What are the symptoms of vertigo and nystagmus?

Oct 12, 2022 Source: Cainiu Health
Dr. Yang Jun
Introduction
Nystagmus-induced vertigo manifests as horizontal nystagmus, vertical nystagmus, and rotational nystagmus. Horizontal nystagmus is caused by conditions such as labyrinthine disorders of the inner ear and diseases of the central nervous system; vertical nystagmus results from factors like congenital cataracts and choroiditis; rotational nystagmus arises from visual system disorders or diseases affecting the central nervous system controlling the extraocular muscles. All of these conditions may lead to nystagmus-induced vertigo.

Generally, vertigo-related nystagmus presents symptoms such as horizontal nystagmus, vertical nystagmus, and rotational nystagmus. Patients are advised to seek timely medical evaluation at a reputable hospital and receive treatment under a doctor's guidance, including medication or surgical interventions.

1. Horizontal nystagmus: This is usually caused by conditions affecting the inner ear labyrinth or the central nervous system. It is commonly accompanied by involuntary, rhythmic back-and-forth oscillations and may lead to vertigo-related nystagmus. It is recommended to take medications such as vitamin B12 tablets or mecobalamin capsules under medical supervision.

2. Vertical nystagmus: This is typically caused by congenital cataracts, choroiditis, or similar conditions. It is often associated with vertical oscillations of the eyes and may also result in vertigo-related nystagmus. Surgical treatments such as proprioceptor resection or recession of extraocular muscles may be recommended under a doctor’s guidance.

3. Rotational nystagmus: This is generally caused by disorders of the visual system or the central nervous system controlling the extraocular muscles. It is characterized by repetitive rotary movements of the eyes around their anterior-posterior axis, which may contribute to vertigo-related nystagmus. Treatment may include medications such as gabapentin capsules or baclofen tablets, as directed by a physician.

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