Nystagmus

Question 1

What side does nystagmus beat to?

Answer 1

Neurally active side

Question 2

Spontaneous Nystagmus
- Slow phase

Answer 2

VOR

Question 3

Spontaneous Nystagmus
- Fast phase

Answer 3

Brainstem mediated saccade
The direction of the more neurally active side
Quick jump one way

Question 4

Nystagmus is named after?

Answer 4

The fast phase

Question 5

What is Hypofunction?

Answer 5

Lesion and increased firing rate

Question 6

Nystagmus naming
- 1st degree

Answer 6

Only center
Nystagmus looking forward

Question 7

Nystagmus naming
- 2nd degree

Answer 7

Center and L or R
Turn eyes to one direction and center

Question 8

Nystagmus naming
- 3rd degree

Answer 8

Center and Left and Right
Nystagmus in all 3 directions

Question 9

Direction changing nystagmus

Answer 9

Nystagmus occurs in different directions
Refer to neurologist

Question 10

Red flag

Answer 10

Direction changing nystagmus

Question 11

End range nystagmus

Answer 11

Bringing to end range

Question 12

Nystagmus naming
- Fatiguing

Answer 12

Nystagmus eventally stops

Question 13

Nystagmus naming
- Non-fatiguing

Answer 13

Never stops
*cutoff (Con’t for longer than 1 min)

Question 14

Nystagmus naming
- Latency

Answer 14

Time between putting them in position and when nystagmus actually begins

Question 15

Subjective description categories

Answer 15

Dizziness
Vertigo
Pre-syncope
Tinnitus
Oscillopsia
Depersonalization
Nausea
Diplopia

Question 16

Dizziness

Answer 16

Generalized bucket

Question 17

Vertigo

Answer 17

Sensation of movement when movement is not actually occuring

Question 18

Pre-syncope

Answer 18

Decreased cerebral perfusion

Question 19

Tinnitus

Answer 19

Sensation of noise or auditory hallucination when that noise is not actually occurring

Question 20

Oscillopsia

Answer 20

Delay in vision when the head moves

Question 21

Depersonalization

Answer 21

Sensation of not being in one’s self

Question 22

Nasuea

Answer 22

Feeling of sickness with an inclination to vomit

Question 23

Diplopia

Answer 23

Double vision in the vertical or horizontal plane

Question 24

Vertigo commonly described as

Answer 24

Spinning, turning, pulling, sinking, floating, somersaulting, pushing

Question 25

Vertigo - Pathophysiology

Answer 25

Lesion or mechanical disturbance within central or peripheral vestibular pathways Anxiety

Question 26

Pre-syncope commonly described as

Answer 26

Lightheadedness

Question 27

Pre-syncope - Pathophysiology

Answer 27

LBP Orthostatic HYPOtension Autonomic dysfunction or dysautonomia Allgrove syndrome

Question 28

Tinnitus commonly described as

Answer 28

Ringing, buzzing, vibrating

Question 29

Tinnitus - Pathophysiology

Answer 29

Migraines Meniere's Disease Noise exposure Sensorineural hearing loss

Question 30

Oscillopsia commonly described as

Answer 30

Feels like what they see takes a moment to catch up when turning their head

Question 31

Oscillopsia - Pathophysiology

Answer 31

Lesion in VOR pathway Neuritis/Labyrinthitis Ototoxicity Meniere's Disease Acoustic Neuroma

Question 32

Depersonalization commonly described as

Answer 32

Out of body experience

Question 33

Depersonalization - Pathophysiology

Answer 33

Lesion specific to parietal lobe Migraine or focal seizure to the insular portion to the parietal lobe

Question 34

Nausea commonly described as

Answer 34

Upset stomach, like going to vomit

Question 35

Nausea - Pathophysiology

Answer 35

Concurrent with vertigo All conditions that can cause vertigo may also have nausea Brainstem lesion Migraine or seizure

Question 36

Diplopia described as

Answer 36

Double vision, an extra shadow

Question 37

Diplopia - Pathophysiology

Answer 37

TBI Concussion Acute peripheral vestibular

Question 38

Vestibular Neuritis

Answer 38

Acute unilateral vestibulopathy

Question 39

2nd most common cause of vertigo

Answer 39

Vestibular Neuritis

Question 40

Vestibular Neuritis - Viral etiology

Answer 40

Superior vest n.

Question 41

Vestibular Neuritis - decribed as

Answer 41

Spinning lasting for 48 to 72 hours - ER - Followed by dizziness provoked by head motion

Question 42

VNG can show as?

Answer 42

Ipsilateral hyporesponsiveness or non-responsiveness

Question 43

Labyrinthitis

Answer 43

Hearing loss Peripheral Unilateral Incomplete Stable

Question 44

Does vestibular neuritis respond well to rehab?

Answer 44

Yes