Nystagmus Causes & Reasons

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Nystagmus Symptom Checker: Possible causes include Acute Alcohol Intoxication. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search.

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Nystagmus,

Negated

None

Unsure

None

Possible Causes

Acute Alcohol Intoxication

The first patient (female, 50 years old) had dysarthria, nystagmus and trunk ataxia on admission. Her blood alcohol level was 2.3‰. [ncbi.nlm.nih.gov]

One (or more) of the following signs, developing during, or shortly after, alcohol use: (1) slurred speech (2) incoordination (3) unsteady gait (4) nystagmus (5) impairment [hams.cc]

Due to their shared symptoms including double vision, nystagmus, dysarthria, and ataxia, the differential diagnosis of alcohol intoxication and vertebrobasilar stroke may [ncbi.nlm.nih.gov]

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Ménière Disease

Periodic alternating nystagmus (PAN) is a spontaneous horizontal nystagmus that reverses direction periodically. PAN has been reported in acquired and congenital forms. [ncbi.nlm.nih.gov]

Periodic alternating nystagmus is a rare central nervous system disorder in which the eyes undergo a horizontal jerk nystagmus that periodically reverses direction. [ncbi.nlm.nih.gov]

Three patients developed a spontaneous "irritative" nystagmus during the early post-treatment period. [ncbi.nlm.nih.gov]

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Traumatic Brain Injury

Appetite changes Partial or total loss of vision Weakness of eye muscles and/or double vision (diplopia) Blurred vision Problems judging distance Involuntary eye movements (nystagmus [northeastern.edu]

Hinoki MTerayama K Physiological role of neck muscles in the occurrence of optic eye nystagmus: relationship of optic head nystagmus to optic eye nystagmus in case of procanization [doi.org]

A labyrinthine concussion is often manifested by vertigo, nystagmus, and nausea that occur after rapid changes in head position. [doi.org]

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Benign Paroxysmal Positional Vertigo

A 50-year-old woman with BPPV who showed an 18 degree spontaneous nystagmus treated with Epley maneuver and a 53-year-old man with 3 degree spontaneous nystagmus. [ncbi.nlm.nih.gov]

Down-beating positional nystagmus is typically associated with central nervous system disease. [ncbi.nlm.nih.gov]

[…] torsional nystagmus in SSC BPPV versus up-beating torsional nystagmus in PSC BPPV. [ncbi.nlm.nih.gov]

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Stroke

The first patient (female, 50 years old) had dysarthria, nystagmus and trunk ataxia on admission. Her blood alcohol level was 2.3‰. [ncbi.nlm.nih.gov]

Posterior cerebral artery Monocular loss of vision (amaurosis) Ophthalmic artery (a branch of the internal carotid artery) Unilateral or bilateral cranial nerve deficits (eg, nystagmus [msdmanuals.com]

Know that cerebellar strokes also may cause vertigo, nausea and vomiting, headache, nystagmus, and slurred speech. [americannursetoday.com]

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Moderate and Severe Traumatic Brain Injury

[…] meaningful data Vision Partial or total loss of vision Weakness of eye muscles and double vision (diplopia) Blurred vision Problems judging distance Involuntary eye movements (nystagmus [traumaticbraininjury.com]

Partial or total loss of vision Diplopia, which is weakness of eye muscles that causes double vision Blurred vision Problems judging distance Involuntary eye movements, called nystagmus [brainline.org]

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Cerebellar Stroke

Remaining 8 patients were also symptomatic for vertigo, but they had spontaneous nystagmus. The latter group was called "disease control." [ncbi.nlm.nih.gov]

It is important to observe the nystagmus periodically after onset. [ncbi.nlm.nih.gov]

Patients with symptoms commonly peripheral in etiology (nystagmus, tinnitus, gait instability, etc.) were included in the study. [ncbi.nlm.nih.gov]

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Alcohol Withdrawal

Monitor for disorientation, diaphoresis, agitation, tremulousness, hyper-reflexia, ataxia, and nystagmus. C. [clinicaladvisor.com]

[…] therapeutic range for phenobarbital (64-172 micromol/L 15-40 ug/ml), an orange line indicating the level at which mild signs of toxicity are usually noted such as ataxia and nystagmus [emcrit.org]

Exam findings suggestive of withdrawal can include disorientation, diaphoresis, agitation, tremulousness, hyper-reflexia, ataxia, and nystagmus. [clinicaladvisor.com]

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Transient Ischemic Attack

[…] is usually peripheral in nature, whereas vertical, pure torsional and/or bidirectional nystagmus, limb ataxia and pinprick sensation asymmetry are usually central Dix Hallpike [emergencymedicinecases.com]

Posterior circulation† Nystagmus Vertigo (spinning sensation) Disconjugate gaze If subtle, blurry or double vision Homonymous visual-field cut Inability to see well, especially [aafp.org]

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Vestibular Neuronitis

Abstract We evaluated the vestibular functions, especially for positional nystagmus and caloric nystagmus, in 43 cases of vestibular neuronitis for long periods after its [ncbi.nlm.nih.gov]

It is suggested that the direction of nystagmus depends upon the severity of each vestibular dysfunction. [ncbi.nlm.nih.gov]

All cases were examined for critical head position which provoked vertigo, non-gaze nystagmus, positional and positioning nystagmus and caloric nystagmus. [ncbi.nlm.nih.gov]

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Brain Stem Infarction

[…] syndrome) Pons: 5th, 6th, 7th and 8th cranial nerve involvement, diplopia, dysarthria, vertigo, gait abnormality, and/or sensation of ear canal block, sustained horizontal nystagmus [symptoma.com]

In the author's experience, these patients often exhibit rebound nystagmus, which is a variant of gaze-evoked nystagmus. [dizziness-and-balance.com]

She eventually woke up but had very profound neurological findings including ataxia and a disjunctive nystagmus. [dizziness-and-balance.com]

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Subclavian Steal Syndrome

No cases of spontaneous nystagmus were observed. The positional nystagmus could be an isolated finding, in VBI, even if there were no other neurological signs 11. [ncbi.nlm.nih.gov]

[…] report the case of a 56-year-old man who presented with arterial hypotension, lightheadedness, vomiting, a sense of tingling in his right arm, and a right-beating horizontal nystagmus [ncbi.nlm.nih.gov]

During ENG, no spontaneous nystagmus was found and, in the position of Rose 4, a positional vertical down-beating nystagmus was noted with the head turned left, middle and [ncbi.nlm.nih.gov]

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Vertebrobasilar Insufficiency

The effect of these drugs on vestibular nystagmus was studied in Alsatian dogs before and after occluding one vertebral artery. [ncbi.nlm.nih.gov]

The effect of the two drugs on the vestibular nystagmus was studied in Alsatian dogs before and after occluding one vertebral artery. [ncbi.nlm.nih.gov]

An abnormal positional nystagmus was observed when he rotated his head to the left. [ncbi.nlm.nih.gov]

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Primary Progressive Multiple Sclerosis

Double vision or eye tremor ( nystagmus ) may result from involvement of the nerve pathways controlling movement of the eye muscles. [medical-dictionary.thefreedictionary.com]

[…] muscle spasms, or difficulty in moving; difficulties with coordination and balance (ataxia); problems in speech (dysarthria) or swallowing (dysphagia), visual problems (nystagmus [disabled-world.com]

The first symptomatic drugs to improve mobility are beginning to emerge, if of limited efficacy,9 while treatments to help ataxia, tremor and nystagmus remain very poor. [jnnp.bmj.com]

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Labyrinthitis

Nystagmus type: Nystagmus is spontaneous. It is usually fine horizontal but may be mixed horizontal-torsional. [patient.info]

At times, they would just wiggle back and forth in a classic horizontal nystagmus, though always to the left. [complexchild.org]

Nystagmus which changes direction on eccentric gaze (i.e., right beating nystagmus with right gaze and left beating nystagmus with left gaze, with or without nystagmus with [clinicaladvisor.com]

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Cerebral Hemorrhage

The symptomatology of the cases with saltatory evolution had subacute onset, in 1-3 days, with hypotonia, nystagmus and posture disorders. [medichub.ro]

The rest of 21% of cases had catastrophic clinical findings: bulging anterior fontanelle, dehiscent cranial sutures, projectile vomiting, fixation of pupils, nystagmus, seizures [medichub.ro]

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Meningitis

She had nystagmus, scanning speech, bilateral papilloedema and ataxia. Cranial imaging showed a 10 mm tonsillar herniation. Posterior fossa decompression was done. [ncbi.nlm.nih.gov]

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Cerebellar Infarction

(SN) or direction changed bidirectional gaze-evoked nystagmus (GEN). [ncbi.nlm.nih.gov]

To define the characteristics and mechanism of head-shaking nystagmus in central vestibulopathies, we investigated spontaneous nystagmus and head-shaking nystagmus in 72 patients [ncbi.nlm.nih.gov]

KEYWORDS: Cerebellar infarction; Cerebellum; Ocular fixation; Spontaneous nystagmus [ncbi.nlm.nih.gov]

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Cerebellar Hemorrhage

Abstract A 63-year-old woman presented with a metastatic focus of papillary thyroid carcinoma in the cerebellopontine angle manifesting as lateral gazing nystagmus and slurred [ncbi.nlm.nih.gov]

A careful search for subtle cerebellar signs, including dysarthria, limb ataxia, nystagmus or tandem gait instability, absent in true gastroenteritis cases, could potentially [ncbi.nlm.nih.gov]

Cerebellar signs (e.g. ataxia, nystagmus) 1. Larger bleeds can impair consciousness and obstruct the fourth ventricle resulting in obstructive hydrocephalus. [radiopaedia.org]

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Malnutrition

Acquired nystagmus Nystagmus that develops later, in adults, is called “acquired nystagmus”. [rnib.org.uk]

What causes nystagmus? How is nystagmus diagnosed? How is nystagmus treated? What is nystagmus? [aoa.org]

A person with nystagmus has no control over this movement of the eyes. What causes nystagmus? Early onset nystagmus will appear in very young babies. [gosh.nhs.uk]

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Intracerebral Hematoma

There may be little or no evidence of the usual signs of cerevellar disease, & only a minority of cases show nystagmus or ataxia of the limbs. [enotes.tripod.com]

[…] the following: [ citation needed ] Hypertension, fever, or cardiac arrhythmias Nuchal rigidity Subhyaloid retinal hemorrhages Altered level of consciousness Anisocoria, nystagmus [en.wikipedia.org]

Although neuro-otological examinations especially gaze nystagmus, eye tracking and positional nystagmus tests, were useful for diagnosing the central vestibular lesions, no [ispub.com]

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Coma

Oculovestibular testing (instil 20 ml ice-cold water into the external auditory meatus): Psychogenic coma - nystagmus with quick movement away from water (shows active pons [patient.info]

[…] exception is in patients with catatonic stupor or catatonia. 3 Caloric testing in organic stupor will usually reveal tonic deviation, whereas in psychiatric stupor ocular nystagmus [jnnp.bmj.com]

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Nystagmus

Symmetrical vertical nystagmus Upbeat nystagmus : This is a jerk nystagmus with the fast phase going upwards. [patient.info]

Certain diagnostic features differentiate voluntary nystagmus from pathologic nystagmus: the convergent effort required to start the nystagmus, the inability to sustain the [dx.doi.org]

nystagmus, respectively). [patient.info]

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Posterior Inferior Cerebellar Artery Occlusion

Positional testing was abnormal due to the ongoing nystagmus, but there was also a brief upbeating nystagmus. Headshaking provoked a very strong reversal of nystagmus. [dizziness-and-balance.com]

More or less complete dorsal lateral medullary syndrome (Wallenberg syndrome) if the medulla is involved: ipsilesional vestibular (vertigo, vomiting, nystagmus, lateropulsion [imaios.com]

In the author's experience, these patients often exhibit rebound nystagmus, which is a variant of gaze-evoked nystagmus. [tchain.com]

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Central Positional Vertigo

The direction of nystagmus is important for the diagnosis of central paroxysmal positioning nystagmus (cPPV). Neuro-Ophthalmology, Vol. 21, Issue. 2, p. 97. [cambridge.org]

Effect of Fixation on Nystagmus 4. Vestibular versus Central Nystagmus 5. [slideshare.net]

nystagmus on head-shaking. [dizziness-and-balance.com]

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Basilar Migraine

Conversely, early developmental disturbances of vision often disrupt ocular motor control systems, giving rise to complex disorders such as nystagmus, strabismus, and torticollis [books.google.com]

Other brainstem- related symptoms less commonly noted include nystagmus, diplopia, and decreases in hearing. 1-9 The headache phase of the basilar migraine consists of a severe [dynamicchiropractic.com]

When nystagmus is present, it is often directed vertically (e.g. upbeating or downbeating). [dizziness-and-balance.com]

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Wernicke Encephalopathy

An examination revealed spontaneous upbeat nystagmus ( Video 1 ), gaze-evoked nystagmus ( Video 2 ), and gait ataxia. She had no ophthalmoplegia. [nejm.org]

The classic triad of confusion, ophthalmoplegia (or nystagmus) and ataxia may be absent, and the history of alcohol abuse or other causes of thiamine deficiency may be unknown [ncbi.nlm.nih.gov]

Here we describe a teenage girl who develops vomiting after Roux-en-Y gastric bypass and presented with nystagmus, irritability, and ataxia. [ncbi.nlm.nih.gov]

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Leigh's Disease

The authors present the case of a 9-year-old girl with dorsal midbrain syndrome causing convergence retraction nystagmus. [ncbi.nlm.nih.gov]

Extraocular movements showed greatly reduced pursuit and saccades in elevation and convergence–retraction nystagmus on attempted up gaze. [healio.com]

A 4 1/2-month-old girl suffered from psychomotor retardation, generalized hypotonia, poor feeding, hyperreflexia, nystagmus, optical atrophy and choreoathetosis from the age [ncbi.nlm.nih.gov]

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Cerebral Embolism

There was no gaze preference or nystagmus. Corneal reflexes were intact. The right nasolabial fold was flattened, and right eye closure was decreased. [pediatrics.aappublications.org]

Infraction in this area may also cause vertigo, nystagmus, ipsilateral ataxia of limbs, and a contralateral hemiparesis with no sensory defect. [brainmind.com]

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Olivopontocerebellar Atrophy

There was no pathologic nystagmus or saccadic dysmetria. [ncbi.nlm.nih.gov]

[…] uptake deficiency on single photon emission computed tomography scans had poorer performances on three of the four subscores (static equilibrium, dynamic equilibrium and nystagmus [ncbi.nlm.nih.gov]

For the clinical rating, International Cooperative Ataxia Rating Scale (ICARS) was used and dysarthria, gaze evoked nystagmus, finger to nose, pronation-supination alternating [ncbi.nlm.nih.gov]

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