Stulin I D, Tardov M V, Kunel'skaya N L, Chugunova M A, Bajbakova E V, Boldin A V, Filin A A
Yevdokimov Moscow State Medical and Dental University, Moscow, Russia.
Sverzhevskiy Otorhinolaryngology Healthcare Research Institute, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2021;121(8):119-124. doi: 10.17116/jnevro2021121081119.
The review article provides a definition and classification of different nystagmus types, a comparative description of the central and peripheral vestibular nystagmus. The pathogenetic patterns of up-beating and down-beating nystagmus are accurately described. The features of nystagmus formation in various diseases are discussed, such as Wernicke encephalopathy, Arnold-Chiari anomaly, spinocerebellar ataxia and vestibular migraine. The authors provide their own data on oculomotor disorders in 100 patients with vestibular migraine and migraine with a brain stem aura. This article considers approaches to treatment: surgical and conservative. In conclusion, was noted the possibility of differentiating the central and peripheral vestibular nystagmus by means of clinical study. As well, the differences between vertical nystagmus associated with organic lesions of the brain stem or cerebellum and transient nystagmus with vestibular migraine are highlighted. The authors note the need for in-depth studies of nystagmus in vestibular migraine patients and methods of dealing with it.
