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Evaluation of smooth pursuit and voluntary saccades in nitrous oxide-induced narcosis

The effect of inhaling nitrous oxide on pursuit eye movements (PEM) and voluntary saccades was studied in nine healthy subjects. Eye movements were recorded before, during, and 10 min after exposure for 15 min to normoxic mixtures of 14%, 21%, and 28% nitrous oxide. At all concentrations, there was a significant decrease in gain of PEM at a target velocity of 60 degrees/s, the decrease being of co

Reduction of gain and time constant of vestibulo-ocular reflex in man induced by diazepam and thiopental

The effect of intravenous administration of two sedatives, diazepam (0.3 mg/kg) and thiopental (6.0 mg/kg), on the vestibulo-ocular reflex (VOR) in man was investigated on 9 volunteers. The VOR was evoked with a velocity step rotation test and gain and time constant of prerotatory and postrotatory nystagmus were measured. Both drugs reduced VOR gain. Diazepam-induced reduction lasted 8 h and thiop

Reduction of the time constant in the VOR as a protective mechanism in acute vestibular lesions

Fourteen patients with vestibular neuritis were examined at onset of symptoms and after one year. Postrotatory time constant and gain in the vestibulo-ocular reflex (VOR) were measured after rotation with a velocity step of 150 deg/s. There was no significant difference in gain towards the healthy side at onset of the disease compared to recordings after one year. The time constant towards the hea

Dynamic Performance of Vibration Induced Anterior-Posterior Sway during Upright Posture in Normal Subjects

Human postural control works as a dynamic feedback control system. The dynamic performance of postural control for anterior-posterior movements during upright posture are defined by three parameters. These parameters reflect the stiffness, the damping and the swiftness of a response to an induced perturbation. In the present study 23 normal subjects were investigated. Both with open and closed eye

Effects of intravenous diazepam and thiopental on the vestibulo-ocular reflex in man

The effects of i.v. injection of diazepam 0.3 mg/kg and thiopental 6.0 mg/kg on vestibulo-ocular reflex (VOR) were studied in 9 healthy volunteers. One hour after injection of both diazepam and thiopental VOR gain was reduced and time constant shortened. Four hours after intravenous injection of diazepam the VOR gain was still significantly reduced and had not yet returned to control 8 h after inj

The relationship between caloric response, oculomotor dysfunction and size of cerebello-pontine angle tumours

Seventy-nine consecutive patients, 70 patients with acoustic neurinomas (ACN) and 9 patients with cerebello-pontine angle tumours of other etiology (o-CPA) were analysed with respect to tumour size and the result of the caloric and oculomotor tests. The size of the tumour was judged by the largest diameter calculated from the computerized tomography. A highly significant linear relationship betwee

Presentation of a posturographic test with loading of the proprioceptive system

Postural control is maintained by sensory feedback from visual, vestibular and somatosensory receptors. Recently several methods for evaluating postural control have been devised, utilizing an imposed perturbation. Most of these methods use stimuli which simultaneously affect more than one of the sensory feedback loops. In the present paper a posturographic technique is presented with specific loa

Clinical aspects of eye tracking test

The eye tracking test is today a well established part of clinical otoneurological examination. In the present paper some applications of the test in evaluating of the level of lesion within the vestibular system are reviewed.

Pharmacological treatment of vertigo

A review of the treatment of vestibular disorders with drugs is presented. In animal experiments, administration of certain drugs, e.g. alcohol, barbiturates and chlorpromazine, retards the vestibular compensation, while others, e.g. caffeine, amphetamine and ACTH, accelerate the compensation. In compensated animals, some drugs produce overcompensation and some decompensation. A double-blind, rand

Evaluation of optokinetic nystagmus in differentiating between peripheral vestibular and infratentorial lesions

Optokinetic nystagmus (OKN) was studied in ten patients with vestibular neuritis, and in seventeen patients with unilateral and thirteen patients with bilateral infratentorial lesions and compared with OKN in fifty healthy subjects. Mean and maximum slow phase velocity of OKN was calculated as well as the asymmetry of responses. The efficiency of the different variables in OKN, in discriminating b

An identification technique for the spike artefact of saccadic eye movements

Many subjects have a negative spike in the beginning of a saccade in electro-oculographic signals. The amplitude of the spike depends on the location of the electrodes. The spike distorts the saccades and causes errors in the parameters. The saccade spike can assist in the identification of small saccades. A syntactic technique based on formal languages and parsing is presented which looks for spi

Neural activity, alertness and visual orientation in intact and unilaterally labyrinthectomized rabbits

Electrical brain activity and eye movements were recorded in 10 intact and 6 unilaterally labyrinthectomized rabbits, each with implanted electrodes. The frequency of optokinetic nystagmus (OKN) and a 10-second aggregate of theta waves in the dorsal hippocampus were determined after exposure of the animals to sound, vibration and optokinetic stimulation. Each stimulus used caused significant incre

Effect of alertness on the vestibulo-ocular reflex and on the slow rise in optokinetic nystagmus in rabbits

The effect of alertness on the time constant of the vestibulo-ocular reflex (VOR) and the time constant of the slow rise of the optokinetic nystagmus (OKN) was studied in nine pigmented rabbits. When the rabbits were alerted by vibration, the time constant of the VOR was prolonged, and that of the slow rise in OKN was shortened, whereas the gain of VOR and OKN remained largely unaffected. These fi

Velocity and asymmetry of optokinetic nystagmus in the evaluation of vestibular lesions

Optokinetic nystagmus (OKN) at a constant stimulus velocity of 90 degrees/s was studied in 50 healthy subjects and three different groups of patients: 10 with vestibular neuritis (VN), 17 with unilateral infratentorial lesion (UI) and 13 patients with bilateral infratentorial lesion (BI). Among healthy subjects, OKN decreased with age in those over 42 and 44 years for maximum and mean velocity, re

The relationship of optokinetic nystagmus to pursuit eye movements, vestibular nystagmus and to saccades in humans. A clinical study

The relationship of mean velocity of optokinetic nystagmus (OKN) to pursuit eye movements (PEM), to vestibular nystagmus and to voluntary saccades was analysed in 10 patients with peripheral vestibular lesions and in 30 patients with central vestibular lesions. PEM and vestibular nystagmus were significantly correlated to OKN, suggesting that a common neural pathway is used in the generation of th

Effect of alertness and visual attention on optokinetic nystagmus in humans

The effect of alertness and visual attention on optokinetic nystagmus (OKN) and optokinetic after-nystagmus (OKAN) was studied in 20 volunteers. Electroencephalographic (EEG) activity was recorded over the occipital lobe. Exposure to sound and vibration caused a significant increase in the mean slow-phase velocity of OKN, whereas its maximum slow-phase velocity remained unaffected. Vibration tende