If horizontal nystagmus always meant peripheral, we would have the "N" exam, not the "HINTS" exam. Peripheral nystagmus from vestibular neuritis does not fatigue. And BPPV often shows a prominent vertical component.
Yes you're absolutely right, I'm sorry if I was unclear or didn't mention that. The combined results of all 3 tests gives the suspicion towards either a central or a peripheral cause. Horizontal nystagmus is one of the points that gives a suspicion, but the results have to be combined with the results from skew deviation and head impulse for the most accurate answer (sensitivity and specificity of both around ~95%).
@@Mr.C0ffee Nystagmus is evaluated together with two other tests, Head Impulse and Test of Skew/Skew Deviation. These tests make up the full HINTS exam. Peter Johns has himself some great videos on the full HINTS exam, not only the Nystagmus part as this video is about. I would definetely recommend checking them out.
Thankyou, that was the best explanation I’ve found. Now I know it’s peripheral as it happens with one of my extra tinnitus sounds in one ear . I think the ENT is looking for keratin buildup (can’t remember the long name she said but ended with toma). ❤
how do you write for example a downbeating conjugate nystagmus which fades in up gaze symbolically using arrows figuratively can you show me how it will be documented on patient's chart
I have nystagmus but am living in a thirld world country so I don't really have access to doctors who know a lot about it, are there anynew developements in the tratments for nystagmus? It seems like researchers don't really look into nystagmus a lot
Hi! Watched videos of what nystagmus looks like, and I cant find anything that looks the same as in my babys (4m). Waiting to get her checked out by an eyedoctor and neverologist. She mainly as a very rapid vibration almost, in both eyes when looking straight at us, mostly after wakikg up from a nap (from swinging crib). If I blink myself its hard to catch it happening. I’ve tried all sorts of triggering to see if it happens in sertain situations, but cant say that it does, and it does not happen alot. I can’t find any signs that she has poor eyesight and her red-reflex is there in photos.. is this still what you would call nystagmus?
Hi doc, hope you are doing good, greetings from INDIA. I actually have a question, so while i am reading or studying and suddenly i shift my eyes while i am referring one or more books, my eyes start moving left to right and it is rapid, this is not that frequent but yes it does happen to me occasionally. I wanted to know if that can be counted under nystagmus? If yes, then what can i do to you know cure it? Awaiting your reply, thanks...👍🙏
@@shantanubhingardive3107 hi bro when i watch movies and camera moves to any direction fast i can't see its too fast and feels like i can't focus at center and also eyes not moving smooth
I get nystagmus when concentrating too hard. I feel my eyes quickly jerk back and forth, and then they stay normal for a while unless I change my gaze.
Hey man, shantanu from india, i wanted to know how frequently does nystagmus happen to you? I mean how many times do you experience it in a day or say in a week?
Hi at what age do you see this happening? I have a 2 months old baby and usually i see his eyes moving normal but since 2 months now I’ve seen his eyes shaky 2 times. And it’s usually in the middle of the eyes. At first i thought it was him having siezure or trying to fixate focus on an object then it happened but after googling it it look like nystagmus…
Unfortunately I'm not able to give a safe assessment just based on a comment, or text in general. I therefore have to advice you to consult your general practitioner, so he/she can evaluate if there is a problem or not.
It is hard to know, depends what you mean by shaking. However, I would advice you to see a physician if you're worried, as it is hard for me to give a good answer based on text. Sorry.
![De Quervain's tenosynovitis [Essential medicine]](http://i.ytimg.com/vi/2a-dJL2A5H8/mqdefault.jpg)
![De Quervain's tenosynovitis [Essential medicine]](/img/tr.png)
If horizontal nystagmus always meant peripheral, we would have the "N" exam, not the "HINTS" exam. Peripheral nystagmus from vestibular neuritis does not fatigue. And BPPV often shows a prominent vertical component.
Yes you're absolutely right, I'm sorry if I was unclear or didn't mention that. The combined results of all 3 tests gives the suspicion towards either a central or a peripheral cause. Horizontal nystagmus is one of the points that gives a suspicion, but the results have to be combined with the results from skew deviation and head impulse for the most accurate answer (sensitivity and specificity of both around ~95%).
What is the N exam?
@@Mr.C0ffee When you take away HI and TS
@@Mr.C0ffee Nystagmus is evaluated together with two other tests, Head Impulse and Test of Skew/Skew Deviation.
These tests make up the full HINTS exam.
Peter Johns has himself some great videos on the full HINTS exam, not only the Nystagmus part as this video is about. I would definetely recommend checking them out.
I've had nystagmus my whole life, and this is the first I've heard of ALL of these terms!!! And causes!
Thank you. This explanation was very clear and helpful.
You're welcome, glad it was helpful.
Really great video. Only one thing I missed is background pathology of every finding.
Nice one ..very specific and clearly explained 🌟🌟
Glad it was helpful!
GREAT EXPLANATION. Thank you so much🙏🏽
Thankyou, that was the best explanation I’ve found. Now I know it’s peripheral as it happens with one of my extra tinnitus sounds in one ear . I think the ENT is looking for keratin buildup (can’t remember the long name she said but ended with toma). ❤
Cholesteatoma
I wonder what does a patient with nystagmus would see? Would there be any kind of symptoms, for example, blurred vision?
thank you so much...now I can understand about nystagmus
Thanks for your video . I can understand it in a short time
Very well done. Thank you!
Thanks :D Glad you found it useful! :)
Very informative thank you❤
Thank you very much
Thank you! Such an useful video
Glad it was helpful!
how do you write for example a downbeating conjugate nystagmus which fades in up gaze symbolically using arrows figuratively can you show me how it will be documented on patient's chart
Great piece of work👍
Excuse me Doctor nystagmus Can it be treated if it is congenital? Have you treated such patients in your experience?
Want to know the same
I have nystagmus but am living in a thirld world country so I don't really have access to doctors who know a lot about it, are there anynew developements in the tratments for nystagmus? It seems like researchers don't really look into nystagmus a lot
Most people only get this test once they've been pulled over for DUI suspicion.
@cannamich5813 that's very interesting, so they don't test for it during the exams before they give you a license
Absolutely agree and wanted to know as there any success in this field
My child has nystagmus, and I am still clueless how to introduce him into formal education. So far he is doing everything orally
Hi! Watched videos of what nystagmus looks like, and I cant find anything that looks the same as in my babys (4m). Waiting to get her checked out by an eyedoctor and neverologist. She mainly as a very rapid vibration almost, in both eyes when looking straight at us, mostly after wakikg up from a nap (from swinging crib). If I blink myself its hard to catch it happening. I’ve tried all sorts of triggering to see if it happens in sertain situations, but cant say that it does, and it does not happen alot. I can’t find any signs that she has poor eyesight and her red-reflex is there in photos.. is this still what you would call nystagmus?
Great video. Thank you.
Very educational. Thanks.
Can you recommend any android app that can be theoretically useful to detect and diagnose forms of nystagmus?
Nice video, but do something for the audio quality
Hi doc, hope you are doing good, greetings from INDIA. I actually have a question, so while i am reading or studying and suddenly i shift my eyes while i am referring one or more books, my eyes start moving left to right and it is rapid, this is not that frequent but yes it does happen to me occasionally. I wanted to know if that can be counted under nystagmus? If yes, then what can i do to you know cure it? Awaiting your reply, thanks...👍🙏
My daughter has same problem
@@Merin151 hi, the medical term for what your daughter and I are facing is called "saccades"....you may get more info of it on the net... Good day..
@@shantanubhingardive3107 hi bro when i watch movies and camera moves to any direction fast i can't see its too fast and feels like i can't focus at center and also eyes not moving smooth
Very helpful thanks 👍
Thanks, I'm happy that you found it useful 😁
is there relation between hypovitamine D and nystagmus?
I get nystagmus when concentrating too hard. I feel my eyes quickly jerk back and forth, and then they stay normal for a while unless I change my gaze.
thank you
You're welcome :)
Amazing presentation!
Hi iam prabhakar from india. Sir pls any medical tablet suggest sir for horizontal nystagmus present age 33
Hey man, shantanu from india, i wanted to know how frequently does nystagmus happen to you? I mean how many times do you experience it in a day or say in a week?
NICE VIDEO WELL DONE
Thanks a lot! I'm glad you found it useful :D
tusen takk
Hi at what age do you see this happening? I have a 2 months old baby and usually i see his eyes moving normal but since 2 months now I’ve seen his eyes shaky 2 times. And it’s usually in the middle of the eyes. At first i thought it was him having siezure or trying to fixate focus on an object then it happened but after googling it it look like nystagmus…
Unfortunately I'm not able to give a safe assessment just based on a comment, or text in general. I therefore have to advice you to consult your general practitioner, so he/she can evaluate if there is a problem or not.
Have you assessed your child? I have a 3 months old that I caught on 2-3 occasions having the same 🥺
@@olgabu3777 did you find out what it was?!
@@deathsabor1560 he is 1 now and all fine, thank God
Very nice
Thanks
Most welcome :)
When i. Close my eyes it start to shaking it is nystagmus or?
It is hard to know, depends what you mean by shaking. However, I would advice you to see a physician if you're worried, as it is hard for me to give a good answer based on text. Sorry.
thank u
You're very welcome, I'm glad you found it useful.
Thanks allot
No problem, glad it helped :)
When I’m watching tv or driving my eyes twitch back and forth really fast
en 9 minutos conecte mas cosas que 1 semestre de vestibular 😂
Not enough volume
Veum Lights
Very well done. Thank you!
No problem, glad you found it useful! :)