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Ocular Motility Testing
Balance Assessment
15
Audiology
Graduate
03/07/2018

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Cards

Term
This is the central conduit to motor nuclei for coordinated and synchronized eye movement. Involved in all classes of eye movements.
Definition
Medial longitudinal fasiculus
Term
This generates quick eye movements for orienting to visual or auditory stimulus. Associated with saccades.
Definition
Superior colliculus
Term
This has a major role in generation of VOR and OPK nystagmus.
Definition
Superior and lateral vestibular nuclei
Term
This fixes images with head stable and environment moving. Associated with optokinetic movements.
Definition
Lateral vestibular nucleus
Term
This generates ballistic eye movement. This is also associated with saccades.
Definition
Pontine excitatory burst neurons
Term
This stabilizes images during head movement. Associated with VOR.
Definition
Medial vestibular nucleus.
Term
This holds target on fovea. Associated with MVN horizontal gaze-holding.
Definition
Repositus hypoglossal
Term
Ability to move the eyes in a rapid singlel movement to fixate on a target of interest
Definition
saccade
Term
Ability to track the movement of a target of interest while maintaining the image on the fovea with smooth continuous eye movements
Definition
smooth pursuit
Term
Development of reflexive eye movements in the form of jerk nystagmus during visualization of moving objects that fill 80% to 90% or greater of the visual field of view.
Definition
Optokinetic
Term
Ability to maintain gaze stable without the generation of other eye movements while looking straight ahead, left, right, up, and down
Definition
Gaze stability
Term
Alexander's law:
Nystagmus increases in intensity as the gaze is shifted toward the direction of the ___ component
Definition
fast
Term
Denotes movement of the eyes without a cognitive, visual, or vestibular stimulus
Definition
Spontaneous nystagmus
Term
5 clinical signs of peripheral nystagmus:
-Nystagmus with fixation present or absent should be ___ fixed in nature and must have a ___ component
-Must follow ___ Law
-___ with fixation removed (primary determiner of peripheral source)
-Nystagmus ___ with head shake test
-A tracing of the nystagmus of the slow component should be ___
Definition
direction; horizontal; Alexander’s; Enhanced; enhanced; linear (straight line)
Term
5 clinical signs of a central nystagmus:
-Could be pure ___ or ___, or direction ___
-Rarely in ___ gaze. Pure ___ or pure ___ can persist in primary gaze.
-___ with fixation
-___ nystagmus post head-shake test
-Horizontal nystagmus trace will show a slow component that is ___
Definition
up or down; changing (fast component in direction of gaze); primary; vertical; torsional; Enhanced; Vertical; nonlinear
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