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Carol F. Zimmerman, MD; E. Steve Roach, MD; B. Todd Troost, MD

Arch Neurol. 1986;43(3):299-300.

Abstract
• See-saw nystagmus has been seen with tumors of the parasellar region and diencephalon, brain-stem vascular lesions, syringobulbia, and after trauma. We report see-saw nystagmus in an adult with a Chiari malformation that was diagnosed by magnetic resonance imaging and confirmed intraoperatively. This patient's condition improved after surgical decompression. An association between see-saw nystagmus and Chiari malformation is potentially important because early diagnosis and decompression may improve neurologic function and prevent further deterioration.

Author Affiliations
From the Department of Neurology, Wake Forest University Medical Center, Winston-Salem, NC.

Footnotes
Accepted for publication July 10, 1985.

Reprint requests to Department of Neurology, Bowman Gray School of Medicine, Wake Forest University, 300 S Hawthorne Rd, Winston-Salem, NC 27103 (Dr Troost).

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