酒精中毒引起的凝视诱发眼球震颤

F. Romano, A. Tarnutzer, D. Straumann, S. Ramat, G. Bertolini
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引用次数: 24

摘要

小脑是控制凝视稳定性的核心结构。慢性小脑疾病和急性酒精中毒影响小脑功能,诱发凝视不稳定,如凝视诱发眼球震颤。凝视诱发眼震的特征是向心眼漂移增加。它被用作小脑变性患者的重要诊断标志和评估“醉酒驾驶”状况。我们量化了酒精对凝视的影响,采用了一种方法,首次将酒精中毒和小脑变性引起的缺陷进行了比较。我们的研究结果表明,酒精中毒导致向心眼漂增加两倍。我们建立了分析技术,使用控制酒精摄入量作为模型来支持小脑缺陷的研究。在小脑患者中观察到的酒精作用与临床症状之间的相似性提示了凝视缺陷的可能病理机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gaze‐evoked nystagmus induced by alcohol intoxication
The cerebellum is the core structure controlling gaze stability. Chronic cerebellar diseases and acute alcohol intoxication affect cerebellar function, inducing, among others, gaze instability as gaze‐evoked nystagmus. Gaze‐evoked nystagmus is characterized by increased centripetal eye‐drift. It is used as an important diagnostic sign for patients with cerebellar degeneration and to assess the ‘driving while intoxicated’ condition. We quantified the effect of alcohol on gaze‐holding using an approach allowing, for the first time, the comparison of deficits induced by alcohol intoxication and cerebellar degeneration. Our results showed that alcohol intoxication induces a two‐fold increase of centripetal eye‐drift. We establish analysis techniques for using controlled alcohol intake as a model to support the study of cerebellar deficits. The observed similarity between the effect of alcohol and the clinical signs observed in cerebellar patients suggests a possible pathomechanism for gaze‐holding deficits.
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