Clinical values in inversive type of optokinetic after-nystagmus(OKAN).
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1) We examined patients with bilateral lesions in the otolith-semicircular canals, vertebro-basilar artery insufficiency and cerebellar atrophy who showed the inversive type of OKAN, and we discuss the clinical value of the inversive type of OKAN.2) As in animal experiments, patients with bilateral lesions in the otolith-semicircular canals also show the inversive type of OKAN.3) Unlike the animal experiments however, patients with cerebellar disturbances also show the inversive type of OKAN.In these patients, there is an imbalance between the brainstem and the eye movement system which leads to a decomposition of the cerebellar eye movement integration system causing the inversive type of OKAN.4) The inversive type of OKAN points to disturbances of integration and compensation when bilateral lesions in the otolith-semicircular canals or lesions in the central vestibular system affect visual-vestibular interaction.
- 耳鼻咽喉科臨床学会の論文
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