Search results for "oculomotor"
showing 10 items of 38 documents
A novel form of ataxia oculomotor apraxia characterized by oxidative stress and apoptosis resistance
2007
Several different autosomal recessive genetic disorders characterized by ataxia with oculomotor apraxia (AOA) have been identified with the unifying feature of defective DNA damage recognition and/or repair. We describe here the characterization of a novel form of AOA showing increased sensitivity to agents that cause single-strand breaks (SSBs) in DNA but having no gross defect in the repair of these breaks. Evidence for the presence of residual SSBs in DNA was provided by dramatically increased levels of poly (ADP-ribose)polymerase (PARP-1) auto-poly (ADP-ribosyl)ation, the detection of increased levels of reactive oxygen/nitrogen species (ROS/RNS) and oxidative damage to DNA in the patie…
Internuclear ophthalmoplegia of abduction: clinical and electrophysiological data on the existence of an abduction paresis of prenuclear origin.
1992
Three patients showed unilateral and five bilateral abduction paresis. Five had associated adduction nystagmus of the contralateral eye. Electrophysiological testing of masseter and blink reflexes indicated an ipsilateral rostral pontine or mesencephalic lesion, and excluded a lesion of the infranuclear portion of the abducens nerve. Abduction paresis was attributed to impaired inhibition of the tonic resting activity of the antagonistic medial rectus muscle. The prenuclear origin of the disorder is based on morphological and neurophysiological evidence of an ipsilateral inhibitory connection between the paramedian pontine reticular formation and the oculomotor nucleus running close to but …
Mathematical Model Predicts Clinical Ocular Motor Syndromes
2003
: Clinical ocular motor syndromes were compared with ocular motor syndromes simulated by a mathematical model of the vestibuloocular reflex. The mathematical sensorimotor feedforward model of otolith control of three-dimensional binocular eye position is based on relevant anatomical connections of the vestibuloocular reflex from the utricles to extraocular eye muscles. This is the first attempt to simulate static ocular motor syndromes for unilateral utricular or vestibular nerve failure, lesions of the vestibular nucleus, and lesions of the ascending vestibuloocular reflex pathways. Comparison of the predicted syndromes with those found in patients with unilateral disorders of the vestibul…
Diabetic 3rd nerve palsy: evidence for a mesencephalic lesion.
1990
Eleven consecutive adult chronic diabetic patients presented with an isolated 3rd nerve palsy (8 with pupillary sparing) of which 10 had abnormal ipsilateral or bilateral masseter reflexes (MassR). Three patients had an MRI lesion in the ipsilateral oculomotor fasciculus and 3 had subsequent mild brainstem signs. An additional 13 patients with Weber's syndrome had similar ipsilateral or bilateral MassR abnormalities, while 7 patients with 3rd nerve palsies on a known extra-axial basis had none. The findings suggest that an isolated diabetic 3rd nerve palsy, with or without pupillary sparing, is much more likely on the basis of a focal mesencephalic infarct than a peripheral nerve lesion.
Is there a relationship between the degree of preoperative motility impairment or the muscle thickness and the outcome of strabismus surgery in patie…
2005
There is considerable controversy regarding the performance of strabismus surgery in patients with Graves' orbitopathy (GO). The spectrum of recommendations extends from variable dose-effect correlations for these procedures (Esser, 1994; Mourits et al., 1990; Nguyen et al., 2002) to individualized approaches such as passive intraoperative motility testing and postoperative adjustment of sutures (Lueder et al., 1992; Nguyen et al., 2002), and to local anesthesia for intraoperative assessment of active motility (Kalpadakis et al., 2004). Furthermore, prior decompression surgery is known to contribute to an unpredictable outcome (Eckstein and Esser, 2003; Esser, 1994). We retrospectively anal…
Ocular ductions after rectus muscle recession and resection in thyroid eye disease.
2019
Background: Recession and resection of rectus muscles for correction of strabismus in Thyroid Eye Disease (TED) is relatively unpopular as it is assumed to enhance the restriction of ocular ductions. Therefore, the purpose of this study was to compare ductions of recession only and recess/resect procedures. Methods: We retrospectively reviewed the charts of 119 patients who underwent strabismus surgery for TED from 1991 to 2015, of which 102 were included in the present study. Forty-six interventions were performed on horizontal, 56 on vertical rectus muscles; comprising 41 recess/resect surgeries for horizontal deviations, and 7 in patients with vertical strabismus. Ocular ductions and ali…
SOMATOTOPIC ORGANIZATION OF THE CRANIAL NERVE NUCLEI INVOLVED IN EYE MOVEMENTS: III, IV, VI.
2017
The oculomotor nucleus is divided into: 1. somatic medial column innervating the superior rectus muscle and somatic lateral column, further subdivided into a lateral column innervating the inferior rectus, inferior oblique and medial rectus muscles; 2. central nucleus innervating the levator palpebrae superioris muscle; 3. visceral nucleus innervating the pupillary sphincter muscle, consisting of the following two groups of neurons: cholinergic, preganglionic neurons supplying the ciliary ganglion, termed the Edinger- Westphal preganglionic (EWpg) neuron population, and the centrally projecting, peptidergic neurons, termed the Edinger-Westphal centrally projecting (EWcp) population. A detai…
Lámina Hd: ADEMd (Adult Development Eye Movement distractor)
2022
La lámina Hd que incluye una actividad dual con mayor demanda cognitiva completa la funcionalidad del test ADEM, y se denomina el test con la incorporación de esta cuarta lámina como ADEMd. El test Adult Developmental Eye Movement (ADEM) consta de tres láminas, siendo la tarea leer en voz alta, lo más rápido que se pueda, las decenas de números presentes; las dos láminas verticales (V1 y V2) tiene 40 decenas de números cada una siendo la demanda oculomotora vertical, y la lámina horizontal (H) con 80 decenas de números siendo los movimientos oculomotores a desarrollar horizontales. En esta ocasión se incorpora una nueva lámina, denominada horizontal distractora (Hd), la cual demanda al suje…
Test ADEM: Adult Development Eye Movement
2022
El test Adult Developmental Eye Movement (ADEM) es una prueba sencilla, que permite caracterizar fácilmente los movimientos oculares durante la lectura, pudiendo aplicarse en todos los casos en los que se requiera realizar una prueba rápida del movimiento ocular. Consiste en una serie de números de dos cifras que se reconocen y se verbalizan en voz alta, lo que permite al clínico medir la velocidad y la precisión de los movimientos oculares empleados durante la lectura de dichos números. Se ponen a disposición de las personas interesadas las láminas que conforman el test y una explicación de su realización. Este test facilita las posibilidades de valoración en diferentes poblaciones, tanto …
Curso de prácticas de Optometria II : práctica 6 oculomotor
2020
Esta publicación surge con la finalidad de servir de guía, consulta y orientación para que el estudiantado, (o las personas interesadas en el tema), puedan ir siguiendo un orden de pruebas y de pasos durante la realización de la actividad relacionada con la evaluación de la visión binocular. Nuestro objetivo general es facilitar que se consoliden las bases prácticas necesarias para la evaluación óptima de la visión binocular en cada una de las partes que la componen. En esta publicación, correspondiente a la práctica 6, se muestra como realizar las pruebas oculomotoras, permitiendo con estas pruebas conocer una parte fundamental del estado del sistema binocular.