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. 2015 Jun 30;2(2):75–88. doi: 10.15441/ceem.15.026

Table 2.

Differentiation between peripheral and central nystagmus

Characteristics Peripheral Central
Direction Mixed torsional-horizontal Varies: pure vertical, torsional, or horizontal
Mixed
Change of direction Unidirectional: contralesional Varies: unidirectional or direction changing
Effect of fixation Suppression Varies: increased, decreased, or no effect
Adaptation Within days Often persists
Other neurologic deficits No Often