Bedside demonstration of the Clinical Gaze Test to detect spontaneous and gaze-evoked nystagmus. We cover patient setup, target positioning (primary, left, right, up, down), how to grade intensity, and what patterns suggest peripheral vs central lesions (e.g., unidirectional nystagmus with Alexander’s law vs direction-changing or vertical nystagmus). Includes fixation tips and documentation language.
You’ll learn
Standardized technique: distance, target angle (~20–30°), sequence (primary → eccentric gazes)
How to identify spontaneous, end-point, and gaze-evoked nystagmus
Peripheral vs central clues: fixation suppression, unidirectional vs direction-changing, vertical/pendular patterns
Practical pearls: lighting, avoiding extreme gaze, documenting direction/intensity and effect of fixation
Keywords / Tags
clinical gaze test, gaze evoked nystagmus, spontaneous nystagmus, end-point nystagmus, Alexander’s law, fixation suppression, peripheral vs central vertigo, cerebellar signs, vestibular assessment, bedside vestibular exam, ENT, neurology, audiology, physical therapy, VNG gaze test, dizziness evaluation
Hashtags
#MedicalEducation #Vestibular #Neurology #ClinicalSkills #ENT
Disclaimer
Educational content only. Follow local protocols and clinical judgment; use fixation-removal tools (e.g., Frenzel/VNG) when indicated.
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