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Pendular Nystagmus on Ocular Exam

Pendular nystagmus seen in this patient with multiple sclerosis

#Pendular #Nystagmus #Ocular #PhysicalExam
Pendular Nystagmus ... Ocular Exam Pendular ... nystagmus seen ... sclerosis #Pendular ... #Nystagmus #Ocular
Seesaw Nystagmus 

Sawtooth or seesaw nystagmus is an unusual but characteristic type of nystagmus. Typically there
Seesaw Nystagmus ... Sawtooth or seesaw nystagmus ... Nystagmus can be ... pendulum or jerk ... The pendular shape
Pendular Nystagmus

Acute pendular nystagmus secondary to viral cerebellitis.

#Pendular #Nystagmus #clinical #video #physicalexam #neurology #ophthalmology
Pendular Nystagmus ... Acute pendular ... nystagmus secondary ... #Pendular #Nystagmus
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
Findings During Hallpike ... Latency (delay in nystagmus ... and torsional nystagmus ... • Vertigo and nystagmus ... 30 seconds • Nystagmus
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
the head) • Hallpike ... and torsional nystagmus ... : Constant • Hallpike ... to administer Hallpike
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... Nystagmus 2. ... right ear, the nystagmus ... fast phase of the nystagmus ... affected ear #Dix #Hallpike
Seesaw nystagmus 
-> eye move in an opposed vertical fashion (one goes up while the other
Seesaw nystagmus ... can be either pendular ... Seesaw nystagmus ... Center #Seesaw #nystagmus
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Ocular Nystagmus ... BPPV after Dix Hallpike ... sudhir_kothari #Ocular #Nystagmus ... Posterior #Dix #Hallpike
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Ocular Nystagmus ... BPPV after Dix Hallpike ... anti-clockwise nystagmus ... sudhir_kothari #Ocular #Nystagmus ... Posterior #Dix #Hallpike
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... vascular causes • Nystagmus ... Positive Hallpike