1980
DOI: 10.1002/ana.410070507
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Reversed Optokinetic Nystagmus (OKN): Mechanism and Clinical Significance

Abstract: We studied reversed optokinetic nystagmus (OKN) in 31 patients and found that it is actually the patient's own gaze-modulated spontaneous nystagmus shifted to the primary position of gaze by optokinetic stimulation. Two of our 31 patients were known to have congenital nystagmus. Most of the 29 others were adults who presented with neurological symptoms and nystagmus and were therefore suspected of having posterior fossa lesions. However, their nystagmographic findings and benign natural history suggest that th… Show more

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Cited by 71 publications
(39 citation statements)
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“…This altered behavior is predicted by earlier experiments, which have shown that experimentally induced ipsilateral projections in adult goldfish likewise lead to a reversed OK R (Easter and Schmidt, 1977). Reversed optokinetic nystagmus of genetic origin has also been reported for a congenital human pathology (Halmagyi et al, 1980). We suggest the following interpretation for the reversed OKR.…”
Section: Ipsilateral Projections In Belladonna Lead To Reversed Okrsupporting
confidence: 53%
“…This altered behavior is predicted by earlier experiments, which have shown that experimentally induced ipsilateral projections in adult goldfish likewise lead to a reversed OK R (Easter and Schmidt, 1977). Reversed optokinetic nystagmus of genetic origin has also been reported for a congenital human pathology (Halmagyi et al, 1980). We suggest the following interpretation for the reversed OKR.…”
Section: Ipsilateral Projections In Belladonna Lead To Reversed Okrsupporting
confidence: 53%
“…Interestingly, albinism is a condition that has been associated with altered patterns of retinal ganglion cell (RGC) decussation in the optic chiasm and deficits in eye morphogenesis (Jeffery, 1997). Moreover, reversed OKR has also been observed in normally pigmented humans where it mostly co-occurs with CN (Halmagyi et al, 1980). However, the underlying optic projection was not analyzed in these patients.…”
Section: Introductionmentioning
confidence: 99%
“…Gaze-modulated waveforms have also been described such that when the stimulus field is moved right to left, the spdhtaneous nystagmus habitually found on looking to the left is present even though the eyes are directed toward the primary position 12,12).…”
mentioning
confidence: 98%