Seesaw Nystagmus Role of Visuovestibular Interaction in Its Pathogenesis
作者:
Tsutomu,
Nakada Ingrid,
期刊:
Journal of Clinical Neuro-Ophthalmology
(OVID Available online 1988)
卷期:
Volume 8,
issue 3
页码: 171-178
ISSN:0272-846X
年代: 1988
出版商: OVID
关键词: Nystagmus, seesaw;Visuovestibular interaction
数据来源: OVID
摘要:
Elevation and intorsion of one eye and synchronous depression and extorsion ot the other eye characterize c half cycle of seesaw nystagmus. Reversal of these movements constitutes the second half cycle, forming the “seesaw”-like movements. Based on analysis of the ocular oscillation characteristics of the cases of seesaw nystagmus reported in the literature, including the two new cases we present we postulate that seesaw nystagmus is another type of ocular oscillation broughi about by an unstable visuovestibular interaction contro system. Nonavailability of retinal error signals to the inferior olivary nucleus essential for vestibuloocular reflex adaptation due to complete chiasmal dissection makes the system less stable. This system instability is further accentuated by the pursuit feedback element. The intaci inferior olivary nucleus-nodulus connections in seesaw nystagmus would explain the 180|Mo phase difference thai distinguishes it from the midline form of oculopalata myoclonus, where these connections are likely disrupted
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