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100 Possible Causes for Fasciculation of the Tongue, Vertical Nystagmus

  • Hereditary Nystagmus

    […] involuntary rotation of eyes about the visual axis. spontaneous nystagmus that occurring without specific stimulation of the vestibular system. vertical nystagmus involuntary[] Among the patients with medullary lesions, palsies of the pharynx and tongue, tongue fasciculations (1335,1341,1342) palatal myoclonus (1336), and pain and temperature loss[] The eyes may move from side to side (horizontal nystagmus), up and down (vertical nystagmus), circular (rotatory nystagmus) or a combination of these.[]

  • Fazio-Londe Disease

    He then developed axial hypotonia and peripheral spasticity, bulbar and facial palsy vertical nystagmus, and ptosis.[] Clinical manifestations include dysarthria, dysphagia, facial weakness, tongue weakness, and fasciculations of the tongue and facial muscles.[]

  • Benign Paroxysmal Tonic Upgaze of Childhood with Ataxia

    Bilateral vertical nystagmus is associated. Symptoms generally disappear spontaneously within 1-2 years after onset. Last updated: 8/28/2017[] Among the patients with medullary lesions, palsies of the pharynx and tongue, tongue fasciculations (1335,1341,1342) palatal myoclonus (1336), and pain and temperature loss[] Upbeating nystagmus in infants: a sign of anterior visual pathway disease. Binocular Vision Quarterly. 1990;6:13-18. 3. Marmor MF. Hereditary vertical nystagmus.[]

  • Ophthalmoplegia

    nystagmus, and left side facial paresis of central origin (CN VII).[] Eventually signs of brain stem involvement appear with facial atrophy, perioral twitching, tongue fasciculations and atrophy, and dysphagia.[] Dissociated vertical nystagmus and internuclear ophthalmoplegia from a midbrain infarction. Arch Neurol 1991;48:1304-5. [ PUBMED ] 3.[]

  • X-linked Parkinsonism-Spasticity Syndrome

    First, pursuit in the vertical direction and early slow vertical saccades , particularly downward impairment. Attenuated response to vertical optokinetic nystagmus.[] Fasciculations of face and tongue, without atrophy are common and early features. (2) Ataxic type : is the most common form.[] Horizontal and vertical nystagmus, loss of fast saccadic eye movements and impairment of upward gaze. Peripheral neuropathy may occur.[]

  • Myelocerebellar Disorder

    nystagmus, dysmetria, dysarthria, pyramidal tract signs and reduced nerve conduction velocity.[] DIAGNOSIS  Recognize progressive ataxia syndrome and associated features  Oculomotor : slow saccades  Bulbar : facial, temporal, tongue atrophy, fasciculation,  cough,[] nystagmus Eczema Malabsorption Ichthyosis Narrow chest Pectus carinatum Delayed skeletal maturation Hepatomegaly Abnormal macrophage morphology Abnormal platelet function[]

  • Idiopathic Bilateral Vestibulopathy

    Simply put, vertical canal BPPV produces vertical nystagmus. Posterior canal is upbeat, anterior canal (rare) downbeat, both with an oblique “twist” toward the ground.[] Look for size and evidence of fasciculation. Ask the patient to protrude the tongue. Look for deviation or abnormal movements.[] In patients with BPPV, when the affected ear is undermost, mixed torsional and vertical nystagmus is seen typically after a short latency.[]

  • Glossopharyngeal Palsy

    )Instillation of up to 120 ml of ice waterAwake: deviation toward,nystagmus awayComatose: deviation towardWait 5 minutes, do other earCaloricsWatch for conjugance of deviationTo[] Twelfth nerve lesions A LMN lesion of the twelfth nerve leads to unilateral weakness, wasting and fasciculation of the tongue.[] […] scalloping or accentuation of the midline groove), fasciculation of the tongue at rest, tongue flaccidity, or the inability to move the tongue rapidly from side to side or[]

  • Ophthalmic Nerve Disorder

    Clinical problems with the vestibulocochlear nerve would be indicated on examination by changes in hearing and/or horizontal and vertical eye movements (strabismus and nystagmus[] A 45-year-old man goes to his physician complaining of having trouble with his speech (dysarthria) and involuntary contractions (fasciculations) within his tongue muscles.[] Vertical ocular and palatal myoclonus has also been reported after severe midbrain injury.[]

  • Vestibulocochlear Nerve Disease

    Therefore, vertical nystagmus must be presumed to be central.[] Inspect tongue for wasting and fasciculations at rest (minor fasciculations can be normal) 2. Ask patient to protrude tongue – any deviation?[] […] is named according to the direction of the fast phase 3 types of nystagmus according to direction of movement 1) Horizontal 2) Vertical 3) Rotatory 3 grades of horizontal[]

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