Article record

耳石-眼功能的临床评估：视频眼反向旋转的实用指南与综述

Clinical Assessment of Otolith-Ocular Function: A Practical Guide and Review of the Video-Ocular Counter-Roll.

综述 Meta耳科IF 3.3Q2

文献信息

PMID	42869516
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	Ali Rafati 查看其他 1 位作者 Amir Kheradmand
作者单位	Division of Neuro-Visual and Vestibular Disorders (NVV), Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA. 查看其他 1 条单位信息 Division of Neuro-Visual and Vestibular Disorders (NVV), Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Otolaryngology - Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: akherad@jhu.edu.
期刊	Neurologic clinics
SCI 分区	Q2
IF	3.3
研究类型	综述 Meta · 临床
所属专科	耳科

中文摘要

背景： 耳石器在凝视稳定、空间定向和姿势控制中发挥核心作用。视频眼动描记术的进展为在床旁直接评估前庭功能的这一关键方面创造了新的机会。利用该技术，视频眼反向旋转（vOCR）测试通过测量眼反向旋转（OCR）——一种在头部侧倾时出现的扭转性前庭眼反射——将前庭评估扩展到耳石-眼系统。本综述为vOCR的临床应用提供了实用指南，包括设置、分析和解读，并讨论了其在评估耳石-眼功能、描述前庭损失模式以及监测恢复方面的诊断效用。

英文摘要

Otolith organs play a central role in gaze stabilization, spatial orientation, and postural control. Advances in video-oculography have created new opportunities to assess this key aspect of vestibular function directly at the bedside. Using this technology, the video ocular counter-roll (vOCR) test extends vestibular evaluation to the otolith-ocular system by measuring ocular counter-roll (OCR), a torsional vestibulo-ocular response during lateral head tilt. This review provides a practical guide to the clinical application of vOCR, including setup, analysis, and interpretation, and discusses its diagnostic utility for assessing otolith-ocular function, characterizing patterns of vestibular loss, and monitoring recovery.