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Torsional optokinetic nystagmus: normal response characteristics.

ABSTRACT: BACKGROUND/AIMS: Few studies have investigated normal response characteristics of torsional optokinetic nystagmus (tOKN). The authors have investigated the effect of stimulus velocity and central/peripheral stimulation on tOKN. METHODS: Torsional OKN was elicited using a sinusoidal grating rotating at velocities of 3 degrees /s to 1000 degrees /s in clockwise and anticlockwise directions. To investigate the effect of central stimulation, stimulus size was varied from 2.86 degrees to 50.8 degrees. An artificial scotoma placed over a 50.8 degrees stimulus was varied from 2.86 degrees to 43.2 degrees to investigate peripheral stimulation. Eight subjects participated in each experiment and torsional eye movements were recorded using video-oculography. The mean slow phase velocity (MSPV) and gain were calculated. RESULTS: The maximum gain occurred in response to 8 degrees /s stimulation. The MSPV increased up to a stimulus velocity of 200 degrees /s achieving a maximum of 3 degrees /s in both directions. MSPV was linearly correlated with the log of stimulus velocity. The smallest field size, rotating at 40 degrees /s, evoked 10% of the gain elicited by the largest display. When the most peripheral stimulus was used, the gain was maintained at 50% of the gain evoked when the full display was used. CONCLUSIONS: A wide range of stimulus velocities can elicit tOKN and peripheral field stimulation contributes significantly to its response.

SUBMITTER: Farooq SJ

PROVIDER: S-EPMC1772190 | biostudies-other | 2004 Jun

REPOSITORIES: biostudies-other

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Project description:Background and purposeThis study aimed to determine the clinical features, diagnosis, and treatment of patients with persistent geotropic (pG) and persistent apogeotropic (pAG) direction-changing positional nystagmus (DCPN).MethodsThis retrospective study included 30 patients with pG-DCPN and 44 patients with pAG-DCPN. All patients underwent neurological and neurotological examinations, including an evaluation of gaze-evoked nystagmus, eye-movement tests, and assessments of limb ataxia and balance, as well as magnetic resonance imaging to exclude central causes. The characteristics of positional nystagmus were detected using the supine roll test (SRT) and bow-and-lean test (BLT). The null point (NP) at which the nystagmus disappeared was determined. All patients were treated with the barbecue maneuver, and treatment efficacy was evaluated immediately, 1 week, and 1 month after treatment.ResultsThe history of diseases associated with atherosclerosis, peripheral vestibular disorders, otological disease, and migraine differed significantly between patients with pG-DCPN and pAG-DCPN. The affected sides of persistent horizontal DCPN can be determined using the SRT and the BLT, while determining the second NP and vestibular function as well as performing an audiological evaluation can be used to assist in identifying the affected side. The efficacy rates immediately and 1 week after treatment with the barbecue maneuver were higher in patients with pAG-DCPN than in patients with pG-DCPN.ConclusionspAG-DCPN was more compatible with the characteristics of cupulolithiasis, and pG-DCPN was more likely to be associated with a light cupula rather than canalolithiasis. pAG-DCPN was more likely to be accompanied by a disease associated with atherosclerosis, while pG-DCPN was often accompanied by autoimmune-related diseases and a history of migraine. The associations between pAG-DCPN, pG-DCPN, and the above-mentioned diseases need to be clarified further. The canalith-repositioning maneuver was effective in patients with pAG-DCPN and ineffective in patients with pG-DCPN, but most cases of pG-DCPN are self-limiting.

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Torsional optokinetic nystagmus: normal response characteristics.

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