Downbeat nystagmus: a practical approach based on a clinical case.
Rebecca Ranzani Martins, Cristiana Borges Pereira
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From the abstract
Spontaneous downbeat nystagmus (DBN) is the most common form of acquired nystagmus, characterized by a slow upward ocular drift and a corrective downward quick phase. The pathophysiology involves a final common pathway leading to decreased inhibition of the superior vestibular nucleus, often secondary to lesions in the flocculonodular lobes (flocculus/paraflocculus, FL/PFL)…