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[反弹性眼球震颤:一种新的小脑体征(作者译)]

[Rebound nystagmus: a new cerebellar sign (author's transl)].

作者信息

Toupet M, Pialoux P

出版信息

Ann Otolaryngol Chir Cervicofac. 1979 Dec;96(12):813-9.

PMID:533087
Abstract

Rebound nystagmus is a special type of nystagmus provoked by excentration of gaze of a sight (gaze nystagmus). Gaze nystagmus is absent when looking straight ahead, and is already clearly evident after excentration of gaze of less than 20 degrees. It beats in the direction of the excentration. The first special feature of rebound nystagmus is the fact that it disappears in 10 to 20 seconds. Its diagnostic significance could be based upon this feature alone, as was though up to now. However, its second original feature is fundamental. After excentration, gaze is brought back to the primary position (straight ahead). As confirmed by all the literature its value is of being pathognomic of a lesion of the cerebellar pathways. It is of the greatest simplicity, and it is sough by asking the subject to follow the finger of the examiner.

摘要

反弹性眼球震颤是一种特殊类型的眼球震颤,由注视(注视性眼球震颤)时的凝视偏斜所诱发。向前直视时无注视性眼球震颤,而在凝视偏斜小于20度后就已明显可见。其震颤方向为偏斜方向。反弹性眼球震颤的第一个特点是它在10至20秒内消失。就像迄今为止所认为的那样,其诊断意义可能仅基于这一特征。然而,它的第二个本质特征才是根本的。在偏斜之后,注视回到初始位置(向前直视)。正如所有文献所证实的,它对小脑通路病变具有病理诊断价值。它极为简单,通过让受试者跟随检查者的手指即可检查。

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