Nystagmus: assessments

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Nystagmus: assessments. Pendular nystagmus: this is sinusoidal with slow phase oscillations. Fully referenced neurology checklist.

Assessment of type

  • Pendular nystagmus: this is sinusoidal with slow phase oscillations
  • Jerk nystagmus: this appears as alternating slow drift and quick corrective phases

Assessment of direction

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Assessment of physiological eye movements

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Assessment of nystagmus

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Assessment of subtle nystagmus

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Exclude other causes of abnormal fixation

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Investigations

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References

  1. Strupp M, Kremmyda O, Adamczyk C, et al. Central ocular motor disorders, including gaze palsy and nystagmus. J Neurol 2014; 261(Suppl 2):S542-S558. 
  2. Serra A, Leigh RJ. Diagnostic value of nystagmus: spontaneous and induced ocular oscillations. JNNP 2002; 73:615–618.
  3. Abadi RV. Mechanisms underlying nystagmus. J R Soc Med 2002; 95:231–234.
  4. Self JE, Dunn MJ, Erichsen JT, et al. Management of nystagmus in children: a review of the literature and current practice in UK specialist services. Eye (Lond) 2020; 34:1515-1534. 

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