Böhmer A, Straumann D, Kawachi N, Arai Y, Henn V
Department of Neurology, University Hospital Zürich, Switzerland.
Acta Otolaryngol. 1992 Nov;112(6):916-26. doi: 10.3109/00016489209137491.
The aim of this study was to investigate whether caloric nystagmus contains response components that can be attributed to a stimulation of the vertical semicircular canals. Three dimensional eye movement recordings with a dual search coil technique revealed important horizontal, vertical and torsional nystagmus components following irrigation of the external ear canal with cold water in various head positions relative to gravity. Horizontal nystagmus components, i.e. lateral semicircular canal vectors, followed a cosine function of both the pitch and yaw angle of the head relative to gravity, confirming a mainly thermovective mechanism for stimulation of the horizontal canals. Vertical and torsional nystagmus components behaved differently following left and right ear irrigations. Right-left symmetrical vectors emerged only when the vertical and torsional components were transposed into vectors of single semicircular canal directions. The intensity of these vertical semicircular canal vectors as a function of the position of the corresponding canal relative to gravity, however, excludes important thermovective mechanisms acting at the vertical canals. It remains an open question whether these vertical canal vectors represent a non-thermovective caloric stimulation of vertical canal afferents.
本研究的目的是调查冷热性眼震是否包含可归因于垂直半规管刺激的反应成分。采用双搜索线圈技术进行的三维眼动记录显示,在相对于重力的各种头部位置用冷水冲洗外耳道后,出现了重要的水平、垂直和扭转性眼震成分。水平眼震成分,即外侧半规管向量,遵循头部相对于重力的俯仰角和偏航角的余弦函数,证实了刺激水平半规管的主要热流机制。左右耳冲洗后,垂直和扭转性眼震成分表现不同。只有当垂直和扭转成分转换为单个半规管方向的向量时,才会出现左右对称向量。然而,这些垂直半规管向量的强度作为相应半规管相对于重力位置的函数,排除了作用于垂直半规管的重要热流机制。这些垂直半规管向量是否代表垂直半规管传入神经的非热流性冷热刺激仍是一个悬而未决的问题。