CDE Detailed Report

Disease: Chiari I Malformation
Sub-Domain: General and Motor
CRF: Nystagmus

Displaying 1 - 13 of 13
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C55656 Nystagmus valsalva emergence indicator NystagmusValvEmergInd The indicator related to emergence or worsening of nystagmus with valsalva maneuver. The indicator related to emergence or worsening of nystagmus with valsalva maneuver. Valsalva induced nystagmus No;Yes No;Yes Alphanumeric

Emergence or worsening of nystagmus with valsalva maneuver

Adult;Pediatric Supplemental 1.00 2017-05-22 12:52:59.0 Nystagmus/Strabismus General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C55646 Eye convergence retraction indicator EyeConverRetractInd The indicator related to eye convergence and retraction. The indicator related to eye convergence and retraction. Convergence-Retraction No;Yes No;Yes Alphanumeric

indicate if convergence and retraction on attempted upgaze saccade is present by selecting yes or no.

Adult;Pediatric Supplemental 1.00 2017-05-22 12:52:59.0 Nystagmus/Strabismus General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C55657 Nystagmus neck flexion emergence indicator NystagmusNeckFlexEmergInd The indicator related to emergence or worsening of nystagmus with neck flexion. The indicator related to emergence or worsening of nystagmus with neck flexion. Neck flexion and nystagmus No;Yes No;Yes Alphanumeric

Emergence or worsening of nystagmus with neck flexion

Adult;Pediatric Exploratory 1.00 2017-05-22 12:52:59.0 Nystagmus/Strabismus General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C55647 Eye visual fixation primary position type EyeVisFixPrimPosTyp The type as related to the primary position during visual fixation. The type as related to the primary position during visual fixation. Primary position during visual fixation RB, LB, UB, DB, T or M;C/F/R;S/U;Co/Di;L/H Right beat, Left beat, Upbeat, Downbeat, Torsional or Mixed (combinatio of horizontal, vertical and/or torsional);Course high amp/Fine low amp/Rotatory;Sustained/Unsustained;Conjugate/Disconjugate;Low freq/High freq Alphanumeric

(choose one)

Adult;Pediatric Supplemental-Highly Recommended 1.00 2017-05-22 12:58:11.0 Nystagmus/Strabismus General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C55658 Strabismus indicator StrabismusInd The indicator related to strabismu (esotropia/exotropia/skew deviation). The indicator related to strabismu (esotropia/exotropia/skew deviation). Strabismus No;Yes No;Yes Alphanumeric

Esotropia/exotropia/skew deviation

Adult;Pediatric Supplemental 1.00 2017-05-22 12:52:59.0 Nystagmus/Strabismus General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C55648 Eye absent visual fixation primary position type EyeAbsVisFixPrimPosTyp The type as related to the primary position in absence of visual fixation. The type as related to the primary position in absence of visual fixation. Primary position in the absence of visual fixation RB, LB, UB, DB, T or M;C/F/R;S/U;Co/Di;L/H Right beat, Left beat, Upbeat, Downbeat, Torsional or Mixed (combinatio of horizontal, vertical and/or torsional);Course high amp/Fine low amp/Rotatory;Sustained/Unsustained;Conjugate/Disconjugate;Low freq/High freq Alphanumeric

(Nystagmus can be checked with Frenzel goggles or with a direct ophthalmoscope while the other eye is covered) (choose one)

Adult;Pediatric Supplemental 1.00 2017-05-22 12:58:11.0 Nystagmus/Strabismus General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C55649 Eye visual fixation right lateral gaze type EyeVisFixRLaterGaazeTyp The type as related to right lateral gaze in visual fixation. The type as related to right lateral gaze in visual fixation. R-Lateral gaze RB, LB, UB, DB, T or M;C/F/R;S/U;Co/Di;L/H Right beat, Left beat, Upbeat, Downbeat, Torsional or Mixed (combinatio of horizontal, vertical and/or torsional);Course high amp/Fine low amp/Rotatory;Sustained/Unsustained;Conjugate/Disconjugate;Low freq/High freq Alphanumeric

(choose one)

Adult;Pediatric Supplemental-Highly Recommended 1.00 2017-05-22 12:58:11.0 Nystagmus/Strabismus General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C55650 Eye visual fixation left lateral gaze type EyeVisFixLLaterGaazeTyp The type as related to left lateral gaze in visual fixation. The type as related to left lateral gaze in visual fixation. L-Lateral gaze RB, LB, UB, DB, T or M;C/F/R;S/U;Co/Di;L/H Right beat, Left beat, Upbeat, Downbeat, Torsional or Mixed (combinatio of horizontal, vertical and/or torsional);Course high amp/Fine low amp/Rotatory;Sustained/Unsustained;Conjugate/Disconjugate;Low freq/High freq Alphanumeric

(choose one)

Adult;Pediatric Supplemental-Highly Recommended 1.00 2017-05-22 12:58:11.0 Nystagmus/Strabismus General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C55651 Eye visual fixation vertical downgaze type EyeVisFixVertDowngazeTyp The type as related to vertical downgaze in visual fixation. The type as related to vertical downgaze in visual fixation. Vertical Downgaze S/U;C/F;UB/DB Sustained/Unsustained;Course high amp/Fine low amp;Upbeat/Downbeat Alphanumeric

(choose one)

Adult;Pediatric Supplemental-Highly Recommended 1.00 2017-05-22 12:58:11.0 Nystagmus/Strabismus General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C55652 Eye visual fixation vertical upgaze type EyeVisFixVertUpgazeTyp The type as related to vertical upgaze in visual fixation. The type as related to vertical upgaze in visual fixation. Vertical Upgaze S/U;C/F;UB/DB Sustained/Unsustained;Course high amp/Fine low amp;Upbeat/Downbeat Alphanumeric

(choose one)

Adult;Pediatric Supplemental 1.00 2017-05-22 12:58:11.0 Nystagmus/Strabismus General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C55653 Head shake thrust status HeadShakeThrustStatus The status related to head shake/thrust. The status related to head shake/thrust. Head Shake/Thrust Normal gain;Impaired VOR Normal gain;Impaired VOR Alphanumeric

Normal Gain - absence of corrective saccades
Impaired VOR- presence of corrective saccades during head impulse while the patient is fixing on a target

Adult;Pediatric Supplemental 1.00 2017-05-22 12:52:59.0 Nystagmus/Strabismus General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C55654 Saccadic pursuit indicator SaccadicPursuitInd The indicator related to saccadic pursuit. The indicator related to saccadic pursuit. Saccadic pursuit No;Yes No;Yes Alphanumeric

Assess usual fluidity of smooth pursuit movement left and right with presence of corrective saccades

Adult;Pediatric Supplemental-Highly Recommended 1.00 2017-05-22 12:52:59.0 Nystagmus/Strabismus General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

C55655 Nystagmus rebound indicator NystagmusReboundInd The indicator related to nystagmus rebound or assessment for presence of nystagmus in primary after persistent eccentric gaze. The indicator related to nystagmus rebound or assessment for presence of nystagmus in primary after persistent eccentric gaze. Rebound No;Yes No;Yes Alphanumeric

Assess for presence of nystagmus in primary after persistent eccentric gaze. If present the slow phase is in the direction of the former eccentric gaze.

Adult;Pediatric Supplemental 1.00 2017-05-22 12:52:59.0 Nystagmus/Strabismus General and Motor Assessments and Examinations

Single Pre-Defined Value Selected

CSV