Serra A, Leigh R J
Department of Neurology, Department of Veterans Affairs Medical Center and University Hospitals, Case Western Reserve University, Cleveland, Ohio 44106, USA.
J Neurol Neurosurg Psychiatry. 2002 Dec;73(6):615-8. doi: 10.1136/jnnp.73.6.615.
Research over the past 20 years has provided a clearer understanding of the pathogenesis of most forms of nystagmus and other ocular oscillations. To the clinician, these advances translate into greater accuracy of nystagmus as a diagnostic sign. However, to capitalise on these advances, it is important to systematically examine eye movements and interpret the findings with reference to pathophysiology. In this review we describe a scheme for examining the patient with nystagmus and interpreting common ocular oscillations; some examples are provided as video clips.
过去20年的研究使人们对大多数形式的眼球震颤及其他眼球摆动的发病机制有了更清晰的认识。对于临床医生而言,这些进展意味着眼球震颤作为一种诊断体征的准确性更高。然而,要利用这些进展,系统地检查眼动并参照病理生理学来解释检查结果非常重要。在本综述中,我们描述了一种检查眼球震颤患者及解释常见眼球摆动的方案;并提供了一些视频片段作为示例。