A patient is diagnosed with doll's-eye movements. What should the nurse expect to assess in this patient?
1. The eyes remain fixed as the head is turned.
2. The eyes appear to move in the direction opposite to the motion of the head, when the head is gently rotated.
3. The eyes open and close when the neck is flexed and extended.
4. The pupils remain fixed and dilated.
Correct Answer: 2
Doll's-eye movements are reflexive movements of the eyes in the opposite direction of head rotation. As LOC and brainstem function deteriorates, this reflex is lost, the eyes fail to turn together and remain fixed as the head is turned causing an absence of this reflex. Eye movement upward with passive flexion of the neck and downward with neck extension (not opening and closing of the eyes) is a normal oculocephalic reflex indicating brain function. "Pupils fixed and dilated" does not describe doll's-eye movements.
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