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  • Title: Nystagmus at the Onset of Vertiginous Attack in Ménière's Disease.
    Author: Hirai C, Yamamoto Y, Takeda T, Tasaki A, Inaba Y, Kiyokawa Y, Suzuki Y, Tsutsumi T.
    Journal: Otol Neurotol; 2017 Jan; 38(1):110-113. PubMed ID: 27779561.
    Abstract:
    OBJECTIVE: To clarify the direction and characteristics of nystagmus at the onset of a vertiginous attack in Ménière's disease. PATIENTS: Two patients with Ménière's disease, whose nystagmus at the onset of a vertiginous attack was recorded using electronystagmography. INTERVENTIONS: Diagnostic. MAIN OUTCOME MEASURES: Electronystagmographic recordings of nystagmus. RESULTS: In both patients, nystagmus was directed toward the affected side over the entire course of the vertiginous attack. One patient experienced a severe sensation of vertigo and exhibited strong nystagmus from the onset of the attack. The other patient reported a mild sensation of vertigo, which was accompanied by intermittent nystagmus. CONCLUSIONS: Vertiginous attacks in Ménière's disease are accompanied by irritative nystagmus. The intensity and characteristics (e.g., continuous or intermittent expression) of the nystagmus may be associated with pathophysiological severity.
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