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Title | Description | Subject |
101 |
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Two Patients with Parinaud's Syndrome with Slow Upward Saccades and Normal Upward Range of Movements | Presented here are two patients with Parinaud's syndrome: Patient 1) suffered a hemorrhage of the dorsal midbrain causing slow upward saccades (with convergence retraction nystagmus, but normal vertical range of eye movements), and light-near dissociation, and Patient 2) had a germinoma of the dorsa... | Abnormal Saccades; Dorsal Midbrain; Jerk Nystagmus; Gaze Evoked Nystagmus |
102 |
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Unidirectional Nystagmus in Lateral Medullary Syndrome | This is a 70-yo-man who presented with acute vertigo. Examination demonstrated very mild spontaneous torsional nystagmus (towards the right ear) in primary (not seen well in this video), with robust downbeat-torsional (towards right ear) nystagmus in right gaze and (less robust) almost pure torsiona... | Medula; Rotary Nystagmus; Jerk Nystagmus; Acute Vestibula; Vestibular Nystagmus; Abnormal Saccades |
103 |
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Unidirectional Vestibular Nystagmus | 60-yo-man with recurrent vertigo attacks - this video was taken during one of his typical attacks, and shows left-beating nystagmus that stayed left-beating in all directions of gaze, more in left gaze (in accordance with Alexander's Law), and less in right gaze. This pattern is more commonly seen w... | Jerk Nystagmus; Vestibular Nystagmus; Vestibulo-ocular Reflex; Head Impulse Testing; Benign Recurrent Vertigo; Migraine Variant |
104 |
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Unilateral 3rd, 4th, and 6th Nerve Palsies Due to Cavernous Sinus Meningioma | 𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: This is a 50-year-old woman presenting with a partial 3rd nerve palsy (mild pupil involvement), partial 6th nerve palsy, and no clear incyclotorsion with downgaze, suggestive of additional 4th nerve palsy, all on the left... | Abnormal Range; Third Nerve Palsy; Aberrant Regeneration; Fourth Nerve Palsy; Sixth Nerve Palsy; Jerk Nystagmus; Downbeat Nystagmus; Gaze Evoked Nystagmus; Abnormal Saccades |
105 |
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Upbeat Nystagmus & Ocular Flutter Due to Cerebellar Pilocytic Astrocytoma | This is a 20-year-old woman who was diagnosed with a cerebellar pilocytic astrocytoma at age 10 after presenting with severe headaches and hydrocephalus. She underwent incomplete resection and radiation therapy at that time. She experienced mild vertical oscillopsia in upgaze at baseline, and increa... | Upbeat Nystagmus; Ocular Flutter |
106 |
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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 |
107 |
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Upbeat and Downbeat Nystagmus Due to Anti-VGCC Antibodies | Seen here are two patients who presented with imbalance and vertical oscillopsia, the first with upbeat nystagmus, and the second with downbeat nystagmus. Both patients were found to have voltage-gated calcium channel antibodies in serum without evidence of systemic malignancy. The UBN patient had m... | Jerk Nystagmus; Upbeat Nystagmus; Gaze Evoked Nystagmus; Downbeat Nystagmus |
108 |
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Upbeating and Gaze-evoked Nystagmus, V-pattern Esotropia from Bilateral 4th Nerve Palsies | Video example of a patient with upbeating and gaze-evoked nystagmus, V-pattern esotropia from bilateral 4th nerve palsies. | Upbeat Nystagmus; Gaze Evoked Nystagmus; Fourth Nerve Palsy |
109 |
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Vestibular Neuritis with + Head Impulse Test and Unidirectional Nystagmus | Vestibular neuritis is the most common cause of the acute vestibular syndrome, which is characterized by continuous vertigo and spontaneous nystagmus lasting days. It may be mimicked by central causes, including stroke, but in the hands of subspecialists, the HINTS+ (Head Impulse, Nystagmus, Test o... | Jerk Nystagmus; Acute Vestibular; Vestibular Nystagmus |
110 |
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Vestibular Neuritis with + Head Impulse Test and Unidirectional Nystagmus (Figure 1) | Vestibular neuritis is the most common cause of the acute vestibular syndrome, which is characterized by continuous vertigo and spontaneous nystagmus lasting days. It may be mimicked by central causes, including stroke, but in the hands of subspecialists, the HINTS+ (Head Impulse, Nystagmus, Test of... | Jerk Nystagmus; Acute Vestibular; Vestibular Nystagmus |
111 |
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Vestibular Neuritis with a Peripheral Skew Deviation | 𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: This is a 55-year-old hypertensive man who developed acute onset continuous vertigo and presented to the Emergency Department (ED) after several hours of symptoms. He was noted to have spontaneous nystagmus and had a nor... | Abnormal VOR; Abnormal Alignment; Eighth Nerve; Skew Deviation; Lateropulsion; Jerk Nystagmus; Vestibular Nystagmus; Acute Vestibular Syndrome |
112 |
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Vibration and Hyperventilation-induced Nystagmus from Vestibular Schwannoma | 𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: This is a 50-yo-woman with imbalance, and with fixation removed on her examination (with Frenzel goggles), there was no spontaneous nystagmus. Using a handheld vibrator to vibrate the mastoids and vertex, there was a righ... | Jerk Nystagmus; Vestibular Nystagmus; Hyperventilation |
113 |
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Vibration-Induced Nystagmus in a Patient with Vestibular Neuritis | 𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: This is a 60-year-old man who experienced the sudden onset of vertigo, oscillopsia, imbalance, nausea and vomiting. He was seen in the emergency department within hours and had spontaneous right-beating (RBN) and torsiona... | Jerk Nystagmus; Vestibular Nystagmus; Eighth Cranial Nerve; Acute Vestibular Syndrome |
114 |
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Wall-eyed Bilateral INO in Caudal Midbrain Lesion | This is a 30-yo-woman with the relatively acute onset of diplopia. There was a large angle exotropia, very subtle lag of the adducting saccades OD>OS, suggestive of bilateral INOs. This was best seen with rapid horizontal saccades, and a lesion involving bilateral MLFs in the caudal midbrain was dem... | INO; Abnormal Saccades; Jerk Nystagmus; Gaze Evoked Nystagmus |