Accuracy of clinical detection of INO in MS: Corroboration with quantitative infrared oculography

The authors compared the accuracy of clinical detection (by 279 physician observers) of internuclear ophthalmoparesis (INO) with that of quantitative infrared oculography. For the patients with mild adduction slowing, INO was not identified by 71%. Intermediate dysconjugacy was not detected by 25% o...

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Veröffentlicht in:	Neurology 2003-09, Vol.61 (6), p.848-850
Hauptverfasser:	FROHMAN, T. C, FROHMAN, E. M, ZEE, D, CORBETT, J, CORBOY, J, RIVERA, V. M, KRAMER, P. D, O'SUILLEABHAIN, P, SALTER, A, DEWEY, R. B, HOGAN, N, GALETTA, S, LEE, A. G, STRAUMANN, D, NOSEWORTHY, J
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Diagnostic Techniques, Ophthalmological - instrumentation Humans Infrared Rays Medical sciences Multiple Sclerosis - complications Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis Neurology Observer Variation Ophthalmoplegia - diagnosis Ophthalmoplegia - etiology Reproducibility of Results Saccades Time Factors Videotape Recording
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Zusammenfassung:	The authors compared the accuracy of clinical detection (by 279 physician observers) of internuclear ophthalmoparesis (INO) with that of quantitative infrared oculography. For the patients with mild adduction slowing, INO was not identified by 71%. Intermediate dysconjugacy was not detected by 25% of the evaluators. In the most severe cases, INO was not identified by only 6%. Oculographic techniques significantly enhance the precision of INO detection compared to the clinical exam.
ISSN:	0028-3878 1526-632X
DOI:	10.1212/01.WNL.0000085863.54218.72