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Department of Neurology, UCLA School of Medicine, Center for the Health Sciences, Los Angeles, CA.
We report the clinical features and results of quantitative eye-movement testing in 13 patients with episodic positional vertigo and nonfatiguing direction-changing horizontal positional nystagmus (beating to the right with the head turned to the right and beating to the left with the head turned to the left). The benign history and lack of associated neurologic findings support a peripheral localization of the lesion. This syndrome probably represents a horizontal semicircular canal variant of benign positional vertigo. Free-floating debris in one horizontal canal may explain many of the clinical and oculographic findings.
Address correspondence and reprint requests to Dr. Robert W. Baloh, Department of Neurology, Reed Neurological Research Center, UCLA School of Medicine, Los Angeles, CA 900241769.
Supported by NIH Grants NINCD DC 01404 and NIA AG 09693.
Received March 16, 1993. Accepted for publication in final form May 20, 1993.
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