Videoocular assessment of eye movement activity in an ataxia-telangiectasia: a case study.

IF 2.6 4区 医学 Q2 OPHTHALMOLOGY
Documenta Ophthalmologica Pub Date : 2024-04-01 Epub Date: 2024-02-14 DOI:10.1007/s10633-024-09964-z
Sofia A Mironets, Marina A Shurupova, Alexander F Karelin
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引用次数: 0

Abstract

Purpose: Ataxia-telangiectasia (A-T) is an autosomal recessive disorder characterized by progressive neurological deficits, including prominent oculomotor dysfunction. We report 5 cases of eye movement assessment in children 9-15 years old with A-T.

Methods: Three different oculomotor tasks (gaze holding, visually guided saccades and visual search) were used, and video-oculography was performed. Additionally, the scale for the assessment and rating of ataxia (SARA) score was used to assess severity of the cerebellar ataxia.

Results: Unstable gaze holding, nystagmus and saccadic intrusions were found. In addition to psychophysiological assessment results, we provide quantitative analysis of oculomotor activity, revealing a specific abnormal oculomotor pattern, consisting of (i) marked saccade hypermetria, (ii) unstable gaze holding, and (iii) gaze-evoked nystagmus.

Conclusion: Our study opens the prospect to evaluate efficacy and safety of alternative methods for supporting the patient and improving his/her life quality.

Abstract Image

共济失调-特朗日综合症患者眼球运动活动的视频评估:一项个案研究。
目的:共济失调性脊髓侧索硬化症(A-T)是一种常染色体隐性遗传疾病,其特征是进行性神经功能缺损,包括突出的眼球运动功能障碍。我们报告了 5 例 9-15 岁共济失调-特朗症儿童的眼球运动评估结果:方法:我们采用了三种不同的眼球运动任务(凝视保持、视觉引导的囊视和视觉搜索),并进行了视频眼球成像。此外,还使用共济失调评估和评级量表(SARA)评分来评估小脑共济失调的严重程度:结果:发现了不稳定的凝视保持、眼球震颤和眼球内斜视。除了心理生理学评估结果外,我们还对眼球运动活动进行了定量分析,发现了一种特殊的异常眼球运动模式,包括(i) 明显的囊回过多,(ii) 不稳定的凝视保持,以及(iii) 凝视诱发的眼球震颤:我们的研究为评估支持患者和改善其生活质量的替代方法的有效性和安全性开辟了前景。
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来源期刊
Documenta Ophthalmologica
Documenta Ophthalmologica 医学-眼科学
CiteScore
3.50
自引率
21.40%
发文量
46
审稿时长
>12 weeks
期刊介绍: Documenta Ophthalmologica is an official publication of the International Society for Clinical Electrophysiology of Vision. The purpose of the journal is to promote the understanding and application of clinical electrophysiology of vision. Documenta Ophthalmologica will publish reviews, research articles, technical notes, brief reports and case studies which inform the readers about basic and clinical sciences related to visual electrodiagnosis and means to improve diagnosis and clinical management of patients using visual electrophysiology. Studies may involve animals or humans. In either case appropriate care must be taken to follow the Declaration of Helsinki for human subject or appropriate humane standards of animal care (e.g., the ARVO standards on Animal Care and Use).
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