Disfunções oculomotoras e queixa de tontura em indivíduos com lesão cerebral traumática: uma revisão sistemática
DOI:
https://doi.org/10.34024/rnc.2025.v33.20491Palavras-chave:
Lesões Encefálicas Traumáticas, Transtornos da motilidade ocular, TonturaResumo
Introdução. A lesão cerebral traumática pode resultar em disfunções oculomotoras e vestibulares, impactando o equilíbrio, frequentemente associadas à tontura. A caracterização detalhada desses déficits ainda não está consolidada. Objetivo. Descrever características de disfunções oculomotoras e queixa de tontura em indivíduos com lesão cerebral traumática. Método. Trata-se de uma revisão sistemática, baseada no PRISMA e registrada no PROSPERO. A busca foi realizada nas bases PubMed e BVS. Incluiu-se estudos observacionais que avaliaram movimentos oculares e tontura nestes indivíduos. Excluíram-se estudos com animais, uso de medicamentos, amostras menores que dez participantes e publicações não indexadas. Resultados. Levantou-se 11 artigos, sendo sete foram incluídos, publicados entre 2015 e 2024. Identificou-se déficits em sacadas, perseguição suave e reflexo vestíbulo-ocular, além de alterações em testes como nistagmo, anulação de alinhamento vertical e torcional, Gaze Stabilization Test e potencial miogênico evocado vestibular ocular. Alguns estudos descreveram uma relação entre o Dizziness Handicap Inventory e maior número de disfunções oculomotoras. Conclusão. Indivíduos com lesão cerebral traumática, além de se queixarem de tontura persistente, frequentemente apresentam disfunções oculomotoras, sugerindo que a integridade do sistema oculomotor é frequentemente comprometida nesses casos.
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Referências
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