Nystagmus
DDx
- Congenital nystagmus
 - Medications, eg, anticonvulsants, lithium
 - Alcohol intoxication
 - Demyelinating disease, eg, multiple sclerosis
 - Vertebrobasilar insufficiency
 - Brainstem stroke
 - Head trauma
 - Positioning vertigo
 - Thiamine deficiency
 - Magnesium deficiency
 - Neoplasm
 - Arnold–Chiari malformation
 - Encephalitis
 - Extreme lateral gaze (often normal)
 - Opticokinetic nystagmus (normal; occurs when one attempts to focus on a rapidly moving object, eg, a train)
 
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Last updated: December 1, 2014
Citation
Zeiger, Roni F.. "Nystagmus." Diagnosaurus, 4th ed., McGraw-Hill Education, 2014. Emergency Central, emergency.unboundmedicine.com/emergency/view/Diagnosaurus/115046/all/Nystagmus. 
Zeiger RFR. Nystagmus. Diagnosaurus. McGraw-Hill Education; 2014. https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/115046/all/Nystagmus. Accessed November 4, 2025.
Zeiger, R. F. (2014). Nystagmus. In Diagnosaurus (4th ed.). McGraw-Hill Education. https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/115046/all/Nystagmus
Zeiger RFR. Nystagmus [Internet]. In: Diagnosaurus. McGraw-Hill Education; 2014. [cited 2025 November 04]. Available from: https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/115046/all/Nystagmus.
* Article titles in AMA citation format should be in sentence-case
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T1  -  Nystagmus
ID  -  115046
A1  -  Zeiger,Roni F,
Y1  -  2014/12/01/
BT  -  Diagnosaurus
UR  -  https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/115046/all/Nystagmus
PB  -  McGraw-Hill Education
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DB  -  Emergency Central
DP  -  Unbound Medicine
ER  -  

Diagnosaurus

