🚨Nystagmus doesn’t suppress with fixation? It’s likely due to brain pathology! (A long case, but stay with me) This patient experienced a sudden onset of dizziness and hearing loss and was diagnosed with labyrinthitis. Imaging was normal, and he was referred to ENT for hearing loss care and vestibular therapy for eval and treat of vertigo and imbalance. Vestibular PT evaluation revealed central findings: ‼️ Direction-changing nystagmus with gaze ‼️ Vertical skew deviation ‼️ Unilateral pupillar
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🚨Nystagmus doesn’t suppress with fixation? It’s likely due to brain pat…
10.9K views11 months ago
FacebookVestibular First
During horizontal gaze, the medial longitudinal fasciculus (MLF) on each side of the brain stem enables abduction of one eye to be coordinated with adduction of the other. The MLF connects the following structures: Sixth cranial nerve nucleus (which controls the lateral rectus, responsible for abduction) Adjacent horizontal gaze center (paramedian pontine reticular formation) Contralateral third cranial nerve nucleus (which controls the medial rectus, responsible for adduction) The MLF also conn
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During horizontal gaze, the medial longitudinal fasciculus (MLF) on e…
26.2K views5 months ago
FacebookNeurology
Uni Medical care on Instagram: "Benign Paroxysmal Tonic Upward Gaze (BPTG) is a rare, self-limiting neuro-ophthalmological syndrome that primarily affects infants and young children. It is defined by recurrent, transient episodes of conjugate upward deviation of the eyes without paralysis of extraocular muscles, representing a diagnosis of exclusion. The condition likely results from a transient immaturity or dysfunction in the supranuclear control of vertical gaze within the rostral interstitia
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Uni Medical care on Instagram: "Benign Paroxysmal Tonic Upwar…
7.7K views5 months ago
Instagramunimedical_care
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