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Oculomotor testing gets a lot easier when you stop to ask the right questions When you ask: 🧠 👂🏽 What part of the vestibular system am I testing? You’re linking the eye movement to anatomy ->brainstem, cerebellum, or peripheral organs. What would a peripheral finding look like? 👂🏽 Peripheral vestibular findings tend to follow predictable patterns. I.e. a right vestibular hypofunction will show abnormal head impulse test on right with a left beat spontaneous or gaze nystagmus (acutely). What
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Oculomotor testing gets a lot easier when you stop to ask the right questions When you ask: 🧠 👂🏽 What part of the vestibular system am I testing? You’re linking the eye movement to anatomy ->brainstem, cerebellum, or peripheral organs. What would a peripheral finding look like? 👂🏽 Peripheral vestibular findings tend to follow predictable patterns. I.e. a right vestibular hypofunction will show abnormal head impulse test on right with a left beat spontaneous or gaze nystagmus (acutely). What
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Think your patient may have a vestibular disorder, but unsure where to start? 👀 These oculomotor tests are a quick way to kickoff your exam: 1️⃣ ocular ROM Assesses for impairments in range of eye movement in all planes 2️⃣ spontaneous & gaze nystagmus Assesses for peripheral and central patterns of nystagmus 3️⃣ smooth pursuits Assesses the central pathway that contributes to smooth eye movement 4️⃣ saccades Assesses the central pathway that contributes to quick and accurate eye movements Thes
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