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Abstract

During attacks of paroxysmal positional vertigo in 12 patients, nystagmus in different gaze positions was observed visually and recorded by electronystagmography (eyes open, fixating). Visually observed eye movement was similar in all cases, with oblique (upward and horizontal) and rotatory (clockwise during leftward movement) components in the fast phase; rotation dominated on ipsilateral gaze (toward the lower ear) and oblique movement dominated on contralateral gaze. However, ENG recordings showed greater variability and were often inconsistent with visual observation; the horizontal component often reversed with change in gaze position, and dissociated eye movements, as well as down-beating nystagmus, were sometimes seen. More sophisticated measurement and strict attention to gaze position is required to resolve these discrepancies.

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References

Adler . Ueber den ‘einseitigen Drehschwindel’. Dtsch Z Nervenheilkd 1897; 11: 358–75.

Barany

. Diagnose von Krankheitserscheinungen im Bereiche des Otolithenapparates. Acta Otolaryngol (Stockh) 1921; 2: 434–7.

Borries

. Statisch (Zephalostatisch) ausgelöster Nystagmus. Arch Ohren Nasen Kehlkopfheilkd 1925; 112: 53–63.

Dix

Hallpike

. The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 1952; 45: 341–54.

Stenger

. Ueber Lagerungsnystagmus unter besonderer Berücksichtigung des gegenlaufigen transitorischen Provokationsnystagmus bei Lagewechsel in der Sagittalebene. Arch Ohren Nasen Kehlkopfheilkd 1955; 168: 220–68.

Stahle

Terrins

. Paroxysmal positional nystagmus. Ann Otol Rhinol Laryngol 1965; 74: 69–83.

Katsarkas

Kirkham

. Paroxysmal positional vertigo — A study of 255 cases. J Otolaryngol 1978; 7: 320–30.

Barber

Stockwell

. Manual of electronystagmography. St. Louis: CV Mosby 1976; 136–40.

Baloh

Sakala

Honrubia

. Benign paroxysmal positional vertigo. Am J Otolaryngol 1979; 1: 1–6.

10.

Coates

. Electronystagmography. In: Bradford

, ed. Physiological measures of the audio-vestibular system. New York: Academic Press, 1975.

11.

Schuknecht

. Pathology of the ear. Cambridge, Mass: Harvard University Press, 1974: 465–73.

12.

Gacek

. Further observations on posterior ampullary nerve transection for positional vertigo. Ann Otol Rhinol Laryngol 1978; 87: 300–5.

13.

Harbert

. Benign paroxysmal positional nystagmus. Arch Ophthalmol 1970; 84: 298–302.

14.

Cohen

Suzuki

Bender

. Nystagmus induced by electrical stimulation of ampullary nerves. Acta Otolaryngol (Stockh) 1965; 60: 422–36.

Nystagmus of Paroxysmal Positional Vertigo

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References