The oculocephalic reflex is absent if her eyes move in the same direction as her head or stay fixed at midline. An alternative way to evaluate your patient's oculocephalic reflex is to gently flex and extend her neck while holding her eyes open.

How do you check vestibulo ocular reflex?

VOR is generally tested by turning the patient's head on their long axis and observing for the doll's eyes response (DOLL). The eyes deviate opposite to the direction of head rotation. A possibly related maneuver has been used in infants as a neurologic test.

What does a positive Oculocephalic reflex mean?

The examiner observes a positive oculocephalic reflex when the patient moves their eyes opposite of the rotation of their head, such that their eyes stay looking forward (like a doll's eyes).