Can you feel the nystagmus caused by otolith (benign paroxysmal positional vertigo) yourself?

Jun 05, 2023 Source: Cainiu Health
Dr. Xu Gang
Introduction
Nystagmus refers to involuntary eye movement. In cases of benign paroxysmal positional vertigo (BPPV), patients with high bodily sensitivity may be able to perceive these eye movements themselves, while those with lower sensitivity might only experience general discomfort. The primary cause of BPPV is the dislodgement of calcium crystals from the inner ear into the semicircular canals, which subsequently affects the balance and visual systems. During an episode, patients may experience blurred vision and dizziness.

In general, nystagmus refers to involuntary eye movement. In cases of benign paroxysmal positional vertigo (BPPV), individuals who are physically sensitive may be able to perceive the eye tremors themselves, whereas patients who are less physically sensitive might only experience general discomfort. The specific analysis is as follows:

1. Yes

The primary cause of BPPV is the dislodgement of calcium crystals from the inner ear into the semicircular canals, which affects the balance and visual systems. During an episode, symptoms such as blurred vision, dizziness, and nystagmus during eye movement may occur. Typically, physically sensitive BPPV patients can perceive nystagmus, especially when moving their head or eyes, with symptoms becoming more pronounced during such movements.

2. No

If a patient is not physically sensitive, they may not feel the eye tremors during a BPPV episode. Their main clinical symptoms would primarily include dizziness, headache, nausea, and similar discomforts.

If symptoms of BPPV occur, it is recommended that patients seek timely medical evaluation at a hospital and actively cooperate with doctors for treatment to prevent further progression of the condition.


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