Cervico-ocular Eye Movements in Relation to Different Neck Torsion Velocities

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Abstract
Rotation of the trunk with a fixed head causes isolated stimulation of cervical afferent input. Eleven patients with marked cervico-ocular reactions (COR) were selected. A neck torsion test (NTT) was performed with the help of a special apparatus. The resulting cervically induced eye movements consisted of two components. In addition to a cervical nystagmus, with its slow, compensatory phase, a deviation of the mean eye position (shift) in an anticompensatory direction, opposite to trunk rotation was observed. The COR in relation to different neck torsion velocities distinctly showed a tuning curve with maximum reactions between 4d`/s and 9d`/s. Above these values, a strong decrease in COR resulted. The optimal working range vastly differs from that of the vestibulo-ocular reflex (VOR).