{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T03:55:09Z","timestamp":1783050909604,"version":"3.54.6"},"reference-count":26,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:00:00Z","timestamp":1733961600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Spontaneous nystagmus during vertigo attacks of Meni\u00e8re\u2019s disease has been essentially described as horizontal, beating ipsilaterally (irritative type) or contralaterally (deficit type) to the hearing loss. Our main objective was to describe the characteristics of nystagmus during vertigo attacks. The second objective was to determine the feasibility of self-video recording of eye movements by a mobile phone. The third objective was to discuss the therapeutic implications of the observed nystagmus. Methods: We selected patients with definite Meni\u00e8re\u2019s disease according to the Barany Society. Patients were video-recorded during their attacks by videonystagmoscopy (by the physician) and\/or mobile phone (by the patient or immediate surroundings). Results: Seventeen patients were video-recorded by mobile phone (n = 8) or videonystagmoscopy (n = 8) or both (n = 1). The nystagmus was horizontal in 14 patients of the irritative type (n = 7) and of the deficit type (n = 5) or changed from the deficit to the irritative type (n = 2). The nystagmus was vertical in three patients, either down-beating (n = 2) or up-beating (n = 1). This vertical nystagmus changed to a more classical horizontal nystagmus in two patients. Conclusions: The direction of the nystagmus was variable and mostly horizontal, although it could be vertical and could change direction. Thus, the direction of the nystagmus has no value in deducing the affected side of Meni\u00e8re\u2019s disease, which essentially relies on hearing dysfunction. The nystagmus could be video-recorded by a mobile phone, which was objective proof of the impact on daily life. This was a helpful therapeutic aid, particularly when chemical labyrinthectomy was considered.<\/jats:p>","DOI":"10.3390\/jcm13247555","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T04:52:49Z","timestamp":1733979169000},"page":"7555","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Nystagmus During a Vertigo Crisis in Meni\u00e8re\u2019s Disease\u2014Direction of Nystagmus, Contribution of a Mobile Phone and Therapeutic Implications"],"prefix":"10.3390","volume":"13","author":[{"given":"Val\u00e9ria","family":"Ionescu","sequence":"first","affiliation":[{"name":"D\u00e9partement d\u2019ORL, Centre Hospitalier Universitaire de Saint Etienne, 42055 Saint-Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamadhor","family":"Alzarqaa","sequence":"additional","affiliation":[{"name":"D\u00e9partement d\u2019ORL, Centre Hospitalier Universitaire de Saint Etienne, 42055 Saint-Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0511-415X","authenticated-orcid":false,"given":"Saad","family":"Albalawi","sequence":"additional","affiliation":[{"name":"D\u00e9partement d\u2019ORL, Centre Hospitalier Universitaire de Saint Etienne, 42055 Saint-Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yann","family":"Lelonge","sequence":"additional","affiliation":[{"name":"D\u00e9partement d\u2019ORL, Centre Hospitalier Universitaire de Saint Etienne, 42055 Saint-Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5901-4392","authenticated-orcid":false,"given":"Pierre","family":"Reynard","sequence":"additional","affiliation":[{"name":"D\u00e9partement d\u2019ORL, Centre Hospitalier Universitaire de Saint Etienne, 42055 Saint-Etienne, France"},{"name":"Department of Audiology and Neurotology, Hospices Civils de Lyon, 69003 Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9288-8761","authenticated-orcid":false,"given":"Alexandre","family":"Karkas","sequence":"additional","affiliation":[{"name":"D\u00e9partement d\u2019ORL, Centre Hospitalier Universitaire de Saint Etienne, 42055 Saint-Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Bertholon","sequence":"additional","affiliation":[{"name":"D\u00e9partement d\u2019ORL, Centre Hospitalier Universitaire de Saint Etienne, 42055 Saint-Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.1288\/00005537-198110000-00019","article-title":"Recovery nystagmus in M\u00e9ni\u00e8re\u2019s disease","volume":"91","author":"McClure","year":"1981","journal-title":"Laryngoscope"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"S147","DOI":"10.1016\/S0385-8146(86)80068-2","article-title":"Nystagmus during attack in Meniere\u2019s disease","volume":"13","author":"Nishikawa","year":"1986","journal-title":"Auris Nasus Larynx"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1288\/00005537-199102000-00017","article-title":"The changing direction of nystagmus in acute Meni\u00e8re\u2019s disease: Pathophysiological implications","volume":"101","author":"Bance","year":"1991","journal-title":"Laryngoscope"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1097\/MAO.0000000000001255","article-title":"Nystagmus at the onset of vertiginous attack in Meniere\u2019s disease","volume":"38","author":"Hirai","year":"2016","journal-title":"Otol. 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Otol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/24\/7555\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:53:07Z","timestamp":1760115187000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/24\/7555"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,12]]},"references-count":26,"journal-issue":{"issue":"24","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["jcm13247555"],"URL":"https:\/\/doi.org\/10.3390\/jcm13247555","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,12]]}}}