Ipsilesional Nystagmus Induced by Vibration in Subjects With Ménière's Disease or Vestibular Schwannoma

Gamarra, María Fernanda Vargas; Krstulovic, Claudio; Guillen, Vanesa Pérez; Pérez-Garrigues, Herminio

doi:10.1097/mao.0000000000001435

Cited by 6 publications

(1 citation statement)

References 13 publications

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“…Vibration-induced nystagmus is elicited by pressing a vibrating device perpendicularly to the skin over the mastoid process, typically during 20 s. In patients with a unilateral vestibular hypofunction, this bone-conducted vibration induces predominantly horizontal nystagmus in the direction of the unaffected ear. In some patients with Menière's disease or vestibular schwannoma, however, vibration-induced nystagmus may also be directed towards the affected ear [26].…”

Section: Vibration-induced Nystagmusmentioning

confidence: 99%

Nystagmus

Tarnutzer

Straumann

2018

Current Opinion in Neurology

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In clinical practice, a structured description of nystagmus including its three-dimensional beating direction, trigger factors and duration is of major importance. The differential diagnosis of downbeat nystagmus is broad and includes acute intoxications, neurodegenerative disorders and cerebrovascular causes amongst others. In patients with positional nystagmus, the distinction between frequent benign peripheral and rare but dangerous central causes is imperative.

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Section: Vibration-induced Nystagmusmentioning

confidence: 99%

Nystagmus

Tarnutzer

Straumann

2018

Current Opinion in Neurology

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The Outpatient Approach to Dizziness

Brune¹,

Eggenberger

2021

Semin Neurol

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The evaluation of the dizzy patient is complicated by many common pitfalls. The patient's description of symptoms and the standard neurologic examination are often nonspecific or unrevealing, and neuroimaging is most often normal. Over the past several years, research has demonstrated that a refocusing of history taking results in more reliable and diagnostically helpful information. This can guide a targeted expansion of the exam, often with an emphasis on eye movements.

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