Zusammenfassung
Erworbene Nystagmen zählen zu den häufigsten klinischen Symptomen von Hirnstamm- oder
Kleinhirnschädigungen. Ursache ist meist eine gestörte Blickstabilität infolge von
Störungen eines oder mehrerer okulomotorischer Subsysteme (vestibulo-okulärer Reflex,
neuraler Integrator, Fixationssystem), die unter verschiedenen Bedingungen zur Blickstabilität
beitragen. Die vorliegende Arbeit beschreibt die klinischen Erscheinungsformen erworbener
Nystagmen infolge von Hirnstamm- und Kleinhirnschädigungen und deren topodiagnostische
Bedeutung.
Abstract
Acquired nystagmus is a common finding in patients with brainstem and cerebellar lesions.
It is caused by a dysfunction of certain oculomotor subsystems (the vestibulo-ocular
reflex, the neural integrator, fixation mechanims), which collaborate to hold the
eyes in the line of sight. The present paper describes clinical findings in different
forms of acquired nystagmus caused by brainstem and cerebellar lesions and their topo-diagnostic
values.
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Prof. Dr. med. Frank Thömke
Klinik und Poliklinik für Neurologie der Johannes Gutenberg-Universität Mainz
Langenbeckstraße 1
55101 Mainz
eMail: thoemke@neurologie.klinik.uni-mainz.de