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Rebound Upbeat Nystagmus After Lateral Gaze in Episodic Ataxia Type 2

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Abstract

Rebound nystagmus is a transient nystagmus that occurs on resuming the straight-ahead position after prolonged eccentric gaze. Even though rebound nystagmus is commonly associated with gaze-evoked nystagmus (GEN), development of rebound nystagmus in a different plane of gaze has not been described. We report a patient with episodic ataxia type 2 who showed transient upbeat nystagmus on resuming the straight-ahead position after sustained lateral gaze that had induced GEN and downbeat nystagmus. The rebound upbeat nystagmus may be ascribed to a shifting null in the vertical plane as a result of an adaptation to the downbeat nystagmus that developed during lateral gaze.

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Conflict of Interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Authors and Affiliations

  1. Biomedical Research Institute, Seoul National University Bundang Hospital, Seongnam, Korea

    Hyo-Jung Kim

  2. Department of Neurology, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 110-799, Korea

    Ji-Soo Kim

  3. Department of Neurology, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam, Gyeonggi, 463-707, Korea

    Hyo-Jung Kim & Ji-Soo Kim

  4. Department of Neurology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine and Biomedical Research Institute, Yangsan, Korea

    Jae-Hwan Choi & Jin-Hong Shin

  5. Department of Neurology, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute, Busan, Korea

    Kwang-Dong Choi

  6. Department of Neurology, Otolaryngology, Head and Neck Surgery, Neuroscience, and Ophthalmology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA

    David S. Zee

Authors
  1. Hyo-Jung Kim
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  2. Ji-Soo Kim
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  3. Jae-Hwan Choi
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  4. Jin-Hong Shin
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  5. Kwang-Dong Choi
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  6. David S. Zee
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Corresponding author

Correspondence to Ji-Soo Kim.

Electronic supplementary material

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Gaze-evoked and downbeat nystagmus during lateral gaze and rebound upbeat nystagmus on resuming the straight-ahead position. The patient shows gaze-evoked and downbeat nystagmus during lateral gazes and upbeat nystagmus on resuming the straight-ahead position after lateral gaze in either direction. (WMV 40763 kb)

Leftward pulsion during upward saccades. The patient shows leftward pulsion only during upward saccades, giving rise to a curved trajectory, in the presence of normal downward and horizontal saccades. (WMV 16911 kb)

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Kim, HJ., Kim, JS., Choi, JH. et al. Rebound Upbeat Nystagmus After Lateral Gaze in Episodic Ataxia Type 2. Cerebellum 13, 411–413 (2014). https://doi.org/10.1007/s12311-014-0547-6

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  • DOI: https://doi.org/10.1007/s12311-014-0547-6

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