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Exterior of labyrinth of the inner ear. Benign paroxysmal positional vertigo ( BPPV) is a disorder arising from a problem in the inner ear. [ 3] Symptoms are repeated, brief periods of vertigo with movement, characterized by a spinning sensation upon changes in the position of the head. [ 1] This can occur with turning in bed or changing ...
Nystagmus. Nystagmus is a condition of involuntary (or voluntary, in some cases) [1] eye movement. [2] People can be born with it but more commonly acquire it in infancy or later in life. In many cases it may result in reduced or limited vision. [3] In normal eyesight, while the head rotates about an axis, distant visual images are sustained by ...
The eyes then turn toward the ipsilateral ear, with horizontal nystagmus to the contralateral ear. [5] [6] Absent reactive eye movement suggests vestibular weakness of the horizontal semicircular canal of the side being stimulated. In comatose patients with cerebral damage, the fast phase of nystagmus will be absent as this is controlled by the ...
Electronystagmography. Electronystagmography ( ENG) is a diagnostic test to record involuntary movements of the eye caused by a condition known as nystagmus. It can also be used to diagnose the cause of vertigo, dizziness or balance dysfunction by testing the vestibular system. [ 1] Electronystagmography is used to assess voluntary and ...
Positional alcohol nystagmus. Positional alcohol nystagmus (PAN) is nystagmus (visible jerkiness in eye movement) produced when the head is placed in a sideways position. PAN occurs when the specific gravity of the membrane space of the semicircular canals in the ear differs from the specific gravity of the fluid in the canals because of the ...
Parinaud's syndrome is a cluster of abnormalities of eye movement and pupil dysfunction, characterized by: Paralysis of upwards gaze: Downward gaze is usually preserved. This vertical palsy is supranuclear, so doll's head maneuver should elevate the eyes, but eventually all upward gaze mechanisms fail. In the extreme form, conjugate down gaze ...
Horizontal optokinetic nystagmus. The optokinetic reflex ( OKR ), also referred to as the optokinetic response, or optokinetic nystagmus (OKN), is a compensatory reflex that supports visual image stabilization. [ 1] The purpose of OKR is to prevent image blur on the retina that would otherwise occur when an animal moves its head or navigates ...
The HINTS test, which is a combination of three physical examination tests that may be performed by physicians at the bedside, has been deemed helpful in differentiating between central and peripheral causes of vertigo. [32] The HINTS test involves the horizontal head impulse test, observation of nystagmus on primary gaze, and the test of skew ...