Oscillopsia Without Nystagmus Caused by Head Titubation in a Patient with Multiple Sclerosis

Update Item Information
Title Journal of Neuro-Ophthalmology, June 2002, Volume 22, Issue 2
Date 2002-06
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6zp7c5j
Setname ehsl_novel_jno
ID 225189
Reference URL https://collections.lib.utah.edu/ark:/87278/s6zp7c5j

Page Metadata

Title Oscillopsia Without Nystagmus Caused by Head Titubation in a Patient with Multiple Sclerosis
Creator Proudlock, FA; Gottlob, I; Constantinescu, CS
Affiliation Leicester-Warwick Medical School, University of Leicester, Leicester Royal Infirmary, Department of Ophthalmology, UK.
Abstract Oscillopsia in patients who have brain stem disorders but not nystagmus is attributed to a failure of the vestibular-ocular reflex (VOR) to compensate for head movements. We report a patient who had marked head titubation and oscillopsia in aggressive multiple sclerosis but no nystagmus. Her severe head titubation precluded our ability to measure a VOR accurately. Because oscillopsia has also been described after rapid voluntary head oscillations in normal subjects, we queried whether the oscillopsia in our patient could be ascribed to the head movement alone. Six normal control subjects did not experience oscillopsia while shaking their heads at the same frequency as the patient's titubation. We conclude that the oscillopsia in our patient was probably the result of an impaired VOR or an alternative compensatory mechanism.
Subject Adult; Essential Tremor/complications/diagnosis; Eye Movements; Female; Humans; Magnetic Resonance Imaging; Male; Middle Older people; Motion Perception; Multiple Sclerosis/complications/diagnosis; Nystagmus, Pathologic/etiology; Oscillometry; Perceptual Disorders/diagnosis/etiology; Reflex, Vestibulo-Ocular; Vestibular Diseases/complications/diagnosis
OCR Text Show
Format application/pdf
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Setname ehsl_novel_jno
ID 225171
Reference URL https://collections.lib.utah.edu/ark:/87278/s6zp7c5j/225171