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A 33-year-old man, previously healthy, presented with a feeling of his right eyeball fluttering and oscillopsia lasting days. He had no headache, vertigo or gait problems. On neurological examination, there was a clockwise torsional nystagmus of the right eye with no nystagmus of the left eye (Figures 1,2; online supplementary videos 1 and 2). There was no other eye movement or other cranial nerve abnormalities, and remaining neurological examination was normal. …
Contributors Study concept and design: IA, MH. Acquisition of data: IA, MH. Analysis and interpretation of data: IA, MH. Drafting of the manuscript: IA. Critical revision of the manuscript for important intellectual content: IA, MH. Administrative, technical and material support: IA, MH.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned. Externally peer reviewed by Christian Lueck, Canberra, Australia.