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Visual Fixation-Induced Hemi-Seesaw Nystagmus

Kim HS, Oh EH, Choi JH

Seesaw nystagmus (SSN) is characterized by conjugate torsional nystagmus with opposite vertical components in the two eyes. The waveform may be pendular or jerk (hemi-seesaw nystagmus, HSSN), in which the...
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The Head-Bending Test in Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo

Choi Sl, Kim HS, Choi JH, Oh EH

Objectives: This study aimed to investigate clinical significance of a head-bending test in benign paroxysmal positional vertigo (BPPV) involving the posterior semicircular canal (PC-BPPV). Methods: We retrospectively recruited 256 patients with...
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Spontaneous Upbeat Nystagmus and Selective Anterior Semicircular Canal Hypofunction on Video Head Impulse Test: A New Variant of Canalith Jam?

Castellucci A, Botti C, Martellucci S, Malara P, Delmonte S, Lusetti F, Ghidini A

We describe a rare case of spontaneous upbeat nystagmus (UBN) attributable to a canalith jam involving the anterior semicircular canal (ASC) in a patient in whom comprehensive vestibular assessment was...
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Central Positional Nystagmus in Focal Dentate Nucleus Lesion

Kwon H, Lee H, Kim HA

Central positional nystagmus arises due to disruption of brainstem or cerebellar vestibular networks. Most of patients with central positional nystagmus had lesions focal or diffusion cerebellar or pontine lesion. From...
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Dissociated Vertical-Torsional Nystagmus in Vestibular Nucleus Lesion

Kim HS, Oh EH, Choi JH

Dissociated vertical-torsional nystagmus is a unique form of nystagmus characterized by conjugate torsional but disparate vertical components. It has been mainly reported in internuclear ophthalmoplegia or medial medullary lesion involving...
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Auto-Pattern Recognition for Diagnosis in Benign Paroxysmal Positional Vertigo Using Principal Component Analysis: A Preliminary Study

Gwon OH, Kong TH, Key J, Yang S, Seo YJ

Objectives: The aim of this study was to develop a filtering algorithm for raw nystagmus images and a diagnostic assistive algorithm using a principal component analysis (PCA) to distinguish the...
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Diagnostic Value of Straight Head Hanging in Posterior Canal Benign Paroxysmal Positional Vertigo

Ling X, Kim HJ, Lee JH, Choi JY, Yang X, Kim JS

Background and Purpose To determine the diagnostic value of straight head hanging (SHH) in benign paroxysmal positional vertigo involving the posterior semicircular canal (PC-BPPV). Methods We retrospectively included 62 patients (age=56.2±15.0 years, 47...
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Significance of Pseudo-Conductive Hearing Loss and Positional Nystagmus for Perilymphatic Fistula: Are They Related to Third-Window Effects?

Kim JS, Son SE, Kim MB, Cho YS, Chung WH

Objectives. Patients’ clinical presentation is critical for identifying suspected perilymphatic fistula (PLF). The involvement of third-window lesions in the pathomechanism of PLF has been hypothesized. This study investigated the clinical...
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Clinical Characteristics of Patients with Persistent Apogeotropic and Persistent Geotropic Direction-Changing Positional Nystagmus

Si L, Shen B, Li Y, Ling X, Li K, Yang X

Background and Purpose This study aimed to determine the clinical features, diagnosis, and treatment of patients with persistent geotropic (pG) and persistent apogeotropic (pAG) direction-changing positional nystagmus (DCPN). Methods This retrospective...
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Update on Nystagmus and Other Ocular Oscillations

Jeong SH, Kim JS

This review reports on recent advances in understanding nystagmus and other involuntary eye movements. Advances in quantitative evaluations of eye movements using oculography, computational model simulations, genetics, and imaging technologies...
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Video-oculographic Analysis in Nystagmus Patients

Kim H, Park SH

Purpose: To evaluate the usefulness of video-oculographic waveform analysis in nystagmus patients. Methods: We carried out an observational case study in 18 patients (age, 7-32 years) with nystagmus who visited our...
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Vascular Origin of Central Vertigo: Brainstem

Lee SU

Various neurotologic findings can be observed in stroke involving the brainstem. Analyses of the neurotologic findings are important in brainstem stroke since it can have negative diffusion-weighted image, as well...
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Spontaneous Direction-Changing or Reversing Positional Nystagmus without Changing Head Position during Head-Roll/Head-Hanging Maneuvers: Biphasic Positional Nystagmus

Yetiser S

Background and Objectives: Conflicting mechanisms have been reported about spontaneous reversal of positional nystagmus during head-roll maneuver in patients with benign paroxysmal positional vertigo (BPPV). The objective of this study...
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Neurotological Findings in a Patient with Glufosinate Ammonium Intoxication

Kim JY, Ham JY, Jeong SH

The upward deviation could be explained by loss of inhibitory inputs from the cerebellum onto the brainstem anterior semicircular canal projections for upward vestibulo-ocular reflex, which would lead to an...
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Positional Audiometry in Patients with Light Cupula: A Preliminary Study

Lee J, Lee DH, Shin JE, Kim CH

Objectives: Light cupula is characterized by persistent geotropic direction-changing positional nystagmus in a supine head-roll test. The purpose of this study is to investigate if hearing level is influenced by...
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Persistent Nystagmus in Chronic Phase of Lateral Medullary Infarction

Lee TK, Park JY, Kim H, Choi KD, Kim JS, Sung KB

Background and Purpose We aimed to determine the patterns and mechanisms of persistent nystagmus (PN) lasting >1 year in lateral medullary infarction (LMI). Methods We recruited 13 patients with PN due to LMI...
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Atypical Presentation of Acute Vestibular Syndrome with Ramsay Hunt Syndrome

Kang BH, Lee YW, Kim JI

Ramsay Hunt syndrome is an acquired paralysis of the face specifically caused by a varicella-zoster virus infection in the facial nerve. Other cranial nerves including vestibulo-cochlear disturbance can be affected....
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Positional Hemiseesaw Nystagmus in Ataxia with Oculomotor Apraxia Type 2 due to a Novel Senataxin Gene Mutation: A New Phenotype

Kim SH, Jang JH, Kim JS

Ataxia with ocular motor apraxia type 2 (AOA2) is an autosomal recessive disorder that is characterized by adolescent-onset gait ataxia, peripheral neuropathy, ocular apraxia, and cerebellar atrophy. A 19-year-old male...
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A Case of Patient with Acute Peripheral Vestibulopathy Involving Isolated Posterior Semicircular Canal

Im SK, Song MH, Gu JW, Shim DB

Down-beat nystagmus in peripheral vestibulopathy may rarely occur in selective involvement of inferior division. Diagnosis of isolated inferior vestibular neuritis is based on torsional down-beating spontaneous nystagmus, abnormal head-impulse test...
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Rotational vertebral artery syndrome treated via an anterior approach and selective decompression only

Kang JH, Im SB, Jeong JH, Shin DS

We present the case of a 38-year-old male who complained of repeated dizziness and syncope. Rotational vertebral artery syndrome (RVAS) was diagnosed via videonystagmoraphy (VNG), computed tomography angiography (CTA) and...
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