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Updated: May 12, 2025

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Recording Horizontal Saccade Performances Accurately in Neurological Patients Using Electro-oculogram
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Spontaneous Abnormal Vertical Eye Movements of Coma.
Claire Allen1, Siena Duarte1,2, Jaeho Hwang1
1Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
The Neurohospitalist
|May 7, 2025
Summary
Spontaneous vertical eye movements, like ocular dipping, can occur in critical care patients. Understanding these rare movements aids diagnosis and clinical management in patients with disorders of consciousness.
Area of Science:
- Neurology
- Critical Care Medicine
- Ophthalmology
Background:
- Spontaneous vertical eye movements are common in critical care but poorly understood.
- Ocular dipping, a rare movement, is characterized by slow downward eye movements with a quick return to primary gaze.
- These movements are part of a spectrum including ocular bobbing, associated with pontine injury.
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