Nystagmus: assessments

Evidence-based neurology checklist on nystagmus: assessments: 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 Assessment of physiological eye movements…

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

Assessment of physiological eye movements

Assessment of nystagmus

Assessment of subtle nystagmus

Exclude other causes of abnormal fixation

Investigations

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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