for additional history. ; Her HINTS (Head Impulse, Nystagmus, Test of Skew) testing indicated a central e... | VOR HIT; Alignment; Acute Vestibular |
| 343 |
 |
An Approach to the Patient with (Recent Onset) Spontaneous Episodic Vestibular Syndrome | 𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: A vascular etiology should always be on the differential diagnosis of the recent onset of the spontaneous (unprovoked) episodic vestibular syndrome (EVS), especially in the older population and when vascular risk factors ... | |
| 344 |
 |
An Approach to the Patient with Acute Onset Prolonged Vertigo | 𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: A vascular etiology should always be on the differential diagnosis of the acute onset prolonged vertigo, especially in the older population and when vascular risk factors are present. However, young patients can suffer fr... | |
| 345 |
 |
Approach to the Ocular Motor and Vestibular History and Examination | History and examination of ocular motor and vestibular. | Saccades; Ocular Stability; Vestibular Examination |
| 346 |
 |
CANVAS (Cerebellar Ataxia, Neuropathy, and Vestibular Areflexia Syndrome) Video Head Impulse Test (vHIT) Figure | CANVAS (Cerebellar Ataxia, Neuropathy, and Vestibular Areflexia Syndrome) is a genetic condition consisting of slowly progressive late-onset ataxia, bilateral vestibulopathy, sensory neuropathy, chronic cough, and autonomic dysfunction. While the term vestibular areflexia typically implies bilateral... | Vestibulo-ocular Reflex and Head Impulse Testing - Abnormal; Video Head Impulse Test |
| 347 |
 |
Central Acute Vestibular Syndrome Due to Posterior Fossa Hemorrhage | This is a patient presenting with the acute vestibular syndrome (AVS, e.g., acute prolonged vertigo, spontaneous nystagmus) whose HINTS (Head Impulse, Nystagmus, Test of Skew) testing indicated a central etiology based on negative (normal) head impulse testing (HIT). Nystagmus was unidirectional and... | VOR HIT; Alignment; Jerk Nystagmus; Vestibular Nystagmus; Acute Vestibular |
| 348 |
 |
Cerebellar Ataxia, Neuropathy, & Vestibular Areflexia Syndrome (CANVAS): Impaired Visually-Enhanced VOR and Abnormal Head Impulse Testing | A 67 year old woman presented with 1 year of progressive numbness, gait instability, and oscillopsia when walking or with head movements. Examination showed excessive square-wave jerks, bilateral horizontal gaze-evoked nystagmus, impairment of the visually-enhanced vestibular ocular reflex (vVOR - s... | VOR Abnormal; HIT Abnormal; Jerk Nystagmus; Gaze Evoked Nystagmus; Square Wave Jerks |
| 349 |
 |
Ocular Dipping and Ping-pong Gaze Due to Bi-hemispheric Strokes | This is a 51-year-old man presenting with hypertensive left thalamic intracerebral hemorrhage and intraventricular hemorrhage, with course complicated by multifocal supratentorial ischemic strokes. He developed abnormal movements characterized by slow, conjugate, horizontal deviations, consistent wi... | Pons; Ocular Dipping |
| 350 |
 |
HINTS 'Plus' Patterns in the Acute Vestibular Syndrome Based on Location | HINTS ‘Plus' patterns in the acute vestibular syndrome based on location | Head Impulse-Nystagmus-Test of Skew; HINTS; Acute Vestibular Syndrome |