We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Rebound Nystagmus—A Cerebellar Sign?

James A. Sharpe, MD
JAMA. 1974;227(6):648-649. doi:10.1001/jama.1974.03230190040012.
Text Size: A A A
Published online


The role of cerebellar disease in the production of nystagmus continues to be controversial. The cerebellum receives projections from visual and ocular muscle receptor afferents, and cerebellar efferent fibers project to vestibular and oculomotor nuclei and to the pontine reticular formation. These connections provide ample basis for disturbances of oculomotor control in cerebellar disease.1,2 Some authors are reluctant to attribute spontaneous nystagmus to disturbances of the cerebellum itself. The probability of concurrent dysfunction of the brainstem produced either by pressure or by direct brainstem involvement has been emphasized.3,4

The observations of Gordon Holmes5 provide pertinent oculomotor guidelines. After acute cerebellar hemispheric injuries, Holmes described paralysis of ipsilateral gaze followed by gaze-paretic nystagmus on gaze toward the side of injury. The slow phase was directed to a "rest point" located 10° to 30° from midline on the unaffected side. On gaze to the other side of the rest


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.