Document Detail


Clinical significance of rebound nystagmus in neuro-otological diagnosis.
MedLine Citation:
PMID:  646294     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The present study is concerned with a clinical analysis of 17 patients with "rebound nystagmus" examined over a period of three years. All of them have shown a short duration second degree nystagmus evoked by changes in the direction of fixation, from the lateral to straight ahead gaze. This nystagmus was a fixation nystagmus, that is to say, it was enhanced in the presence of active optic fixation and inhibited in its absence. Almost all the patients (16 out of 17) had cerebellar signs on neurological examination (in one subject rebound nystagmus was the first sign suggesting cerebellar involvement and appeared several months before any other cerebellar sign was present). Rebound nystagmus was far more common than the other neuro-otological signs suggesting cerebellar dysfunction (vestibular hyperexcitability, dysrhythmia in postcaloric nystagmus and ocular dysmetria). In three out of four patients with unilateral lesions rebound nystagmus was ipsilateral with respect to the side of the lesion. Postmortem studies were carried out upon five cases and showed either pathological changes in the cerebellum or a lesion involving the cerebellar peduncles in the brain stem.
Authors:
C Morales-Garcia; J L Cardenas; C Arriagada; J Otte
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  87     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:    1978 Mar-Apr
Date Detail:
Created Date:  1978-06-12     Completed Date:  1978-06-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  238-42     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Cerebellar Diseases / complications,  diagnosis*,  pathology
Cerebellar Neoplasms / complications
Fixation, Ocular
Functional Laterality
Humans
Nystagmus, Pathologic / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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