Static ocular counterroll reflex in skew deviation

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Static ocular counterroll reflex in skew deviation.

OBJECTIVE The static ocular counterroll (OCR) reflex generates partially compensatory torsional eye movements during head roll. It is mediated by the utricle in the inner ear. Skew deviation is a vertical strabismus thought to be caused by imbalance in the utriculo-ocular pathway. We hypothesized that if skew deviation is indeed caused by damage to this reflex pathway, patients with skew deviat...

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Hyperdeviation and static ocular counterroll in unilateral abducens nerve palsy.

Twenty-seven patients with unilateral sixth nerve palsy and ten normal subjects were studied. The range of ductions was examined and the degree of abduction defect was recorded. The amount of horizontal and vertical deviations was measured in nine diagnostic positions by the prism and cover test, Maddox rod and prism test, and magnetic scleral search coils. MRI with enhancement was performed fo...

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Dissociated hysteresis of static ocular counterroll in humans.

In stationary head roll positions, the eyes are cyclodivergent. We asked whether this phenomenon can be explained by a static hysteresis that differs between the eyes contra- (CE) and ipsilateral (IE) to head roll. Using a motorized turntable, healthy human subjects (n = 8) were continuously rotated about the earth-horizontal naso-occipital axis. Starting from the upright position, a total of t...

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The Ocular Tilt Reaction and Skew Deviation

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Convergence reduces ocular counterroll (OCR) during static roll-tilt

When humans are roll-tilted around the naso-occipital axis, both eyes roll or tort in the opposite direction to roll-tilt, a phenomenon known as ocular counterroll (OCR). While the magnitude of OCR is primarily determined by vestibular, somatosensory, and proprioceptive input, direction of gaze also plays a major role. The aim of this study was to measure the interaction between some of these f...

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ژورنال

عنوان ژورنال: Neurology

سال: 2011

ISSN: 0028-3878,1526-632X

DOI: 10.1212/wnl.0b013e3182299f71