Our standard rotational test battery includes tests of optokinetic nystagmus (OKN), the vestibulo-ocular reflex (VOR), and visual-vestibular interaction. Lesions of the peripheral vestibular system characteristically impair only the VOR, whereas lesions of the central system impair OKN and visual-vestibular interaction. The pattern of abnormal responses can help localize lesions within the central vestibular pathways.
Get full access to this article
View all access options for this article.
References
1.
. BalohRWLanghoferL.HonrubiaV.YeeRD: On-line analysis of eye movements using a digital computer. Aviat Space Environ Med51: 563–567, 1980.
2.
. HonrubiaV.BalohRWYeeRD: The differentiation of vestibular syndromes on the basis of vestibulo-ocular reflex measurements. Am J Otolaryngol1: 291–301, 1980.
3.
. JenkinsMALauCGYBalohRWHonrubiaV.: Implications of Ewald's second law for diagnosis of unilateral labyrinthine paralysis. Otolaryngol Head Neck Surg87: 459–462, 1979.
4.
. WolfeJWEngelkenEJOlsonJE: Low-frequency harmonic acceleration in the evaluation of patients with peripheral labyrinthine disorders. In HonrubiaV.BrazierM., editors: New York, 1982, Academic Press Inc., pp 95–106.
5.
. YeeRDJenkinsHABalohRWHonrubiaV.LauCGY: Vestibulo-optokinetic interactions in normal subjects and in patients with peripheral vestibular dysfunction. J Otolaryngol7: 310–319, 1978.
6.
. BalohRWYeeRDHonrubiaV.: Eye movements in patients with Wallenberg's syndrome. Ann NY Acad Sci374: 600–613, 1981.
7.
. BalohRWYeeRDKimmJ.HonrubiaV.: The vestibulo-ocular reflex in patients with lesions involving the vestibulocerebellum. Exp Neurol72: 141–152, 1981.
8.
. BalohRWYeeRDHonrubiaV.: Optokinetic nystagmus and parietal lobe lesions. Ann Neurol7: 269–276, 1979.
9.
. DichgansJ.Von ReuternGMRommeltJ.: Impaired suppression of vestibular nystagmus by fixation in cerebellar and noncerebellar patients. Arch Psychiatr Nervenkr226: 183–199, 1978.
