Inoue M, Kita Y
Department of Ophthalmology, Shiga University of Medical Science.
Nippon Ganka Gakkai Zasshi. 1993 Nov;97(11):1312-9.
The horizontal, vertical and cyclorotational components of eye movements were analyzed in 8 cases of dissociated vertical deviation (DVD), using a Fundus Haploscope (Inatomi, 1980) and an Eye Movement Analyzing System (Kani, 1985). Excyclomovements and upward movements were observed in the deviating eyes in all cases, and incyclomovements in the fixating eyes in 6 cases. Sequential analysis revealed these movements to be "cycloversion". Vertical movements and cyclorotational movements were similar in their forms, but in some parts only the torsional movements were recognized. The rotatory nystagmus of patients' binocular vision efforts were almost purely rotatory, of the pendular type, and seemed to have congenital nystagmus characteristics. Many kinds of abnormal cyclorotational movements were found in these DVD cases. These movements were all version movements. Cyclorotational movements in DVD cases were thought to reflect abnormalities in the upper levels of the central nervous system. Abnormalities of the "cyclorotational movement center" were assumed in DVD.
使用眼底单筒检眼镜(稻富,1980年)和眼动分析系统(加尼,1985年),对8例分离性垂直偏斜(DVD)患者的眼球运动的水平、垂直和旋转成分进行了分析。在所有病例中,偏斜眼均观察到外旋转运动和向上运动,6例注视眼观察到内旋转运动。序列分析显示这些运动为“旋转性斜视”。垂直运动和旋转运动在形式上相似,但在某些部分仅可识别扭转运动。患者双眼视觉努力时的旋转性眼球震颤几乎完全是摆动型的旋转,似乎具有先天性眼球震颤的特征。在这些DVD病例中发现了多种异常旋转运动。这些运动均为斜视运动。DVD病例中的旋转运动被认为反映了中枢神经系统较高水平的异常。推测DVD中存在“旋转运动中枢”的异常。