October 27, 2015

The Test of Horizontal Gaze Nystagmus (HGN) for subjects is identical to the HGN test for alcohol-impaired subjects.

Session Overview – Introduction to Drugged Driving
DWI Detection and Standardized Field Sobriety Testing
The Test of Horizontal Gaze Nystagmus
(HGN) for subjects is identical to the HGN
test for alcohol-impaired subjects.
First Clue: lack of smooth pursuit
Second clue: distinct and sustained
nystagmus at maximum deviation
Third clue: onset of nystagmus prior to
45 degrees
Horizontal Gaze Nystagmus (HGN)
1-15
Horizontal Gaze Nystagmus
The test of Horizontal Gaze Nystagmus (HGN) for subjects is identical to the HGN test
for alcohol-impaired subjects.
• First Clue: Lack of smooth pursuit
• Second clue: Distinct and sustained nystagmus at maximum deviation
• Third clue: Onset of nystagmus prior to 45 degrees
If the eyes track equally, but “jerk” while they are moving, then the possible presence of
three categories of drugs should be noted:
• Central Nervous System Depressants
• Dissociative Anesthetics
• Inhalants
Session Overview – Introduction to Drugged Driving
DWI Detection and Standardized Field Sobriety Testing
The angle of onset becomes of special
interest when a subject is under the
influence of a Dissociative Anesthetic such
as PCP
PCP May Cause Immediate Onset
of Nystagmus
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PCP May Cause Immediate Onset of Nystagmus
PCP impaired subjects may exhibit immediate onset, i.e., the jerking begins virtually as
soon as the eyes start to move toward the side.
Sometimes, PCP- impaired subjects will exhibit resting nystagmus, i.e., the eyes jerk
while they are looking straight ahead.
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HS 178 R5/13 10 of 29
Session Overview – Introduction to Drugged Driving
DWI Detection and Standardized Field Sobriety Testing
Vertical Nystagmus
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Vertical Nystagmus
The Vertical Nystagmus test is very simple to administer.
• Position the stimulus horizontally. Approximately 12-15 inches (30-38 cm) in front of
the subject’s nose.
• Instruct the subject to hold their head still, and follow the stimulus with the eyes only.
• Raise the stimulus until the subject’s eyes are elevated as far as possible, hold for a
minimum of four seconds.
• Watch closely for evidence of jerking (up and down).
Vertical Nystagmus may be present in subjects under the influence of CNS depressants
or inhalants.
Notes:_______________________________________________
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HS 178 R5/13 11 of 29
Session Overview – Introduction to Drugged Driving
DWI Detection and Standardized Field Sobriety Testing
Central Nervous System Depressants
Central Nervous System Stimulants
Hallucinogens
Dissociative Anesthetics
Narcotic Analgesics
Inhalants
Cannabis
Drug Categories and Their
Observable Effects
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C. Drug Categories and Their Observable Effects
Seven Categories of “Drugs”
Definition of “Drug”: Any substance that, when taken into the human body, can impair
the ability of the person to operate a vehicle safely.
Within this simple, enforcement-oriented definition, there are seven categories of drugs:
• Central Nervous System Depressants
• Central Nervous System Stimulants
• Hallucinogens
• Dissociative Anesthetics
• Narcotic Analgesics
• Inhalants
• Cannabis
Notes:_______________________________________________
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Source: DWI Detection and
Standardized Field
Sobriety Testing
March 2013 Edition
HS 178 R5/13 12 of 29

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