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Upbeat Nystagmus

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Clinical Features of Torsional<br />

<strong>Nystagmus</strong><br />

Torsional jerk nystagmus (minimal vertical<br />

or horizontal components) present with<br />

eye close to central position.<br />

Slow phases may have linear-, increasing-<br />

, or decreasing-velocity waveforms<br />

Poorly suppressed by visual fixation of a<br />

distant target<br />

Exacerbated by changes in head position<br />

or vigorous head shaking<br />

Leigh JR and Zee DS. The Neurology of Eye Movements 4 th Edition.<br />

Oxford University Press, New York 2006 with permission

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