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[Medical student-Internist] Nystagmus-Vestibular-Alexander's law Vestibular nystagmus กับ Alexander's law ตากระตุกก็บอกรอยโรคได้แม้ CT/MRI ก็หาไม่เจอในกรณีนี้ - ตากระตุกที่เกิดจากรอยโรคที่ vestibular organ (semicircular canals,otolith organ) ,CN VIII จะมีลักษณะเป็น horizontal nystagmus อาจจะมีการหมุน rotatory ได้บ้างโดยเฉพาะเวลามี vertigo attack แต่ทิศทางการของตากระตุกต้องเป็นทิศทางเดียว (unilateral) โดยไปทางตรงข้ามกับข้างที่มีพยาธิสภาพ (Alexander’s law) ยกเว้นกรณี BPPV - ปกติ Vestibular haircel
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