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From:
Vestibular Disorders Association
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Downbeat Nystagmus and Ataxia-What You Need to Know - Vestibular Disorders Association
https://vestibular.org/blog/downbeat-nystagmus-and-ataxia-what-you-need-to-know/
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Patients with cerebellar ataxia Patients typically report oscillopsia, imbalance, and unsteadiness that worsens with downgaze, head movement, or walking. Certain medications can help.