Alternating nystagmus [proceedings].
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Biomedical subjects
Publications and source records attributed to W J Rademakers.
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In a group of 28 test subjects the vestibular caloric test was performed with the aid of two different methods. In the first method the ears were irrigated for 30 sec with water with a temperature of 30 C and 44 C and later on with airstream with a temperature of 20 C and 50 C. The wet method proved to be a significant stronger stimulus than the dry method. The authors conclude that the water irrigation is the method of choice for the caloric test. The dry method is only useful when the wet method is undesirable.
Alternating nystagmus is a spontaneous nystagmus which changes in direction without any external influence. In the literature this phenomenon has so far been described in 90 cases; in 12 of these, the nystagmus had a congenital origin. In contradistinction to the congenital type, the acquired type of alternating nystagmus is in most cases caused by a central nervous system disorder. We found the phenomenon of alternating nystagmus in 21 cases, in 15 of which it was congenital. The nystagmus was observed by means of electronystagmography. Differences were found between the two nystagmus types. The characteristics of alternating nystagmus are discussed.