Advertisement

Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

The head shaking nystagmus

Abstract

The head shaking nystagmus is a sign of vestibular assymmetry. Its detection is simple office test useful for screening the patients with vertigo and dysequilibrium. Its nature defies its recording with electro-oculography and is simply observed under Frenzel’s glasses. The direction of nystagmus is persistently directed away from the site of lesion and is not influenced by the compensatory adjustments. It is transient, rotatory and repeatable in nature. Its reliability is limited in face of the difficulty in its recognition. In presence of strong spontaneous nystagmus in the same face, it is not recognised easily. In the present study, its validity in peripheral disorders was 49.27% and 14% in central cases. There are limitations In earring out this test in situations of railed intracranial the tension, hence, its use in the latter cases is limited.

This is a preview of subscription content, log in to check access.

References

  1. 1.

    Claussen, CF., Eignungsuntersuchungen im Zusammenhang mit kinetose und hehenschwindel, in Verhandlung der Geselschaft fur Neuro-otologie und aequilibriometrie, et., Claussen, C.F. and Kirtane, M., Hamburg and Insburg, Verlag, page 1 (1983).

  2. 2.

    Frenzel, H. in H. in Zur Systematik, Klinik und Unntesuchungs-methodik der Vestibularis -sterung, Berlin, Springer (1961).

  3. 3.

    Hinchcliffe, R.,in Neuro-otology in Scientific foundation of Otolaryngology, Ed. Hinchcliffe, R. and Harrison, D.F. N., London, Heinemann page 390 (1976).

  4. 4.

    Igarashi, M., Vestibular system-experimental pathophysiology in scientific Foundation of Oto-Laryngology, Ed. Hinchcliffe, R. and Harrisson, D.F. N., London Heinemann, Page 362 (1976).

  5. 5.

    Kameo, T. and Kornhuber, H.H., Spontaneous and head shaking mystagmus in normals and in patients with central lesions, Canadian Journal of Otolaryngology, 3: 372 (1974).

  6. 6.

    Kayn, A. (1987) Diagnostic tests of balance, in Scot-Browns’s Otolaryngology, part-II Editor in general Kerr, A.G., fifth edition, London, Butterworth, page 331.

  7. 7.

    Mishra, S.C., Joshi, H.C.K. and Bhatia, N. (1985), Validity of audiovestibular tests in topographical diagnosis of labyrinthopathy, Indian Journal Oto-Laryngology, 37:55.

  8. 8.

    Mishra, S.C, Mehrotra, A.K. and Agarwal, S.P. (1982), The validity of positional nystagmus and vertigo as a topographical evidance in neuro-otology, Indian Journal Otolaryngology, 34: 6.

  9. 9.

    Pfaltz, CR., Piffko, P. and Mishra, S.C. (1973), Central compensation of vestibular disfunctions, Oto-Rhino-Laryngology, 35: 71.

  10. 10.

    Unterberger, S., Neue Objective registrierbare vestibularis-korperdrehreaktion, erhalten durch Treten auf der stelle. Der Tretversuch,, Archiv fur ohren, Nasen und kehlkopfheiokunde,179, 273 (1962).

Download references

Author information

Correspondence to S. C. Mishra or Satya Vrat or Anupam Mishra.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Mishra, S.C., Vrat, S. & Mishra, A. The head shaking nystagmus. Indian J Otolaryngol Head Neck Surg 52, 45–48 (1999). https://doi.org/10.1007/BF02996432

Download citation

Keywords

  • Facial Paralysis
  • Spontaneous Nystagmus
  • Labyrinthitis
  • Positional Nystagmus
  • Gravity Receptor