Persistent Down-Beating Torsional Positional Nystagmus: Posterior Semicircular Canal Light Cupula?

A 16-year-old boy with rotatory positional vertigo and nausea, particularly when lying down, visited our clinic. Initially, we observed vertical/torsional (downward/leftward) nystagmus in the supine position, and it did not diminish. In the sitting position, nystagmus was not provoked. Neurological...

Full description

Saved in:
Bibliographic Details
Main Authors: Akihide Ichimura, Koji Otsuka
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2016/1249325
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832552376991481856
author Akihide Ichimura
Koji Otsuka
author_facet Akihide Ichimura
Koji Otsuka
author_sort Akihide Ichimura
collection DOAJ
description A 16-year-old boy with rotatory positional vertigo and nausea, particularly when lying down, visited our clinic. Initially, we observed vertical/torsional (downward/leftward) nystagmus in the supine position, and it did not diminish. In the sitting position, nystagmus was not provoked. Neurological examinations were normal. We speculated that persistent torsional down-beating nystagmus was caused by the light cupula of the posterior semicircular canal. This case provides novel insights into the light cupula pathophysiology.
format Article
id doaj-art-9d7d51cd39c342528e3fd4417145f857
institution Kabale University
issn 2090-6765
2090-6773
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Otolaryngology
spelling doaj-art-9d7d51cd39c342528e3fd4417145f8572025-02-03T05:58:54ZengWileyCase Reports in Otolaryngology2090-67652090-67732016-01-01201610.1155/2016/12493251249325Persistent Down-Beating Torsional Positional Nystagmus: Posterior Semicircular Canal Light Cupula?Akihide Ichimura0Koji Otsuka1Department of Otorhinolaryngology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, JapanDepartment of Otorhinolaryngology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, JapanA 16-year-old boy with rotatory positional vertigo and nausea, particularly when lying down, visited our clinic. Initially, we observed vertical/torsional (downward/leftward) nystagmus in the supine position, and it did not diminish. In the sitting position, nystagmus was not provoked. Neurological examinations were normal. We speculated that persistent torsional down-beating nystagmus was caused by the light cupula of the posterior semicircular canal. This case provides novel insights into the light cupula pathophysiology.http://dx.doi.org/10.1155/2016/1249325
spellingShingle Akihide Ichimura
Koji Otsuka
Persistent Down-Beating Torsional Positional Nystagmus: Posterior Semicircular Canal Light Cupula?
Case Reports in Otolaryngology
title Persistent Down-Beating Torsional Positional Nystagmus: Posterior Semicircular Canal Light Cupula?
title_full Persistent Down-Beating Torsional Positional Nystagmus: Posterior Semicircular Canal Light Cupula?
title_fullStr Persistent Down-Beating Torsional Positional Nystagmus: Posterior Semicircular Canal Light Cupula?
title_full_unstemmed Persistent Down-Beating Torsional Positional Nystagmus: Posterior Semicircular Canal Light Cupula?
title_short Persistent Down-Beating Torsional Positional Nystagmus: Posterior Semicircular Canal Light Cupula?
title_sort persistent down beating torsional positional nystagmus posterior semicircular canal light cupula
url http://dx.doi.org/10.1155/2016/1249325
work_keys_str_mv AT akihideichimura persistentdownbeatingtorsionalpositionalnystagmusposteriorsemicircularcanallightcupula
AT kojiotsuka persistentdownbeatingtorsionalpositionalnystagmusposteriorsemicircularcanallightcupula