Vertical Optokinetic Nystagmus and Optokinetic Afternystagmus in Humans

1991 ◽  
Vol 1 (3) ◽  
pp. 309-315
Author(s):  
A. Böhmer ◽  
R.W. Baloh

Vertical optokinetic nystagmus (OKN) and optokinetic afternystagmus (OKAN) were recorded in 6 normal subjects using the magnetic scleral search coil technique in order to reevaluate the up-down symmetry of these responses. The effects of body position relative to gravity were investigated by comparing OKN and OKAN elicited with the subjects in an erect and in a lateral side position. No consistent up-down asymmetry in vertical OKN was found but OKAN was asymmetric (up slow phase velocity > down slow phase velocity). Most subjects had an immediate reversal in OKAN slow phase velocity after downward stimuli. No significant effects of static head position (upright versus lateral position) on vertical OKN and OKAN were found. These features of human OKAN can be explained by the summation of two oppositely directed velocity storage mechanisms.

1981 ◽  
Vol 90 (1_suppl2) ◽  
pp. 1-12 ◽  
Author(s):  
Sharon M. Abel ◽  
Hugh O. Barber

Optokinetic nystagmus was recorded and measured in 101 subjects comprising six diagnostic categories: 1) normal, screened for otologic disease, 2) chronic unilateral labyrinthectomy, 3) unilateral Menière's disease, 4) neurologically confirmed focal brainstem lesion, 5) brainstem-cerebellar syndrome, and 6) focal unilateral supratentorial lesion. For the OKN test, each subject looked at a translucent screen onto which a field of parallel black and white bars was back-projected. The array of bars could be projected vertically or horizontally to allow for study of nystagmus beating right and left or up and down. The speed of movement of the bars varied over a range from 20 to 140°/sec of visual angle, in each axis for both directions. An analysis of the slow phase velocity of OKN indicated that patients with brainstem disease produced significantly lower eye speeds than did normal subjects or patients with chronic peripheral vestibular disease. The latter groups could not be distinguished. The responses of patients with cortical lesions fell midway between these two extremes and were significantly different from those of the brainstem group. Directional preponderance of nystagmus proved to be significantly related to the side of lesion for both the labyrinthine and cortical groups. However, the absolute value of the difference in slow phase velocity for nystagmus beating toward or away from the side of lesion was no greater than the difference between right and left-beating nystagmus in normal subjects. While the results provide statistical confirmation for the findings of earlier investigations, it is noted that for purposes of clinical diagnosis, the test is of value only in the context of the otoneurological test battery. Distribution of results for individuals in the various groups overlap considerably. The designation of a numerical cutoff for differential diagnosis leads to error rates far in excess of what may be confidently attributed to chance.


1979 ◽  
Vol 88 (1) ◽  
pp. 79-85 ◽  
Author(s):  
James W. Wolfe

Twenty-five normal subjects and 173 clinical patients received standard bithermal caloric testing. Vestibular nystagmus was evaluated for cumulative slow phase velocity from the summated horizontal eye recording and independent recording of the left and right eye. These data revealed that cold water stimulation produced more intense activation of the ipsilateral eye. Simultaneous closed-circuit video and D.C. electro-oculographic recordings from eight normal rhesus monkeys in response to cold water irrigations confirmed the fact that this stimulus leads to differential activation of the extraocular muscles. A possible explanation for this finding is discussed.


1982 ◽  
Vol 96 (7) ◽  
pp. 599-612 ◽  
Author(s):  
P. G. Davey ◽  
E. S. Harpur ◽  
F. Jabeen ◽  
D. Shannon ◽  
P. M. Shenoi

AbstractExperiments were performed on 25 otoneurologically ‘normal’ subjects to evaluate the hot caloric test as a screening test for aminoglycoside vestibular toxicity.Using portable equipment under non-ideal conditions, it was found that there was a large inter-subject variability in nystagmic response and that, instead of a random test-retest variability, a systagmic variation in response occurred on repeated caloric stimulation with water at 44°C.A response deline (habituation) evident in both the maximum slow phase velocity and the maximum frequency occurred at second test, although the inter-test interval ranged from 24 to 72 hours.After a 3-month interval with no intervening tests, the mean value of the maximum frequency reverted back to the original level. However, there was still a significant reduction in maximum slow phase velocity at this time. Some individuals had a sustanined reduction in both parameters.Hence it is concluded that the hot caloric test, used under the conditions described in this study, is not a suitable serial screening method for aminoglycoside vestibular toxicity. The reproducibility of this test under other conditions, or any other caloric test, should be established in normal subjects befre employing, it as a serial screen for aminoglycoside vestibular toxicity.


1986 ◽  
Vol 13 ◽  
pp. S63-S68 ◽  
Author(s):  
Yukio Watanabe ◽  
Naoki Ohashi ◽  
Akihiko Ohmura ◽  
Muneharu Itoh ◽  
Kanemasa Mizukoshi

2003 ◽  
Vol 13 (4-6) ◽  
pp. 255-263
Author(s):  
Gilles Clément

Prolonged microgravity during orbital flight is a unique way to modify the otolith inputs and to determine the extent of their contribution to the vertical vestibulo-ocular reflex (VOR) and optokinetic nystagmus (OKN). This paper reviews the data collected on 10 astronauts during several space missions and focuses on the changes in the up-down asymmetry. Both the OKN elicited by vertical visual stimulation and the active VOR elicited by voluntary pitch head movements showed an asymmetry before flight, with upward slow phase velocity higher than downward slow phase velocity. Early in-flight, this asymmetry was inverted, and a symmetry of both responses was later observed. An upward shift in the vertical mean eye position in both OKN and VOR suggests that these effects may be related to otolith-dependent changes in eye position which, in themselves, affect slow phase eye velocity.


2020 ◽  
Vol 11 ◽  
Author(s):  
Claudia Lädrach ◽  
David S. Zee ◽  
Thomas Wyss ◽  
Wilhelm Wimmer ◽  
Athanasia Korda ◽  
...  

Objective: Alexander's law (AL) states the intensity of nystagmus increases when gaze is toward the direction of the quick phase. What might be its cause? A gaze-holding neural integrator (NI) that becomes imperfect as the result of an adaptive process, or saturation in the discharge of neurons in the vestibular nuclei?Methods: We induced nystagmus in normal subjects using a rapid chair acceleration around the yaw (vertical) axis to a constant velocity of 200°/second [s] and then, 90 s later, a sudden stop to induce post-rotatory nystagmus (PRN). Subjects alternated gaze every 2 s between flashing LEDs (right/left or up/down). We calculated the change in slow-phase velocity (ΔSPV) between right and left gaze when the lateral semicircular canals (SCC) were primarily stimulated (head upright) or, with the head tilted to the side, stimulating the vertical and lateral SCC together.Results: During PRN AL occurred for horizontal eye movements with the head upright and for both horizontal and vertical components of eye movements with the head tilted. AL was apparent within just a few seconds of the chair stopping when peak SPV of PRN was reached. When slow-phase velocity of PRN faded into the range of 6–18°/s AL could no longer be demonstrated.Conclusions: Our results support the idea that AL is produced by asymmetrical responses within the vestibular nuclei impairing the NI, and not by an adaptive response that develops over time. AL was related to the predicted plane of eye rotations in the orbit based on the pattern of SCC activation.


2002 ◽  
Vol 88 (2) ◽  
pp. 914-928 ◽  
Author(s):  
Yasuko Arai ◽  
Sergei B. Yakushin ◽  
Bernard Cohen ◽  
Jun-Ichi Suzuki ◽  
Theodore Raphan

We studied caloric nystagmus before and after plugging all six semicircular canals to determine whether velocity storage contributed to the spatial orientation of caloric nystagmus. Monkeys were stimulated unilaterally with cold (≈20°C) water while upright, supine, prone, right-side down, and left-side down. The decline in the slow phase velocity vector was determined over the last 37% of the nystagmus, at a time when the response was largely due to activation of velocity storage. Before plugging, yaw components varied with the convective flow of endolymph in the lateral canals in all head orientations. Plugging blocked endolymph flow, eliminating convection currents. Despite this, caloric nystagmus was readily elicited, but the horizontal component was always toward the stimulated (ipsilateral) side, regardless of head position relative to gravity. When upright, the slow phase velocity vector was close to the yaw and spatial vertical axes. Roll components became stronger in supine and prone positions, and vertical components were enhanced in side down positions. In each case, this brought the velocity vectors toward alignment with the spatial vertical. Consistent with principles governing the orientation of velocity storage, when the yaw component of the velocity vector was positive, the cross-coupled pitch or roll components brought the vector upward in space. Conversely, when yaw eye velocity vector was downward in the head coordinate frame, i.e., negative, pitch and roll were downward in space. The data could not be modeled simply by a reduction in activity in the ipsilateral vestibular nerve, which would direct the velocity vector along the roll direction. Since there is no cross coupling from roll to yaw, velocity storage alone could not rotate the vector to fit the data. We postulated, therefore, that cooling had caused contraction of the endolymph in the plugged canals. This contraction would deflect the cupula toward the plug, simulating ampullofugal flow of endolymph. Inhibition and excitation induced by such cupula deflection fit the data well in the upright position but not in lateral or prone/supine conditions. Data fits in these positions required the addition of a spatially orientated, velocity storage component. We conclude, therefore, that three factors produce cold caloric nystagmus after canal plugging: inhibition of activity in ampullary nerves, contraction of endolymph in the stimulated canals, and orientation of eye velocity to gravity through velocity storage. Although the response to convection currents dominates the normal response to caloric stimulation, velocity storage probably also contributes to the orientation of eye velocity.


Author(s):  
Moslem Shaabani ◽  
Najmeh Naghibi ◽  
Enayatollah Bakhshi

Background and Aim: Vibration is a method for stimulating the vestibular system. This met­hod can unmask asymmetry between two vesti­bular systems (such as unilateral peripheral ves­tibular disorders). The occurrence of vibration-induced nystagmus (VIN) in healthy subjects can affect the diagnosis of patients with uni­lateral peripheral vestibular disorders. Thus, the evaluation of VIN in healthy subjects is critical to help the diagnosis of unilateral peripheral vestibular disorders. Methods: This study was carried out on 72 hea­lthy subjects (mean ± SD age: 27.12 ± 4.97 years) in the Auditory and Balance Clinic of Rofeideh Rehabilitation Hospital. Vibration sti­mulation with a frequency of 30 and 100 Hz was used on mastoid and posterior cervical mus­cles (PCMs) and simultaneously eye movements were recorded and analyzed using videonystag­mography. Results: The mastoid vibration with a frequ­ency of 30 and 100 Hz, respectively produced VIN in 16.67% and 27.78% of subjects and VIN observed in PCMs vibration with a frequency of 30 and 100 Hz in 4.17% and 9.72% of the subjects. Conclusion: The occurrence of VIN in healthy subjects was more probable with mastoid vib­ration in 100 Hz. In this study, VIN was pre­dominantly horizontal, its direction was toward the stimulated side, and its slow phase velocity was lower than 5 deg/s. These criteria could be used for differentiation between normal and abnormal subjects.


1992 ◽  
Vol 67 (5) ◽  
pp. 1124-1132 ◽  
Author(s):  
M. Ariel ◽  
R. J. Tusa

1. Eye movements were measured in three rhesus monkeys after monocular intravitreal injections of picrotoxin, a gamma-aminobutyric acid (GABA) antagonist. The effects of this drug were tested when the animals were in a completely dark room, when they performed a smooth pursuit task, and when they viewed either a stationary pattern or a full-field optokinetic pattern rotating horizontally. 2. Between 15 and 20 min after the injection, a sustained conjugate spontaneous nystagmus developed in the dark, with the slow-phase movement in the temporal-to-nasal direction with respect to the injected eye. Peak slow-phase velocity ranged from 15 to 45 degrees/s. The nystagmus persisted for at least 1 h but stopped by the next day. 3. In a well-lit room, the nystagmus was completely suppressed, even during monocular viewing with the injected eye. When the lights were turned off, the slow-phase velocity of the spontaneous nystagmus slowly increased to a steady-state level within 70-120 s. 4. Horizontal smooth pursuit eye movements to a 1 degree target light moving in front of the animal +/- 20 degrees to either side of center of gaze at constant speeds were normal. Target speeds ranging from 15 to 60 degrees/s for both monocular and binocular viewing conditions were used. Binocular and monocular optokinetic nystagmus (OKN) to a full-field drum rotating at a constant velocity (5-90 degrees/s) were also normal. The initial pursuit and steady-state components of OKN were measured, as well as the velocity-storage component (optokinetic after nystagmus, OKAN).(ABSTRACT TRUNCATED AT 250 WORDS)


2001 ◽  
Vol 11 (2) ◽  
pp. 73-80
Author(s):  
Shoji Watanabe ◽  
Isao Kato ◽  
Kosuke Hattori ◽  
Miki Azuma ◽  
Tadashi Nakamura ◽  
...  

The nucleus of the optic tract (NOT), an important visuo-motor relay between the retina and preoculomotor structures, is responsible for mediating horizontal optokinetic nystagmus (OKN) in monkeys, cats, rabbits and rats. In addition to its projection to the vestibular nuclei, the NOT has a prominent projection to the contralateral NOT via the posterior commissure. In order to evaluate the role of the commissural fibers between the NOTs in OKN, we cut the posterior commissure in three Macaca fuscata. The animals viewed the OKN stripes under three conditions: right eye viewing, left eye viewing, and both eyes viewing. OKN was recorded in response to counter-clockwise and clockwise stimulation at stimulus velocities of 30°/s, 60°/s and 90°/s. After control data were gathered, the posterior commissure was transected with an operating knife. Before the animal was sacrificed, biocytin, an anterograde tracer, was injected into the left NOT in order to confirm that all of the commissural fibers had been cut. Although the midline lesions decreased the initial rapid rise and steady state OKN slow-phase velocity in all three animals, there were no directional differences observed during monocular clockwise or counter-clockwise visual stimulation to either eye. In two of the three animals, there were no significant differences in the time-constants of optokinetic after nystagmus (OKAN) after the lesion. In the remaining animal, the time-constants decreased at stimulus velocities of 30°/s and 60°/s. In conclusion, gain reduction in the rapid rise and steady state slow-phase velocity of OKN can be explained by removal of an excitatory signal mediated by commissural fibers to inhibitory interneurons in the contralateral NOT. However, interrupting the commissural fibers had no effect on the velocity storage mechanism, because the time-constants of OKAN mostly remained largely unchanged by the lesion.


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