{"id":7359,"date":"2024-05-29T20:36:34","date_gmt":"2024-05-29T20:36:34","guid":{"rendered":"https:\/\/neuropediatoolkit.org\/?p=7359"},"modified":"2026-09-04T03:44:37","modified_gmt":"2026-09-04T03:44:37","slug":"nistagmo-optocinetico","status":"publish","type":"post","link":"https:\/\/neuropediatoolkit.org\/en\/nistagmo-optocinetico\/","title":{"rendered":"Optokinetic nystagmus."},"content":{"rendered":"<h2>El Nistagmo Optocin\u00e9tico<\/h2>\n<p>El nistagmo optocin\u00e9tico (OKN) es un reflejo ocular que consiste en movimientos oculares involuntarios en respuesta a la movilidad del entorno visual. Este fen\u00f3meno incluye una fase lenta de movimiento ocular en la direcci\u00f3n del est\u00edmulo seguida por una fase r\u00e1pida en la direcci\u00f3n opuesta. Cuando se realiza en el consultorio, las fases lentas representan el seguimiento suave y las fases r\u00e1pidas representan los saccades.<\/p>\n<h2>Aplicaciones y Valor Cl\u00ednico<\/h2>\n<p>El OKN es especialmente \u00fatil para evaluar el sistema visual en pacientes no colaboradores. Su valor diagn\u00f3stico y localizador radica en la capacidad de identificar anomal\u00edas tanto en la fase lenta como r\u00e1pida, lo que puede proporcionar informaci\u00f3n sobre problemas neurol\u00f3gicos o oculars.<\/p>\n<h2>Recomendaciones Pr\u00e1cticas<\/h2>\n<ul>\n<li>Para realizar el OKN, se puede utilizar una aplicaci\u00f3n como <a href=\"https:\/\/play.google.com\/store\/apps\/details?id=com.smartoptometry.smartoptometry.full&amp;hl=es\" title=\"\">SmartOptometry<\/a>, que permite obtener un tambor optocin\u00e9tico.<\/li>\n<li>Es importante evaluar tanto las fases lentas (representando el seguimiento suave) como las r\u00e1pidas (representando los saccades) para una evaluaci\u00f3n completa del sistema visual.<\/li>\n<\/ul>\n<h2>Criterios Diagn\u00f3sticos<\/h2>\n<p>El OKN es normalmente conjugado y sim\u00e9trico tanto horizontal como verticalmente. Abnormalidades en la respuesta optocin\u00e9tica pueden proporcionar informaci\u00f3n diagn\u00f3stica y localizadora. Se describen seis escenarios cl\u00ednicos donde el OKN es especialmente \u00fatil para los neurologistas en pr\u00e1ctica.<\/p>\n<h2>Referencias<\/h2>\n<div id=\"zotpress-f57f1bc0b0cbfefa76f9c1e5ae06a01c\" class=\"zp-Zotpress zp-Zotpress-Bib wp-block-group\">\n\n\t\t<span class=\"ZP_API_USER_ID ZP_ATTR\">19955111<\/span>\n\t\t<span class=\"ZP_ITEM_KEY ZP_ATTR\">{19955111:YRI5JWK7}<\/span>\n\t\t<span class=\"ZP_COLLECTION_ID ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TAG_ID ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_AUTHOR ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_YEAR ZP_ATTR\"><\/span>\n        <span class=\"ZP_ITEMTYPE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_INCLUSIVE ZP_ATTR\">1<\/span>\n\t\t<span class=\"ZP_STYLE ZP_ATTR\">vancouver<\/span>\n\t\t<span class=\"ZP_LIMIT ZP_ATTR\">50<\/span>\n\t\t<span class=\"ZP_SORTBY ZP_ATTR\">default<\/span>\n\t\t<span class=\"ZP_ORDER ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TITLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_SHOWIMAGE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_SHOWTAGS ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_DOWNLOADABLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_NOTES ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_ABSTRACT ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_CITEABLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TARGET ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_URLWRAP ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_FORCENUM ZP_ATTR\"><\/span>\n        <span class=\"ZP_HIGHLIGHT ZP_ATTR\"><\/span>\n        <span class=\"ZP_POSTID ZP_ATTR\">7359<\/span>\n\t\t<span class=\"ZOTPRESS_PLUGIN_URL ZP_ATTR\">https:\/\/neuropediatoolkit.org\/wp-content\/plugins\/zotpress\/<\/span>\n\n\t\t<div class=\"zp-List loading\">\n\t\t\t<div class=\"zp-SEO-Content\">\n\t\t\t\t<span class=\"ZP_CACHETIMER ZP_ATTR\"><\/span><span class=\"ZP_JSON ZP_ATTR\">%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22YRI5JWK7%22%2C%22library%22%3A%7B%22id%22%3A19955111%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Hale%20et%20al.%22%2C%22parsedDate%22%3A%222024-03-20%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BHale%20DE%2C%20Reich%20S%2C%20Gold%20D.%20Optokinetic%20nystagmus%3A%20six%20practical%20uses.%20Practical%20Neurology%20%5BInternet%5D.%202024%20Mar%2020%20%5Bcited%202024%20May%2029%5D%3B24%284%29%3A285%26%23x2013%3B8.%20Available%20from%3A%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fpn.bmj.com%5C%2Fcontent%5C%2Fearly%5C%2F2024%5C%2F03%5C%2F20%5C%2Fpn-2023-003772%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fpn.bmj.com%5C%2Fcontent%5C%2Fearly%5C%2F2024%5C%2F03%5C%2F20%5C%2Fpn-2023-003772%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Optokinetic%20nystagmus%3A%20six%20practical%20uses%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22David%20Edward%22%2C%22lastName%22%3A%22Hale%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stephen%22%2C%22lastName%22%3A%22Reich%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dan%22%2C%22lastName%22%3A%22Gold%22%7D%5D%2C%22abstractNote%22%3A%22Optokinetic%20nystagmus%20%28OKN%29%20is%20a%20reflexive%20eye%20movement%20in%20response%20to%20movement%20of%20the%20viewer%5Cu2019s%20visual%20environment%20that%20consists%20of%20a%20slow%20phase%20eye%20movement%20in%20the%20direction%20of%20the%20stimulus%20followed%20by%20a%20quick%20phase%20in%20the%20opposite%20direction.%20When%20tested%20at%20the%20bedside%2C%20the%20slow%20phases%20represent%20smooth%20pursuit%2C%20while%20the%20quick%20phases%20represent%20saccades.%20Normally%2C%20OKN%20is%20conjugate%20and%20symmetric%20%28horizontally%20and%20vertically%29.%20Abnormalities%20in%20the%20optokinetic%20response%20can%20provide%20diagnostic%20and%20localising%20value.%20We%20describe%20six%20clinical%20scenarios%20where%20OKN%20testing%20is%20most%20useful%20for%20the%20practising%20neurologist.%22%2C%22date%22%3A%222024%5C%2F03%5C%2F20%22%2C%22section%22%3A%22How%20to%20do%20it%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1136%5C%2Fpn-2023-003772%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fpn.bmj.com%5C%2Fcontent%5C%2Fearly%5C%2F2024%5C%2F03%5C%2F20%5C%2Fpn-2023-003772%22%2C%22PMID%22%3A%2238508722%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221474-7758%2C%201474-7766%22%2C%22language%22%3A%22en%22%2C%22collections%22%3A%5B%222XJW9ZPV%22%5D%2C%22dateModified%22%3A%222026-05-09T21%3A10%3A59Z%22%7D%7D%5D%7D<\/span>\n\n\t\t\t\t<div id=\"zp-ID-7359-19955111-YRI5JWK7\" data-zp-author-date='Hale-et-al.-2024-03-20' data-zp-date-author='2024-03-20-Hale-et-al.' data-zp-date='2024-03-20' data-zp-year='2024' data-zp-itemtype='journalArticle' class=\"zp-Entry zpSearchResultsItem\">\n<div class=\"csl-bib-body\" style=\"line-height: 1.35; \">\n  <div class=\"csl-entry\" style=\"clear: left; \">\n    <div class=\"csl-left-margin\" style=\"float: left; padding-right: 0.5em; text-align: right; width: 1em;\">1.<\/div><div class=\"csl-right-inline\" style=\"margin: 0 .4em 0 1.5em;\">Hale DE, Reich S, Gold D. Optokinetic nystagmus: six practical uses. Practical Neurology [Internet]. 2024 Mar 20 [cited 2024 May 29];24(4):285\u20138. Available from: <a class='zp-ItemURL' href='https:\/\/pn.bmj.com\/content\/early\/2024\/03\/20\/pn-2023-003772'>https:\/\/pn.bmj.com\/content\/early\/2024\/03\/20\/pn-2023-003772<\/a><\/div>\n  <\/div>\n<\/div>\n\t\t\t\t<\/div><!-- .zp-Entry .zpSearchResultsItem -->\n\t\t\t<\/div><!-- .zp-zp-SEO-Content -->\n\t\t<\/div><!-- .zp-List -->\n\t<\/div><!--.zp-Zotpress-->\n\n\n","protected":false},"excerpt":{"rendered":"<p>Optokinetic Nystagmus Optokinetic nystagmus (OKN) is an ocular reflex that consists of involuntary eye movements in response to the mobility of the visual environment. This phenomenon includes a slow phase of eye movement in the direction of the stimulus followed by a fast phase in the opposite direction. When performed in the office, the\u2026 <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/neuropediatoolkit.org\/en\/nistagmo-optocinetico\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> \u00abNistagmo optocin\u00e9tico.\u00bb<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":7361,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[23,1],"tags":[],"class_list":["post-7359","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exploracion-neurologica","category-uncategorized","entry"],"_links":{"self":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/7359","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/comments?post=7359"}],"version-history":[{"count":5,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/7359\/revisions"}],"predecessor-version":[{"id":8626,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/7359\/revisions\/8626"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media\/7361"}],"wp:attachment":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media?parent=7359"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/categories?post=7359"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/tags?post=7359"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}