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DOI: 10.3791/56934-v
Yasuo Terao1, Hideki Fukuda2, Yusuke Sugiyama3, Satomi Inomata-Terada1, Shin-ichi Tokushige4, Masashi Hamada3, Yoshikazu Ugawa5
1Department of Cell Physiology,Kyorin University, 2Segawa Memorial Neurological Clinic for Children, 3Department of Neurology,University of Tokyo, 4Department of Neurology,Kyorin University, 5Department of Neurology,Fukushima Medical University
This article presents a method for accurately recording horizontal eye movements in neurological patients using electro-oculogram. The technique involves the use of a cup Ag-AgCl electrode and emphasizes the importance of proper electrode placement and light adaptation.
The article describes a practical method for recording horizontal eye movements with high accuracy by electro-oculogram in neurological patients, using a cup Ag-AgCl electrode with a wide plastic fringe. Stable measurement requires proper selection and fixation of electrodes, taking sufficient time for light adaptation to occur, and re-calibration as needed.
The overall goal of the present oculogram is to observe the abnormality of saccade performance in patients especially in those with neurological disorders and to look at the pathophysiology underlying the disorder providing useful information about the diagnosis. This method can help answer key questions in the field such as diagnosis of patients with neurological disorders and to elucidate the pathophysiology underlying the disease. The main advantage of this technique is that it allows stable recording of eye movements noninvasively in a relatively short time and is widely applicable to neurological patients.
Demonstrating the procedure will be Dr.Hideki Fukuda, an oculomotor researcher at Segawa Neurologic Clinic for Children and Dr.Yuseke Sugiyama, a graduate student from the Department of Neurology, the University of Tokyo. Begin by escorting the subject into a room with low ambient illumination. Have the subject sit in front of a black concave dome-shaped screen measuring 90 centimeters in diameter that contains Light-Emitting Diodes, LEDs, embedded in pinholes which serve as the fixation points and saccade targets used for the oculomotor paradigms.
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