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Occurrence During Oculovestibular Testing in Sedative Drug-Induced Coma

Roger P. Simon, MD

Arch Neurol. 1978;35(7):456-458.

Abstract
• A total of 32 consecutively encountered patients, comatose from sedativehypnotic drug overdose, were studied by caloric (oculovestibular) testing with ice water. A variety of induced lateral eye movements was observed. The most striking finding was that the induced lateral eye movements were followed (in 24 of 32 cases) by delayed forced downward deviation of one or both eyes. The phenomenon of forced downward ocular deviation during oculovestibular testing of comatose patients should suggest the diagnosis of sedative-hypnotic drug overdose.

Author Affiliations
From the Department of Neurology, University of California, San Francisco.

Footnotes
Accepted for publication Dec 12, 1977.

Read in part before the American Academy of Neurology, Atlanta, April 28, 1977.

Reprint requests to Department of Neurology, The San Francisco General Hospital, 1001 Potrero Ave, San Francisco, CA 94110 (Dr Simon).

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ABSTRACT