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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 36(6); 1993 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1993;36(6): 1170-1180.
Age specificity in normative data of visual evoked eye movement in healthy subjects.
Eun Seo Kim, Won Sang Lee, Woon Kyo Chung, Hee Nam Kim, Young Myoung Kim, Byung Kil Whang, Sung Shik Kim
정상인에서 시야자극에 의한 안구 운동의 연령군별 표준치
김은서1 · 이원상1 · 정운교2 · 김희남1 · 김영명2 · 황병길1 · 김성식1
연세대학교 의과대학 이비인후과학교실1;이화여자대학교 의과대학 이비인후과학교실2;
ABSTRACT

ENG(electronystagmography), one of the objective method analysing nystagmus, is capable of quantitative analysis of nystagmus as well as permanent storage of results. Furthermore, it has diagnostic value of measuring the velocity of nystagmus. It is generally accepted that each laboratory must establish normative data for their standard test protocol. In addition, these normative data should be categorized depending on the chronological change of human beings. This study was carried out in 80 healthy Korean subjects who were regarded as otoneurologically normal. They were classified into 4 groups based on their ages ; 10 to 19(group 1), 20 to 39(group 2), 40 to 59(group 3), and more than 60 years old(group 4). Each group was composed of 10 men and 10 women, respectively. All the subjects were tested for voluntary saccade, smooth pursuit, and optokinetic nystagmus, and their nystagmus was observed. The results were as follows : 1) Smooth pursuit were porformed at frequency of 0.2 Hz, with velocity of 20 deg(degree)/sec, 0.4 Hz, with 40 deg/sec, and 0.4 Hz with 20 deg/sec. Gain for them were from 0.70 to 0.92. 2) Saccade was tested using target velocity of 3-16 deg(degree) jump and 6-32 deg jump. Delay times were ranged from 162.4 ms(millisecond) to 212.6 ms and accuracies were from 72.4% to 92.1%. 3) Optokinetic nystagmus was tested with 3 different visual stimuli and directional preponderance were all within 20%. In the conclusion, morphoanatomic changes in CNS and vestibular system and their functional change are necessary to compromize the laboratory data. In the elderly group, we should consider the aging process as a essential factor to differentiate the validity of the results.

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