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视频眼震试验:一种床旁测试耳石-眼动功能的方法。

Video ocular counter roll: A bedside test of otolith-ocular function.

机构信息

Department of Neurology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Herbert Wertheim School of Optometry & Vision Science, University of California, Berkeley, California, USA.

出版信息

Ann Clin Transl Neurol. 2023 Dec;10(12):2426-2429. doi: 10.1002/acn3.51921. Epub 2023 Oct 13.

DOI:10.1002/acn3.51921
PMID:37830132
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10723232/
Abstract

Here we review the clinical value of a video-oculography test for clinical evaluation of vestibular otolith function. This test is known as the video ocular counter roll (vOCR) and is based on measurement of torsional vestibulo-ocular reflex with a lateral head tilt. The vOCR test consists of a simple maneuver during which the head and torso are tilted en bloc by the examiner. The pattern of vOCR deficit among patients highlights its clinical value in identifying the stage of vestibular loss and recovery. The quick application of vOCR allows examination of otolith-ocular function and assessment of vestibular recovery at the bedside.

摘要

在这里,我们回顾了视频眼震描记术测试在评估前庭耳石功能中的临床价值。该测试称为视频眼震counter roll(vOCR),基于头部侧倾时扭转前庭眼反射的测量。vOCR 测试由一个简单的动作组成,在这个动作中,检查者整块地倾斜头部和躯干。患者 vOCR 缺损的模式突出了其在识别前庭损失和恢复阶段方面的临床价值。vOCR 的快速应用允许在床边检查耳石眼动功能和评估前庭恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9e5/10723232/e9472b08275b/ACN3-10-2426-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9e5/10723232/3ff729e0260b/ACN3-10-2426-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9e5/10723232/40fea0627281/ACN3-10-2426-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9e5/10723232/e9472b08275b/ACN3-10-2426-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9e5/10723232/3ff729e0260b/ACN3-10-2426-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9e5/10723232/40fea0627281/ACN3-10-2426-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9e5/10723232/e9472b08275b/ACN3-10-2426-g003.jpg

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引用本文的文献

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Focused Update on Clinical Testing of Otolith Organs.耳石器官临床检测的重点更新
Audiol Res. 2024 Jul 2;14(4):602-610. doi: 10.3390/audiolres14040051.

本文引用的文献

1
Video Ocular Counter-Roll (vOCR): Otolith-Ocular Function and Compensatory Effect of the Neck Following Vestibular Loss.视频眼滚(VOR):耳石-眼功能和前庭丧失后颈部跟随的代偿作用。
Otolaryngol Head Neck Surg. 2023 Sep;169(3):669-678. doi: 10.1002/ohn.304. Epub 2023 Mar 2.
2
Evaluation of the Video Ocular Counter-Roll (vOCR) as a New Clinical Test of Otolith Function in Peripheral Vestibulopathy.评估视频眼震(vOCR)作为外周前庭病变中耳石功能的新临床测试。
JAMA Otolaryngol Head Neck Surg. 2021 Jun 1;147(6):518-525. doi: 10.1001/jamaoto.2021.0176.
3
The video ocular counter-roll (vOCR): a clinical test to detect loss of otolith-ocular function.
视频眼动反向旋转试验(vOCR):一种检测耳石-眼动功能丧失的临床测试。
Acta Otolaryngol. 2017 Jun;137(6):593-597. doi: 10.1080/00016489.2016.1269364. Epub 2017 Jan 13.
4
Knowing what the brain is seeing in three dimensions: A novel, noninvasive, sensitive, accurate, and low-noise technique for measuring ocular torsion.了解大脑所看到的三维景象:一种用于测量眼扭转的新颖、非侵入性、灵敏、准确且低噪声的技术。
J Vis. 2015;15(14):11. doi: 10.1167/15.14.11.
5
The video head impulse test: diagnostic accuracy in peripheral vestibulopathy.视频头脉冲试验:在外周前庭病变中的诊断准确性
Neurology. 2009 Oct 6;73(14):1134-41. doi: 10.1212/WNL.0b013e3181bacf85.
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Neuronal activity in the vestibular nuclei after contralateral or bilateral labyrinthectomy in the alert guinea pig.清醒豚鼠对侧或双侧迷路切除术后前庭核中的神经元活动
J Neurophysiol. 1998 Nov;80(5):2352-67. doi: 10.1152/jn.1998.80.5.2352.