Gaze, fixation removedPeripheral · treat

Unidirectional horizontal

Vestibular neuritis — one direction, suppressed by fixation.

Gaze, fixation removedLive

Spontaneous horizontal nystagmus that beats the same direction in every gaze position and gets stronger without visual fixation. With an abnormal head impulse and no skew, it points to peripheral neuritis.

Source: HINTS exam (Kattah 2009); StatPearls: Vestibular neuritis.

Practice this in the trainer Play today’s case

Other signs

Up-beating torsional

Dix-Hallpike

Horizontal direction-changing

Supine roll test

Horizontal apogeotropic

Supine roll test

Stylised teaching animations authored by NeuroDash. Not real-patient recordings, not board-certified, and not reviewed by an outside specialist. Educational only — not medical advice or a diagnosis.