A clinical test of otolith function: static ocular counterroll with passive head tilt

A clinical test of otolith function: static ocular counterroll with passive head tilt
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DOI:
10.1097/00001756-200604240-00011
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发表时间:
2006-04-24
期刊:
影响因子:
1.7
通讯作者:
Strupp, M
Strupp, M
中科院分区:
医学4区
文献类型:
--
作者:
Zingler, VC;Kryvoshey, D;Strupp, M

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当绕着鼻枕轴滚动倾斜时,由于扭转前庭眼反射,人类表现出眼睛在相反方向上的补偿性扭转旋转。在静态条件下(持续的头部滚动),椭圆囊作为“静态眼反滚动”的负责传感器。颈眼反射的贡献仍然未知。为了找到一个简单的,临床上有用的测试椭圆囊功能,我们诱导10名健康的研究参与者(两名男性,平均年龄27 +/- 2岁)在三种刺激条件下(主动/被动头部倾斜和被动全身倾斜滚动平面),使用三维视频眼电图来测量它,并比较值。主动头倾斜引起的眼球反滚变化最大,因此比被动头和身体倾斜引起的眼球反滚更不可靠。因此,通过视频眼电图测量被动头部倾斜可以简单地测试椭圆囊功能。(c)2006年利平科特威廉姆斯&威尔金斯。
When roll-tilted around the naso-occipital axis, humans exhibit compensatory torsional rotation of the eyes in the opposite direction owing to the torsional vestibulo-ocular reflex. In the static condition (sustained head roll), the utricles act as responsible sensors for 'static ocular counterroll'. Contributions of cervico-ocular reflexes remain unknown. To find an easy, clinically useful test of utricular function, we induced ocular counterroll in 10 healthy study participants (two men, mean age 27 +/- 2 years) under three stimulation conditions (active/passive head tilt and passive whole body tilt in roll plane), used three-dimensional video-oculography to measure it, and compared values. Active head-tilt-induced ocular counterroll varied most and was thus less reliable than passive head and body tilt-induced ocular counterroll. Utricular function can thus be tested simply by measuring passive head tilt with video-oculography. (c) 2006 Lippincott Williams & Wilkins.