Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0028738 (nystagmus)
 7,431 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This study is to clarify the effects of stimulating conditions on caloric response evoked by cold air stimulation. The five parameters of caloric nystagmus (latency, maximum slow phase velocity [Max. spv], Max. spv arrival time, frequency and duration) were examined. The different stimulating air temperature(0 degree C, 5 degrees C, 10 degrees C, 15 degrees C, 20 degrees C), flow rate (3.0, 4.0, 5.0, 6.0 l/m) and period(30, 45, 60, 90 sec) were used to evoke caloric nystagmus in normal subjects. 1. Effect to temperature When the intensity of air irrigation temperature increased, Max. spv, frequency and duration also tended to increase. Out of the five parameters, the duration of caloric nystagmus was the most relevant to the intensity of irrigation temperature. 2. Effect of stimulating period When the period of caloric stimuli increased, the Max. spv and its duration also increased. But, when the stimulating period was 90 seconds, the slow phase velocity reached to the maximum responses 60 seconds after starting the stimulation. Therefore, it is not necessary to stimulate for more than 60 seconds. 3. Caloric response evoked by 60 sec, 5.0 l/m at 5 degrees C air irrigation showed the same response as the caloric nystagmus provoked by 20 ml of water at 20 degrees C for 20 sec.
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PMID:[Stimulating conditions of cold air caloric test]. 908 35

In order to elucidate the effects of argon laser irradiation on the lateral semicircular canal of the guinea pig, the vestibular labyrinth was histologically studied after irradiation, using the conventional celloidin method. Irrigation of the external meatus with ice water was used to evaluate the function of the semicircular canal by recording caloric nystagmus. When irradiation was performed, a laser probe was approximated to the lateral canal, 0.5 to 1 mm away from the surface of the canal. Each time, power applied was 1.0 W on the dial of the laser machine. The duration of irradiation was 0.5 s. The lateral canal was irradiated one to 15 times. Twenty-five to 87 days after irradiation, the temporal bones were fixed in Heidenhein-Susa solution, removed, and subjected to celloidin processing. The irradiated bony wall of the lateral canal demonstrated charring. Lucent areas were observed around and under the charred area. The semicircular duct showed shrinkage with disappearance of the trabecular mesh. New bone formation was observed along the endosteum of the irradiated area. The lateral canal was completely occluded by ossification with or without fibrosis when sufficient energy was applied. The anterior and posterior canals were normal. Caloric tests using 5 mL of ice water for 5 s failed to elicit nystagmus on the irradiated side.
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PMID:Argon laser irradiation to the semicircular canal. 926 Oct 16

Fosphenytoin (Cerebyx), is a water soluble prodrug that is rapidly and completely converted to phenytoin. This study reports the injection-site tolerance and safety of intramuscular fosphenytoin (> 10 mg/kg doses) in 60 patients requiring a phenytoin loading dose. Patients received injections at single or multiple sites with volumes ranging from 4 to 30 ml per injection site. The majority of patients had no irritation (erythema, swelling, tenderness, bruising) or complaints of discomfort related to fosphenytoin injection either after injection (95%) or at follow-up (88%). Irritation, when reported, was mild in all cases. Forty of 60 patients (67%) reported transient side effects, primarily involving the central nervous system, such as nystagmus, dizziness or ataxia, which are commonly associated with phenytoin therapy. All patients received prescribed doses; no patient had an injection(s) stopped due to intolerance or side effects. No serious adverse events occurred with intramuscular fosphenytoin. In this study, intramuscular fosphenytoin was demonstrated to be a safe and well tolerated, and in many instances, a preferable alternative to other means of phenytoin loading.
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PMID:Intramuscular fosphenytoin (Cerebyx) in patients requiring a loading dose of phenytoin. 933 83

The objective of the present study was to determine the effect of vestibular stimulation on the sympathetic outflow to muscle in humans. Fourteen healthy volunteers were studied while in the supine position with electrocardiography, blood pressure monitoring and electro-oculography. The muscle sympathetic nerve activity (MSNA) was recorded directly from the bilateral tibial nerves by using microneurographic double recording technique. Caloric vestibular stimulation was loaded by alternate irrigation with 50 ml of cold (10 degrees C) water and 50 ml of hot (44 degrees C) water into the left and right external meatus. After cold water irrigation, two MSNA response peaks were elicited, respectively, before and after the maximum slow phase velocity (SPV) of nystagmus. The first peak of the MSNA enhancement was caused by non-specific factors because its time course coincided with that in cold pressor test with immersion of the subject's hand in ice/water (4 degrees C). Transient suppression of MSNA after cold water irrigation in the period of maximum SPV of nystagmus was observed by cross correlogram analysis between the SPV of the nystagmus and MSNA. After hot water irrigation, only one MSNA response peak was elicited after the period of strong nystagmus. The second peak of MSNA enhancement evoked by cold irrigation (379.4 +/- 221.8%, with the control value set as 100%, mean +/- SE) was significantly higher than that evoked by hot irrigation (243.0 +/- 14.5%). The degree of MSNA enhancement by either cold (the second peak) or hot stimulation was proportional to the maximum SPV of the nystagmus. There was no significant difference between the MSNA responses ipsilateral to and contralateral to the irrigated side. In conclusion, the caloric vestibular stimulation can influence the bilateral sympathetic outflow to muscle in humans. The degree of MSNA enhancement is proportional to the magnitude of vestibular excitement indicated by maximum slow phase velocity of the nystagmus.
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PMID:Response to vestibular stimulation of sympathetic outflow to muscle in humans. 940 20

Positron emission tomography (PET) was used to demonstrate temporary down-regulation of visual cortex activities associated with eye movements. The aim of the present study was to test this paradigm with visual evoked potentials (VEPs) in the visual cortex of 7 healthy human subjects during caloric nystagmus. Caloric stimulation was performed by irrigating the right or left external ear canals with 100 ml of warm water at 44 degrees C for 50 s with a head position of 60 degrees tilted backward in order to stimulate the horizontal semicircular canal. The subjects kept their eyes closed during and after caloric stimulation. For recording the VEPs, the flashlight was used for activating the visual cortex with the subject's eyes closed. In the 7 subjects, no significant difference was detected between the VEPs induced with and without caloric stimulation.
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PMID:Visual-vestibular interaction--an evoked potential study in normal human subjects. 961 36

Furosemide test (FT) is a clinical method for the diagnosis of endolymphatic hydrops (EH). Immediately preceding i.v. injection of 20 mg furosemide, a caloric test was performed with 50 micromilligrams of water at 30 degrees C. Nystagmography was employed to measure the maximum slow velocity of caloric nystagmus. The test was repeated one hour after the injection. The two sets of data were then compared. An increase beyond 22.97% was defined as positive. The first group was composed of 54 patients of EH as the experimental group, and the second group 54 patients with vertigo of non-EH as control. The positive rates of the two groups were 70.4% and 25.9% respectively. It showed that FT was useful for detecting EH. The percentage of directional preponderance (DP) was obviously descended in the two groups after i.v. furosemide. Descending rate was 77.8% (21/27) in the first group, which had reached the normal value in 9 cases. It was showed that DP was important also for criticizing FT. The hearing of all subjects was not damaged. When the renal function of the subject was normal and not combined with the use of aminoglycoside antibiotics, the dose of FT was not dangerous to the hearing and had few side reactions. The mechanism of dehydration in hydropic labyrinth was presumed to be acute systemic diuresis, but the effect in inner ear was unknown.
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PMID:[Furosemide test for diagnosis of endolymphatic hydrops: a clinical exploration]. 964 49

Anableps anableps (Cyprinodontiformes) inhabits the niche at the water surface such that its cornea is bisected by the water surface. Consequently, its visual field encompasses simultaneous views into air and water by ventral and dorsal retina, respectively. The optomotor response (OPM) of Anableps was elicited by a moving stimulus pattern in either one or the other environment. Using four related visual displays, we found that this fish exhibits a classical OPM response when presented with suprathreshold flow-fields in its aerial visual field. It lacks an OPM response to the same flow-field when presented in its aquatic visual field, although it may respond by exhibiting optokinetic nystagmus (OKN) and non-OPM motor activity. We conclude that the neurological circuit for the teleost OPM in Anableps operates only for the aerial view and is probably connected to only the ventral retina.
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PMID:Optomotor response of Anableps anableps depends on the field of view. 979 46

Functional activity of the vestibular system in relation to behavioral state of fetal sheep in utero was studied by cooling and heating of the fetal middle ear and skin (control) with implanted copper-tube heat exchangers. Eye movements and fetal cortical activity were assessed before, during, and after 2 min irrigations with water at 6, 46, or 39.5 degrees C (isothermic). Cold water induced slow-phase eye movements toward the irrigated ear followed by saccades toward the opposite ear after a delay of several seconds. The direction of the response reversed with warm water, and saccades were absent during irrigation with body-temperature water. Cold-water irrigations of the skin over the jaw did not result in nystagmus. Arousal-like responses were elicited with thermal stimulation of the ear or facial skin while the fetus was in either rapid eye movement (REM) or non-REM states. Circulation of 39.5 degrees C water through the ear also produced arousal-like responses, possibly due to turbulence-induced noises in the heat exchanger or slight deviations between the irrigation temperature and the actual fetal inner ear temperature. These results suggest that mechanisms responsible for saccade suppression during depressed levels of consciousness (i.e. sleep) are inactive in utero. Fetal behavioral state responsiveness to vestibular and somatosensory thermal stimulation may be of great significance, especially in the premature neonate.
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PMID:Vestibular caloric responses and behavioral state in the fetal sheep. 980 21

We previously showed that caloric vestibular stimulation elicits increases in sympathetic outflow to muscle (MSNA) in humans. The present study was conducted to determine the effect of this stimulation on sympathetic outflow to skin (SSNA). The SSNA in the tibial and peroneal nerves and nystagmus was recorded in nine subjects when the external meatus was irrigated with 50 ml of cold (10 degrees C) or warm (44 degrees C) water. During nystagmus, the SSNA in tibial and peroneal nerves decreased to 50 +/- 4% (with baseline value set as 100%) and 61 +/- 4%, respectively. The degree of SSNA suppression in both nerves was proportional to the maximum slow-phase velocity of nystagmus. After nystagmus, the SSNA increased to 166 +/- 7 and 168 +/- 6%, respectively, and the degree of motion sickness symptoms was correlated with this SSNA increase. These results suggest that the SSNA response differs from the MSNA response during caloric vestibular stimulation and that the SSNA response elicited in the initial period of caloric vestibular stimulation is different from that observed during the period of motion sickness symptoms.
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PMID:Responses of sympathetic outflow to skin during caloric stimulation in humans. 1007 Jan 34

The pressure in the middle ears of normal and hydropic guinea pig ears was increased, and nystagmographic recordings were compared. Two-month unilateral hydropic guinea pigs and normal control guinea pigs underwent pressure treatments in which pressure was introduced into the middle ear. Significantly lower pressure was needed to elicit nystagmus in hydropic ears (mean 1.00 psi or 70.3 cm H2O) compared with normal control ears (mean 1.27 psi or 89.3 cm H2O). All of the normal control guinea pigs showed fast phase nystagmus toward the pressure-applied side, while hydropic guinea pigs showed nystagmus toward the normal ear. The duration of nystagmus was slightly longer in hydropic animals than in normal control animals. The slow phase velocity was slightly higher in the hydropic guinea pigs. Histologic examination revealed that the vestibular sensory cells remained normal and that changes in the organ of Corti were similar between the hydropic ears with and without pressure treatment at equal survival times.
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PMID:Vestibular responses of normal and hydropic ears of the guinea pig to middle ear pressure application. 1008 21


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