U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Seesaw nystagmus

MedGen UID:
91022
•Concept ID:
C0344243
•
Disease or Syndrome
Synonyms: Nystagmus, See-Saw; See Saw Nystagmus; See-Saw Nystagmus
SNOMED CT: Seesaw nystagmus (95782001); See-saw nystagmus (95782001)
 
HPO: HP:0012044

Definition

Seesaw nystagmus is a type of pendular nystagmus where a half cycle consists of the elevation and intorsion of one eye, concurrently with the depression and extortion of the fellow eye. In the other half cycle, there is an inversion of the ocular movements. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVSeesaw nystagmus

Professional guidelines

PubMed

Benign paroxysmal positional vertigo: Effective diagnosis and treatment.
Cole SR, Honaker JA
Cleve Clin J Med 2022 Nov 1;89(11):653-662. doi: 10.3949/ccjm.89a.21057. PMID: 36319052
Vascular vertigo and dizziness: Diagnostic criteria.
Kim JS, Newman-Toker DE, Kerber KA, Jahn K, Bertholon P, Waterston J, Lee H, Bisdorff A, Strupp M
J Vestib Res 2022;32(3):205-222. doi: 10.3233/VES-210169. PMID: 35367974Free PMC Article
Downbeat nystagmus: a clinical review of diagnosis and management.
Tran TM, Lee MS, McClelland CM
Curr Opin Ophthalmol 2021 Nov 1;32(6):504-514. doi: 10.1097/ICU.0000000000000802. PMID: 34456290

Recent clinical studies

Etiology

Seesaw nystagmus with internuclear ophthalmoplegia from bilateral dorsomedial pons and left thalamus infarction: a case report.
Zhang Q, Li J
J Med Case Rep 2019 Nov 29;13(1):352. doi: 10.1186/s13256-019-2269-3. PMID: 31779712Free PMC Article
Vertical nystagmus in infants with congenital ocular abnormalities.
Hoyt CS, Gelbart SS
Ophthalmic Paediatr Genet 1984 Dec;4(3):155-61. doi: 10.3109/13816818409006115. PMID: 6443616

Diagnosis

Nystagmus: Diagnosis, Topographic Anatomical Localization and Therapy.
Strupp ML, Straumann D, Helmchen C
Klin Monbl Augenheilkd 2021 Nov;238(11):1186-1195. Epub 2021 Nov 16 doi: 10.1055/a-1525-0030. PMID: 34784642
Seesaw nystagmus with internuclear ophthalmoplegia from bilateral dorsomedial pons and left thalamus infarction: a case report.
Zhang Q, Li J
J Med Case Rep 2019 Nov 29;13(1):352. doi: 10.1186/s13256-019-2269-3. PMID: 31779712Free PMC Article
Visual and Positional Modulation of Pendular Seesaw Nystagmus: Implications for the Mechanism.
Kim SH, Kim HJ, Oh SW, Kim JS
J Neuroophthalmol 2019 Jun;39(2):181-185. doi: 10.1097/WNO.0000000000000678. PMID: 30028361
Congenital seesaw nystagmus.
Zelt RP, Biglan AW
J Pediatr Ophthalmol Strabismus 1985 Jan-Feb;22(1):13-6. doi: 10.3928/0191-3913-19850101-05. PMID: 3981375
Seesaw nystagmus.
Druckman R, Ellis P, Kleinfeld J, Waldman M
Arch Ophthalmol 1966 Nov;76(5):668-75. doi: 10.1001/archopht.1966.03850010670008. PMID: 5955151

Therapy

Delayed-onset seesaw nystagmus following brain irradiation.
Fridman G, Distefano A
Digit J Ophthalmol 2021 Jun;27(2):29-32. Epub 2021 May 17 doi: 10.5693/djo.02.2020.12.002. PMID: 34512208Free PMC Article
Extraocular proprioception and new treatments for infantile nystagmus syndrome.
Dell'Osso LF, Wang ZI
Prog Brain Res 2008;171:67-75. doi: 10.1016/S0079-6123(08)00610-9. PMID: 18718284
EFNS task force--therapy of nystagmus and oscillopsia.
Straube A, Leigh RJ, Bronstein A, Heide W, Riordan-Eva P, Tijssen CC, Dehaene I, Straumann D
Eur J Neurol 2004 Feb;11(2):83-9. doi: 10.1046/j.1468-1331.2003.00754.x. PMID: 14748767
Seesaw nystagmus following whole brain irradiation and intrathecal methotrexate.
Epstein JA, Moster ML, Spiritos M
J Neuroophthalmol 2001 Dec;21(4):264-5. doi: 10.1097/00041327-200112000-00007. PMID: 11756856
Posttraumatic seesaw nystagmus abolished by ethanol ingestion.
Frisén L, Wikkelsø C
Neurology 1986 Jun;36(6):841-4. doi: 10.1212/wnl.36.6.841. PMID: 3703293

Prognosis

The torsional component of "horizontal" congenital nystagmus.
Averbuch-Heller L, Dell'Osso LF, Leigh RJ, Jacobs JB, Stahl JS
J Neuroophthalmol 2002 Mar;22(1):22-32. doi: 10.1097/00041327-200203000-00007. PMID: 11937902
Vertical nystagmus in infants with congenital ocular abnormalities.
Hoyt CS, Gelbart SS
Ophthalmic Paediatr Genet 1984 Dec;4(3):155-61. doi: 10.3109/13816818409006115. PMID: 6443616

Clinical prediction guides

Visual and Positional Modulation of Pendular Seesaw Nystagmus: Implications for the Mechanism.
Kim SH, Kim HJ, Oh SW, Kim JS
J Neuroophthalmol 2019 Jun;39(2):181-185. doi: 10.1097/WNO.0000000000000678. PMID: 30028361
Paraneoplastic seesaw nystagmus and opsoclonus provides evidence for hyperexcitable reciprocally innervating mesencephalic network.
Rizvi MT, Cameron L, Kilbane C, Shaikh AG
J Neurol Sci 2018 Jul 15;390:239-245. Epub 2018 May 3 doi: 10.1016/j.jns.2018.05.002. PMID: 29801897
The torsional component of "horizontal" congenital nystagmus.
Averbuch-Heller L, Dell'Osso LF, Leigh RJ, Jacobs JB, Stahl JS
J Neuroophthalmol 2002 Mar;22(1):22-32. doi: 10.1097/00041327-200203000-00007. PMID: 11937902

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Reviews

    Related information

    • MeSH
      Related Medical Subject Headings
    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...