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Peripheral Vestibular

Left-beating peripheral spontaneous nystagmus

Right peripheral vestibular hypofunction

Live animation
Gaze directionprimary
← 40° LEFTPRIMARY40° RIGHT →

Slide to test Alexander's law (peripheral), gaze-evoked patterns, or the null zone (congenital).

Position-over-time tracing
HORIZ← L R →VERT↓D U↑TORS← CCW CW →

Live strip-chart. Horizontal, vertical, and torsional channels.

In a sentence

Mirror of the right-beating variant. Beats AWAY from the affected (right) ear; suppressed by fixation.

Clinical pearls
  • Head impulse test abnormal toward the right.
  • Intensity ↑ on leftward gaze (Alexander's law).
Common associations
  • Right vestibular neuritis
  • Right labyrinthitis