Kliniczna ocena zaburzeń ruchowych gałek ocznych w stwardnieniu rozsianym
Journal Title: Otolaryngologia Polska - Year 2009, Vol 63, Issue 2
Abstract
Otoneurologic bedside examination with testing eye movements gives valuable information about static and dynamic properties of balance system and may give topodiagnostyc information about the side of lesion in patients with vertigo, dizziness and disequilibrium. The aim of the study: was to present the scheme of otoneurological bedside examination and usefulness of ocular motor disturbances index in evaluation of Multiple Sclerosis patients status. Material and methods: Sixty patients with diagnosis of MS, seen in outpatient neurology clinic, Medical University of Lodz, from 2002 to 2004, were enrolled into the study. Patient’s history of vertigo, dizziness, hearing loss and vision disturbances were evaluated. The clinical bedside ocularmotor examination was performed in all patients. It was composed of seven tests on the basis on which we introduce ocular motor disturbances index - IRZ. Results: The most frequent abnormalities were found in clinical saccadic test in 30% and smooth pursuit in 22%. MS patients who had in clinical eye movements examination IRZ bigger than 3 point formed the abnormal clinical examination group’ (ACE) – 31,7%. In u 68,3% the index was less than normal clinical examination group’ (NCE). The longer duration of the disease was observed in ACE group. Comparisons of functional neurological score EDSS and for cerebellar and brainstem subscale were signifi cantly greater in ACE group. Conclusion: Otoneurological bedside examinations with dynamic tests and introducing quantitative the ocular motor disturbances index is a valuable method of evaluation of visual-ocularmotor refl ex and may be used in monitoring MS course of disease.
Authors and Affiliations
Magdalena Józefowicz-Korczyńska, Maciej Gryczyński, Katarzyna Starska, Wioletta Pietruszewska, Marcin Durko, Marek Łukomski
Keywords
Related Articles
- EP ID EP51696
- DOI -
- Views 123
- Downloads 0
Inverted papilloma of the nose and paranasal sinuses in endoscopic surgery of the Otolaryngology Clinical Division in 4-th Clinical Military Hospital in Wrocław between years 2006–2008
The aim of presented work is analysis of the inverted papilloma cases treated by endoscopic surgery between years 2006 and 2008. Within this period there were 180 surgeries, out of which 11 patients were diagnosed with p...
Przeznosowe dojście mikroskopowe w operacji naczyniakowłókniaka nosogardła
Wstęp: Naczyniakowłókniak młodzieńczy jest rzadkim, niezłośliwym guzem naczyniowym wychodzącym z nosogardła. Leczeniem z wyboru jest operacja. W ostatnich latach duże znaczenie w leczeniu chirurgicznym tego guza mają tec...
Efferent suppression test – sensitivity and specifi city
Introduction. The amplitude of click evoked otoacoustic emissions can be suppressed (reduced) with contralateral acoustic stimulation (CAS). This is thought to be due to the inhibitory control that the medial efferent au...
Endoskopowe leczenie chorych z wewnàtrzczaszkowymi powikłaniami zapalenia zatok
Introduction. Intracranial complications of sinusitis (cerebral, epidural, and subdural abscesses, meningitis, and dural sinus thrombophlebitis) remain a challenging and current topic. Although they are nowadays relative...
Sprawozdanie z X Międzynarodowego Zjazdu Europejskiego Towarzystwa Otolaryngologów Dziecięcych w Pampelunie