Summary
Optokinetic nystagmus (OKN) was tested in 15 patients with unilateral strictly occipital brain lesions and complete homonymous hemianopia and compared with findings in a group of normal controls. Quantitative analysis of the results in the patients revealed a bilateral disorder of OKN. When the stimulus was moved in the direction opposite to the hemianopic field, there was a significant decrease in optokinetic gain, and the amplitude of nystagmus decreased. There was no correlation between OKN and size of the residual macular field.
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References
Baloh RW, Yee RD, Honrubia V (1980) Optokinetic nystagmus and parietal lobe lesions. Ann Neurol 7:269–276
Barany R (1921) Zur Klinik and Theorie des EisenbahnNystagmus. Arch Augenheilkd 87:139–142
Carmichael EA, Dix MR, Hallpike CS (1954) Lesions of the cerebral hemispheres and their effects upon optokinetic and caloric nystagmus. Brain 77:345–371
Cogan DG, Loeb DR (1947) Optokinetic response and intracranial lesions. Arch Neurol Psychiatr 61:183–187
Cords R (1926) Optisch-motorisches Feld and optisch-motorische Balm. Arch Ophthalmol 117:58–113
Die G van, Collewijn H (1982) Optokinetic nystagmus in man. Role of central and peripheral retina and occurrence of asymmetries. Hum Neurobiol 1:111–119
Die G van, Collewijn H (1986) Control of human optokinetic nystagmus by the central and peripheral retina: effects of partial visual field maskings, scotopic vision and central retinal scotoma. Brain Res 19:1105–1115
Gassel MM, Williams D (1963) Visual function in patients with homonymous hemianopia. II. Oculomotor mechanisms. Brain 86:1–36
Jung R, Kornhuber HH (1969) Results of ENG in man: the value of optokinetic, vestibular and spontaneous nystagmus for neurological diagnosis and research. In: Bender M (ed) The oculomotor system. Harper and Row, New York, pp 428–482
Kaga K, Suzuki JI (1982) Optokinetic pattern asymmetry in patients with cerebral lesions. In: Honrubia V, Brazier MAB (eds) Nystagmus and vertigo. Academic Press, New York, pp 279–286
Kestenbaum A (1946) Clinical methods of neuro-ophthalmologic examinations. Grune and Stratton, New York
Köjallman L, Frisen L (1986) The cerebral ocular pursuit pathway. J Clin Neuro Ophthalmol 6:209–214
Kömpf D (1986) The significance of optokinetic nystagmus asymmetry in hemispheric lesions. Neuro-ophthalmology 6:61–64
Lenz H (1941) Das Verhalten des optokinetischen Nystagmus bei einigen Fallen von Lappenresektion. Nervenarzt 14:124–126
Levenson DS, Smith JL (1966) Optokinetic nystagmus and occipital lesions. Am J Ophthalmol 61:753–762
Ohm J (1922) Die klinische Bedeutung des optischen Drehnystagmus. Klin Monatsbl Augenheilkd 68:323–355
Smith JL (1963) Optokinetic nystagmus: its use in neuroophthalmologic diagnosis. Thomas, Springfield
Smith JL, Cogan DG (1959) Optokinetic nystagmus: a test for parietal lobe lesions. Am J Ophthalmol 48:187–193
Stenvers HW (1924) Über die klinische Bedeutung des optischen Nystagmus für die zerebrale Diagnostik. Schweiz Arch Neurol Psychiatr 14:279–286
Tuna RJ, Ungerleider LG (1988) Fiber pathways of cortical areas mediating smooth pursuit eye movements in monkeys. Ann Neurol 23:174–183
Yee RD, Baloh RW, Honrubia V, Jenkins AJ (1982) Pathophysiology of optokinetic nystagmus. In: Honrubia V, Brazier MAB (eds) Nystagmus and vertigo. Academic Press, New York, pp 251–275
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Kölmel, H.W., Nabel, H.J. Optokinetic nystagmus in homonymous hemianopia due to a strictly occipital lesion. Eur Arch Psychiatr Neurol Sci 238, 199–202 (1989). https://doi.org/10.1007/BF00381465
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DOI: https://doi.org/10.1007/BF00381465