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Bidirectional Nystagmus: A Clue to Central Vertigo
A brief demonstration of bidirectional (direction-changing) nystagmus. The eyes beat to the right on right gaze and to the left on left gaze. This finding is a hallmark of a central cause of vertigo, most often localizing to the brainstem or cerebellum. Peripheral vertigo never produces bidirectional nystagmus, the fast phase always beats in ...
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