Oculocephalic Reflex

Aka: Oculocephalic Reflex, Doll's Eyes, Doll's Eye Reflex, Doll's Head Reflex, Doll Head Phenomenon

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II. Indications

  1. Comatose patient with suspected Brainstem injury

III. Contraindications

  1. Possible Cervical Spine Injury

IV. Technique

  1. Eyes open
  2. Head is rotated briskly from side to side

V. Interpretation

  1. If Brainstem intact:
    1. Eyes move opposite to head movement (keeps focus despite head movement)
    2. Eyes deviate contralaterally, looking away from rotation
  2. If Brainstem injury:
    1. Eyes follow direction of head rotation, staying fixed in orbits and not keeping focus

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Related Studies (from Trip Database) Open in New Window

Ontology: Doll's head reflex (C0234183)

Concepts Organ or Tissue Function (T042)
SnomedCT 60747006, 417624003
English Doll's eye reflex, oculocephalic reflex, doll's eye reflex, doll's eyes reflex, Doll's head reflex, Doll's head reflex (observable entity), Doll head phenomenon, Oculocephalic reflex, Oculocephalogyric reflex (observable entity), Oculocephalogyric reflex
Spanish fenómeno de la cabeza de muñeca, reflejo de ojos de muñeca, reflejo oculocefálico (entidad observable), reflejo oculocefálico, reflejo oculocefalógiro, reflejo oculocefalógiro (entidad observable)
Derived from the NIH UMLS (Unified Medical Language System)

Related Topics in Examination

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