Diagnostic Value of Optokinetic after Nystagmus in Unilateral Vestibular Loss |
Woon Kyo Chung, MD1, Won Sang Lee, MD2, Sang Hoon Kang, MD2, and Sung Kyun Moon, MD2 |
1;Department of Otorhinolaryngology, Ewha Womans University College of Medicine, Seoul, 2;Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea |
편측 전정기능 소실시 시운동후안진의 진단적 의의 |
정운교1 · 이원상2 · 강상훈2 · 문성균2 |
이화여자대학교 의과대학 이비인후과학교실1;연세대학교 의과대학 이비인후과학교실2; |
|
|
|
ABSTRACT |
The time constant, number of optokinetic after nystagmus(OKAN), and initial slow phase eye velocity(first two second) of OKAN were measured as parameters in normal adults(n=7) and unilateral vestibular functional loss patients(n=8). In the unilateral group when the optokinetic stimuli produced optokinetic nystagmus(OKN) with fast phase to the affected ear, OKAN was markedly diminished or absent. The OKAN response that the opposite stimulus produced was similar to that of normal adults. Among parameters the time constant of OKAN was best for side difference in patients with loss of unilateral vestibular function. But the number of OKAN and initial slow phase eye movement showed asymmetry in normal and unilateral vestibular function loss patients. So OKAN test give us a good information for side difference in patients with unilateral vestibular function loss.
|
|