Evidence map›Paper›PMID 40667472›Full record

ReviewFrontiers in neurology2025

Upbeat nystagmus: a clinical and pathophysiological review.

Vincenzo Marcelli, Beatrice Giannoni, Giampiero Volpe, Mario Faralli, Edoardo Marcelli, Michele Cavaliere, Anna Rita Fetoni, Vito Enrico Pettorossi

Abstract readReview
In one paragraph

Review in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Vincenzo MarcelliDepartment of Neuroscience, Reproductive Science and Dentistry, Section of Audiology, University of Naples "Federico II", Naples, Italy.
Beatrice GiannoniDepartment of Neuroscience, Psychology, Drug's Area and Child's Health, University of Florence, Florence, Tuscany, Italy.
Giampiero VolpeDepartment of Neurology, Ospedale San Luca di Vallo della Lucania, ASL Salerno, Salerno, Italy.
Mario FaralliDepartment of ENT, University of Perugia, Perugia, Italy.
Edoardo MarcelliFaculty of Medicine and Surgery, University of Salerno, Salerno, Italy.
Michele CavaliereDepartment of Neuroscience, Reproductive Science and Dentistry, Section of Audiology, University of Naples "Federico II", Naples, Italy.
Anna Rita FetoniDepartment of Neuroscience, Reproductive Science and Dentistry, Section of Audiology, University of Naples "Federico II", Naples, Italy.
Vito Enrico PettorossiDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Finding a vertical nystagmus, especially when looking straight ahead, should alert the neurologist/neuro-otologist for other signs of cerebellar or brainstem dysfunction. Upbeat nystagmus (UBN) is a relatively uncommon neuro-otological finding that clinicians may encounter in patients presenting with vertigo. This phenomenon is closely linked to central vestibular dysfunction, making it essential for healthcare providers to recognize and interpret it promptly. Accurate identification of UBN can significantly aid in directing patients toward the appropriate diagnostic and therapeutic pathways. As our understanding of UBN's pathophysiology has advanced, the clinical significance of this sign has become increasingly evident. It is now recognized that UBN can occur as an isolated finding or more frequently as part of a broader spectrum within defined clinical syndromes. This expanded knowledge has also opened the door to various therapeutic approaches tailored to the underlying cause. In our study, we want to provide as accurate a picture as possible about the origins and clinical presentations of UBN.

Indexed as

oscillopsiatreatmentUBNunsteadinessvertigo

Identifiers

PMID40667472
PMCPMC12259459

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.