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92; 95 CI, 1. 57 to 2. 33, and those with anti-TNF treatment alone HR, 1. 75; 95 CI 1. 37 to 2. 22 or in combination with an immunomodulator HR, 2. 01; 95 CI 1. 57 to 2. Spontaneous nystagmus nystagmus is an involuntary and repeated eye movement, an indicator of alteration of the vestibular system mainly the peripheral one. It occurs in different directions and senses, depending on the pathology and the causing side. In benalapril plus vertigo and more so in acute cases, its assessment is essential. In the analysis, its direction, meaning, intensity and frequency are explored. It is also compared whether these aspects are maintained or modified in different gaze positions and under different conditions. This simple test, well performed and interpreted, can lead to suspicion with a high degree of valsaprex whether there is a peripheral or central nystagmus.

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