Ulmer E, Freyss G
Ann Otolaryngol Chir Cervicofac. 1983;100(5):319-26.
Study of following eye movements (posterior oculogyric pathway) and saccadic eye movements (anterior oculogyric pathway) represents the principal advance in nystagmography in the past ten years. Use as a visual stimulus of the LED bar developed by one of the authors (E.U.) has proved to be clinically easy and gave results identical to those of the reference stimulation system (laser + mobile mirror). It is possible to quantify performance and abnormalities of these two oculogyric pathways using parameters calculated: - either using a micro-computer (Aurelia); - or manually following a technique which the authors describe in detail indicating normal results and limits in their variations. These parameters for the foveal following system are gain and total movement. For the saccadic system, they are the maximum speed of the saccade, latent period and its accuracy. Using such quantitative analysis, it has become possible not only to draw a distinction between peripheral and central disorders, but also to describe different topographical groups: lesion of the cerebellopontine angle, cerebellar lesion, intrinsic lesion of the brain stem or parietal lesion. These different patterns are illustrated by examples.
对跟随性眼动(后眼动旋转通路)和扫视性眼动(前眼动旋转通路)的研究是过去十年眼震图学的主要进展。使用作者之一(E.U.)开发的LED条作为视觉刺激已被证明在临床上很容易,并且得到的结果与参考刺激系统(激光+移动镜)相同。使用计算出的参数可以量化这两条眼动旋转通路的性能和异常情况: - 要么使用微型计算机(Aurelia); - 要么按照作者详细描述的技术手动进行,该技术指出了正常结果及其变化限度。中央凹跟随系统的这些参数是增益和总运动。对于扫视系统,它们是扫视的最大速度、潜伏期及其准确性。通过这种定量分析,不仅可以区分周围性和中枢性疾病,还可以描述不同的部位组:小脑脑桥角病变、小脑病变、脑干内在病变或顶叶病变。通过实例说明了这些不同的模式。