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Foreman reiterates his heatstroke diagnosis to Casey, until she suffers a second seizure and a vertical nystagmus.
Purely vertical nystagmus is usually central in origin, but it is also a frequent adverse effect of high phenytoin toxicity.
Other effects of barbiturate intoxication include drowsiness, lateral and vertical nystagmus, slurred speech and ataxia, decreased anxiety, a loss of inhibitions.