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利用视频眼震图客观评估眼球运动的正常值的确立。

Establishment of Normal Values for Objective Evaluation of Ocular Movements Using Videonystagmography.

作者信息

Mohandas Sona, Dorasala Srinivas, Balvignesh S

机构信息

Dr. Sonas vertigo and ENT clinic, Palakkad, Kerala 678013 India.

Jawaharlal Nehru Medical College, Belagavi, Karnataka India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):5141-5147. doi: 10.1007/s12070-024-04913-3. Epub 2024 Aug 24.

Abstract

This study aims to establish a set of normal values for the objective evaluation of ocular movements using videonystagmography (VNG). Thirty individuals aged between 18 and 50 years, with no history of vestibular symptoms, recurrent headaches, central nervous system (CNS) symptoms, or cochlear symptoms, were selected. The assessment of five types of ocular movements (saccades, pursuit, optokinetic tests, spontaneous nystagmus, and gaze tests) were conducted using VNG. Normal ranges were established for different parameters of saccades, including latency, precision, and velocity in both horizontal and vertical directions for each eye. Pursuit gain was calculated for each eye in all four directions. Optokinetic gain was determined when the stimulation screen moved in all four directions. Symmetric responses were observed in all subjects. No spontaneous nystagmus was observed with fixation, although two participants exhibited nystagmus upon removal of fixation. Gaze tests revealed no abnormalities.

摘要

本研究旨在通过视频眼震图(VNG)建立一套用于客观评估眼球运动的正常值。选取了30名年龄在18至50岁之间、无前庭症状、复发性头痛、中枢神经系统(CNS)症状或耳蜗症状病史的个体。使用VNG对五种眼球运动类型(扫视、跟踪、视动试验、自发性眼震和注视试验)进行评估。为扫视的不同参数建立了正常范围,包括每只眼睛水平和垂直方向的潜伏期、精度和速度。计算了每只眼睛在所有四个方向上的跟踪增益。当刺激屏幕在所有四个方向移动时确定视动增益。在所有受试者中观察到对称反应。固定时未观察到自发性眼震,尽管两名参与者在去除固定后出现眼震。注视试验未发现异常。

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本文引用的文献

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[Study on normal reference range of smooth tracking gain for healthy young people].[健康青年人平滑跟踪增益正常参考范围的研究]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Aug;34(8):733-736. doi: 10.13201/j.issn.2096-7993.2020.08.013.
4
Horizontal and vertical eye movement metrics: what is important?水平和垂直眼球运动测量指标:什么是重要的?
Clin Neurophysiol. 2013 Nov;124(11):2216-29. doi: 10.1016/j.clinph.2013.05.002. Epub 2013 Jun 25.
10
Saccadic eye movement parameters in normal subjects.正常受试者的眼球扫视运动参数。
Electroencephalogr Clin Neurophysiol. 1993 Jan;86(1):69-74. doi: 10.1016/0013-4694(93)90068-7.

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