TY - CHAP M1 - Book, Section TI - Reflex Eye Movements (Caloric Testing and Doll’s Eyes) A1 - Üner, Atilla A2 - Reichman, Eric F. Y1 - 2018 N1 - T2 - Reichman's Emergency Medicine Procedures, 3e AB - A central nervous system-induced coma is either the result of bilateral diffuse impairment of the hemispheres or impairment of the paramedian reticular formation in the high pons of the brainstem. Examination of the pupils and reflex horizontal eye movements (i.e., vestibulo-ocular reflex and oculocephalic reflex) in the Emergency Department will aid in determining the location of the lesion responsible for the comatose state to either the brainstem, the hemispheres, or both.1,2 When more information is available, a neurologic exam including reflex eye movements can aid in determining the prognosis of patients in a nontraumatic coma including patients successfully resuscitated from cardiac arrest.3This testing is considered to be part of a thorough and complete neurologic examination in the comatose patient. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/19 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1159805026 ER -