Baron J B, Ushio N, Tangapregassom M J
Clin Otolaryngol Allied Sci. 1979 Jun;4(3):169-74. doi: 10.1111/j.1365-2273.1979.tb01883.x.
The purpose of this paper is to emphasize the influence of the mesencephalic oculomotor system regulation on orthostatic postural regulation. The body at rest is never immobile but it swings continuosly. The amplitudes and the frequencies of body sway give an indication of the function of the different sensorimotor loops which are involved in body balance. An apparatus, the statokinesimeter, allows us to record these motions by means of displacement of the body's centre of gravity with respect to the centre of the basis. In the case of head or cervical injuries, the brain stem is often implicated giving a partial nuclear unilateral lesion of the III nucleus; double vision of a few degrees with picture separation of never more than 4 degrees occurs. A compensory deviation of the head follows. A conflict between afferents from the III, IV, VI, VII, XI and supraspinal nuclei occurs. The amplitude and the frequency of the body sway change. A form of treatment is proposed for the 'pseudo-vertigo' of post-concussional syndrome.
本文的目的是强调中脑动眼系统调节对直立姿势调节的影响。静止状态下的身体并非一动不动，而是持续摆动。身体摆动的幅度和频率表明参与身体平衡的不同感觉运动环路的功能。一种名为静态运动测量仪的设备，使我们能够通过身体重心相对于基底中心的位移来记录这些运动。在头部或颈部受伤的情况下，脑干常受牵连，导致动眼神经核出现部分单侧性损伤；会出现几百度的复视，图像分离从不超过4度。随后头部会出现代偿性偏斜。来自动眼神经核、滑车神经核、展神经核、面神经核、副神经核和脊髓上核的传入神经之间会发生冲突。身体摆动的幅度和频率会改变。针对脑震荡后综合征的“假性眩晕”，本文提出了一种治疗方法。
