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Clinical evaluation of acute phase nystagmus associated with cerebellar lesions

Published online by Cambridge University Press:  18 April 2016

Y Ogawa
Affiliation:
Department of Otorhinolaryngology, Tokyo Medical University, Japan
K Otsuka
Affiliation:
Department of Otorhinolaryngology, Tokyo Medical University, Japan
A Hagiwara
Affiliation:
Department of Otorhinolaryngology, Tokyo Medical University, Japan
T Inagaki
Affiliation:
Department of Otorhinolaryngology, Tokyo Medical University, Japan
S Shimizu
Affiliation:
Department of Otorhinolaryngology, Tokyo Medical University, Japan
N Nagai
Affiliation:
Department of Otorhinolaryngology, Tokyo Medical University, Japan
U Konomi
Affiliation:
Department of Otorhinolaryngology, Tokyo Medical University, Japan
S Itani
Affiliation:
Department of Otorhinolaryngology, Tokyo Medical University, Japan
T Kondo
Affiliation:
Department of Otorhinolaryngology, Tokyo Medical University, Japan
M Suzuki
Affiliation:
Department of Otorhinolaryngology, Tokyo Medical University, Japan
Corresponding
E-mail address:
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Abstract

Objectives:

To determine the characteristics of acute phase nystagmus in patients with cerebellar lesions, and to identify a useful indicator for differentiating central lesions from peripheral lesions.

Methods:

Acute phase nystagmus and the appearance of neurological symptoms were retrospectively investigated in 11 patients with cerebellar stroke.

Results:

At the initial visit, there were no patients with vertical nystagmus, direction-changing gaze evoked nystagmus or pure rotatory nystagmus. There were four cases with no nystagmus and seven cases with horizontal nystagmus at the initial visit. There were no neurological symptoms, except for vertigo and hearing loss, in any cases at the initial visit. The direction and type of nystagmus changed with time, and neurological symptoms other than vertigo appeared subsequently to admission.

Conclusion:

It is important to observe the changes in nystagmus and other neurological findings for the differential diagnosis of central lesions.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2016 

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References

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Clinical evaluation of acute phase nystagmus associated with cerebellar lesions
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