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Nystagmus
Aka: Nystagmus
- Definitions
- Direction of Nystagmus
- Named for quick component of Nystagmus
- Speed
- Slow Nystagmus: <40 jerks per minute
- Fast Nystagmus: >100 jerks per minute
- Amplitude
- Fine Nystagmus: <1 mm
- Coarse Nystagmus: >3 mm
- Involvement
- Associated Involvement: Bilateral eyes
- Dissociated Involvement: Unilateral eye
- Indication: Vertigo Evaluation
- Absent Nystagmus in acute severe Vertigo is unusual
- Casts doubt on the symptom
- Normal Findings: Lateral gaze Nystagmus
- Associated with stretch receptor
- All patients have a few beats of end point Nystagmus
- Abnormal Findings
- Spontaneous on Forward gaze or on moderate lateral gaze
- Direction
- Horizontal Nystagmus indicates peripheral disease
- Unilateral vestibular pathology
- Vertical Nystagmus indicates Central DIsease
- Brain Stem lesion
- Causes of Nystagmus in Infants and Children
- Albinism (iris and Retinal Hypopigmentation)
- Bilateral Optic Nerve hypoplasia
- Seen in de Morsier's Syndrome
- Bilateral media opacities
- Achromatopsia
- Usher's Syndrome (Retinitis Pigmentosa)