Reply To: Neurology nystagmus localisation
So… based on the clinical presentation my neurology specialist pal made the following comment:
“Although cerebellum is compatible with some of the current clinical signs, the fact that he also was unresponsive and no proprioception may indicate that the brainstem is also affected. Either way, I agree with you that intracranial seems the most likely. As you said, ischaemic encephalopathy and neoplasia sound like the most likely differential diagnosis… There may be a potato arising/compressing the caudal fossa (brainstem +/- cerebellum)”.
I will follow up at the clinic and see if I can get more information about the actual case outcome.
Hope that helps.