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Vertical saccadic velocity and force development in superior oblique palsy.

Vertical saccadic movements recorded with electrooculography (EOG) and force development measured by means of a contact lens-strain gauge technique were investigated in 13 patients with a clinical diagnosis of unilateral superior oblique palsy (SOP) and 10 normal subjects. Upward and downward movements from the horizontal level to 5, 10 and 20 deg of deviation with monocular fixation were made in the 20 deg abduction and adduction fields of gaze. Peak velocity (Vp) and the ratio of downward over upward movement (VpD/U) of the paretic eye (PE) and the sound eye (SE) of the patients were compared with the values of the covered, non-fixating eye (CE) and the fixating eye (FE) of the normals respectively. Peak tension (Fp), steady-state tension (Fs) and the ratios of downward over upward movement (Fp D/U, Fs D/U) of PE were compared with the values of CE. Comparisons were done (a) between normals and the whole group of 13 patients, (b) between normals and two subgroups of five patients with acquired and five with congenital SOP, (c) and between the subgroups. Mean Vp for the whole group of SOP showed reduced values from normals in many directions of gaze. However, mean Fp and ratios of Vp D/U and Fp D/U were not different in SOP and normals, and such measures could not be used to differentiate SOP from normal eye muscles in the sample of patients studied. Clear differences were seen in the comparisons between normals and the subtypes of SOP. Vp was significantly reduced in PE for the downward movements in the adduction field of gaze, more marked in acquired than in congenital SOP. Slowing of upward saccades was also found in the congenital group. This may be due to adaptational changes in concomitization of congenital paretic strabismus. Fp for downward saccade, and Vp D/U and Fp D/U were lower for PE in the acquired than in congenital SOP and normals in the lower adduction field of gaze, where the superior oblique has its main action. A linear relation was found between Vp and Fp of downward saccades for the congenital group in the lower adduction of gaze, but the slope was steeper than in normals. However, in acquired SOP the relationship was non-linear, which indicates a force production different from that of a normal muscle. Vertical saccadic velocity and force development measured at 20 deg adduction could reveal weakness of the superior oblique muscle and the imbalance of agonist-antagonist actions in the paretic eye.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗

Effects of dopaminergic agents on eye tracking before and after repeated methamphetamine.

The effects of methamphetamine (MA), apomorphine (AP) and haloperidol (HAL) on eye tracking function were tested in rhesus monkeys. Three rhesus monkeys were trained to track with their eyes a disk-shaped projected image that oscillated along a horizontal plane on a screen, using a training procedure in which responses on a lever were reinforced with water only when the center of the disk dimmed for a brief period. Eye movements were recorded by electrooculography (EOG). The effects of intramusuclar administration of MA, APO and HAL on responding were compared before and after a 8-14 day period of repeated MA administration. During this regimen, MA was given in 4 divided doses starting at a total daily dose of 4 mg/kg/day and increasing to 16-40 mg/kg/day. All three drugs disrupted performance during both the initial dose-response determination as well as during the redetermination following the regimen. However, tolerance to MA in 3 monkeys and to APO in 2 monkeys was observed after the regimen, while no marked sensitivity change was observed to haloperidol. Since other data reported elsewhere have shown that dopamine is depleted in the caudate after similar repeated administration regimens, long lasting brain dopaminergic changes are likely present in these monkeys. Therefore, these results suggest that the changes in sensitivity to the drugs that were observed in terms of eye tracking function are related to dopamine depletion in the brain.

Animals↗

Electrooculographic findings in progressive supranuclear palsy.

Progressive supranuclear palsy is a heterogeneous system degeneration. We studied three patients by means of electrooculography. There were severe disturbances in saccadic and smooth pursuit eye movements, and optokinetic nystagmus in both vertical and horizontal planes. Caloric reactions were absent in all patients. The absence of vestibular reflex responses in contrast to the normal results in doll's head manoeuvre seems contradictory and is discussed. From the results in our patients it is concluded that E.O.G. is an essential contribution in proving a multiple system pathology.

Aged↗

Eye movements evoked by the selective stimulation of the utricular nerve in cats.

OBJECTIVE: Eye movements evoked by otolith organ are not well-investigated compare with canal related eye movements due to the technical difficulties. We try to solve this problem by means of our methods. METHODS: Eye movements evoked by selective utricular (UT) nerve stimulation were investigated using both electrooculography (EOG) and video recording in decerebrated cats in the presence or absence of anesthesia. Electrical stimulation was applied to the UT nerve through implanted acupuncture needles. RESULTS: In the absence of anesthesia and with stimulus intensities less than 2.6+/-0.7 x N(1)T, we found ipsilaterally directed horizontal eye movements in both eyes in one cat, abduction in the ipsilateral eye in two cats, and adduction in the contralateral eye in another cat. Other types of eye movements (e.g., supraduction or diagonal eye movements) were observed in both eyes of cats in the absence of anesthesia at a stimulus intensity of 12.2+/-7.6 x N(1)T, an intensity in which current spread to the adjacent nerve could not be ruled out. In the presence of anesthesia, UT nerve stimulation alone failed to evoke horizontal eye movements, but with an intensity 13.8+/-6.4 x N(1)T, supraduction or diagonal eye movements were evoked. UT nerve stimulation at 2-3 x N(1)T facilitated horizontal eye movements induced by ipsilateral abducens (AB) nucleus stimulation or contralateral horizontal canal nerve stimulation. CONCLUSION: This is the first report to our knowledge in which UT nerve-evoked horizontal eye movements are documented. These results confirm the known monosynaptic and disynaptic anatomical connections from utricular primary afferents to the ipsilateral AB nucleus neurons.

Abducens Nerve↗

Eye movements evoked by selective saccular nerve stimulation in cats.

OBJECTIVE: Because of technical obstacles in controlling current spread to adjacent peripheral nerve, eye movements evoked by activation of the otolith organs have not been investigated in detail compared to eye movements evoked by activation of the canal organs. We attempted to solve this problem by applying more sensitive methods using fine needle and strictly controlling stimulus current intensity compare with filed potential for selective stimulation. METHODS: Eye movements evoked by selective, unilateral saccular (SAC) nerve stimulation were investigated using both electrooculography (EOG) and video recording in decerebrated cats in the presence or absence of anesthesia. Electrical stimulation was applied to the SAC nerve through implanted acupuncture needles. RESULTS: In the absence of anesthesia and with stimulus intensities less than (3.1 +/- 2.7) x N(1)T, we found supraduction in both eyes or in either the ipsilateral or contralateral eye of different cats. We observed downward eye movements using a stronger stimulus intensity ((6.2 +/- 2.9)) x N(1)T). The threshold for downward eye movements was significantly greater than that for upward eye movements (P < 0.05). In anesthetized cats, only downward eye movements were observed when stimulus intensities less than 10 x N(1)T ((7.8 +/- 2.3) x N(1)T) were used. CONCLUSION: These results confirm the known sacculo-ocular anatomical connections, which are involved predominantly in vertical eye movements. Because the sacculo-ocular connections are relatively weak, the normal supraduction evoked by SAC activation can be easily modified by factors such as level of anesthesia and the method of stimulation.

Animals↗

EMG and EOG artifacts in brain computer interface systems: A survey.

It is widely accepted in the brain computer interface (BCI) research community that neurological phenomena are the only source of control in any BCI system. Artifacts are undesirable signals that can interfere with neurological phenomena. They may change the characteristics of neurological phenomena or even be mistakenly used as the source of control in BCI systems. Electrooculography (EOG) and electromyography (EMG) artifacts are considered among the most important sources of physiological artifacts in BCI systems. Currently, however, there is no comprehensive review of EMG and EOG artifacts in BCI literature. This paper reviews EOG and EMG artifacts associated with BCI systems and the current methods for dealing with them. More than 250 refereed journal and conference papers are reviewed and categorized based on the type of neurological phenomenon used and the methods employed for handling EOG and EMG artifacts. This study reveals weaknesses in BCI studies related to reporting the methods of handling EMG and EOG artifacts. Most BCI papers do not report whether or not they have considered the presence of EMG and EOG artifacts in the brain signals. Only a small percentage of BCI papers report automated methods for rejection or removal of artifacts in their systems. As the lack of dealing with artifacts may result in the deterioration of the performance of a particular BCI system during practical applications, it is necessary to develop automatic methods to handle artifacts or to design BCI systems whose performance is robust to the presence of artifacts.

Algorithms↗

Attention impairment in electrooculographic control of computer functions.

Previous work has demonstrated that computer functions can be controlled by eye movements recorded with the use of vertical and horizontal electrooculography (EOG). In the present study, an attempt was made to show that this newly developed task could be disrupted by dual-task demands and, therefore, would follow conventional principles of multiple-task performance. Fifteen participants performed the eye movement task under two conditions-control and divided attention. It was found that the time to process letters was significantly longer in the divided attention condition than in the control condition and that males and females showed comparable performance decrements in the divided attention condition. A task that utilizes eye movements to control computer operations for syntax construction follows the same principles of limited resource allocation of attention as more conventional perceptual-motor tasks such as reaction time and manual control of computer functions.

Adult↗

[Oculographic findings in 145 patients with benign paroxysmal positional vertigo].

OBJECTIVE: Benign paroxysmal positional vertigo (BPPV) can be produced by specific manoeuvres and be studied by electrooculography (EOG). It allows an exhaustive study of features in the positional nystagmus. Although most of the patients with BPPV express typical nystagmus, there exists a group of them that exhibit a non typical form. In this work, a comparative study was carried out between two groups of patients. MATERIAL AND METHODS: We have studied retrospectively 145 patients with BPPV and Dix-Hallpicke (D-H) positive manoeuvre registered by EOG techniques. All patients were explored in a complete EOG tests. Two groups were identified: typical response/atypical response according to the features of nystagmus response. Possible alterations in other EOG tests in each group were investigated and differences between both types of response were analyzed. RESULTS: 83.5% of cases showed typical nystagmus and atypical in the rest. Other EOG alterations observed in these patients, were (group typical response/atypical response): caloric hypofunction (17.3%/23%), positional nystagmus (12.4%/62.5%), alterations in visual-oculomotor function tests (10%/50%). CONCLUSIONS: Frequent alterations were observed in the classic manoeuvres and also in the rest of EOG tests. Probably atypical response in the first is due to or can explain the existence of the second.

Adult↗

Splice site mutation in the peripherin/RDS gene associated with pattern dystrophy of the retina.

PURPOSE: To report the phenotype and genotype of a splice site mutation at intron 2 of the peripherin/RDS gene in four half-siblings with pattern dystrophy of the retina. DESIGN: Experimental study. METHODS: In four siblings with a common mother and three separate fathers, complete ophthalmic examination, pedigree, electrophysiologic testing, and fluorescein angiography studies were obtained. Genomic DNA from serum lymphocytes was isolated and used as a template for primers specific for the cone homeobox gene (CRX), rhodopsin (RHO), and peripherin/RDS genes to conduct single stranded conformational analysis and cycle sequencing. RESULTS: The pedigree of four affected siblings suggested probable autosomal dominance transmission of pattern dystrophy. In the four siblings, best corrected visual acuity ranged from 20/20 to 20/80 by Snellen chart. Clinical findings included discrete, localized degenerative changes of the macular retinal pigment epithelium in all patients, with subclassification foveal. One patient exhibited pigment clumping within the atrophic areas. Another patient exhibited yellow flecks diffusely in the macula. Fluorescein angiographic findings included central hypofluorescence with a surrounding rim of hyperfluorescence that corresponded to the observed fundus lesions and window defects. There was a range of electroretinography (ERG) and electrooculography (EOG) findings. One patient demonstrated both cone and rod dysfunction on ERG testing and another demonstrated decreased rod function. EOG testing was normal in two patients and mildly diminished in one patient. DNA sequencing identified a point mutation in intron 2 of the peripherin/RDS gene, consisting of an A to T change at 1068+3, present in all four affected patients. CONCLUSIONS: Four siblings with pattern dystrophy of the retina presented a splice site mutation in the peripherin/RDS gene.

Adult↗

Pattern dystrophy of the retinal pigment epithelium and geographic atrophy of the macula.

PURPOSE: Little information is available on the long-term course of pattern dystrophies, although some older individuals have been observed with macular atrophy. We sought to evaluate the evolution of symptoms, fundus changes, and physiologic findings by re-examining a family with pattern dystrophy after 20 years. METHODS: Four patients of seven initially examined were reevaluated 20 years later; two additional affected family members over age 60 were studied for the first time. Patients' current ages ranged from 38 to 73 years. Comprehensive ophthalmic examinations were supplemented with fluorescein angiography, dark adaptometry, color vision, electroretinography, and electrooculography. RESULTS: During the 20-year interval, visual acuity remained stable and 20/40 or better in all patients. One 62-year-old patient developed paracentral scotomas. All fundi showed evolution of pigmentary changes and increasing atrophy of pigment epithelium and choriocapillaris in the macula. Electro-oculograms were originally subnormal in all patients and changed very little. Electroretinograms, initially normal in two patients, became borderline or mildly subnormal and slightly reduced in the two patients first examined after age 60. CONCLUSIONS: Pattern dystrophy in this family was associated with minimal diminution of visual function during a 20-year interval. However, there was electroretinographic evidence of mild diffuse photoreceptor damage in the older patients, and geographic macular atrophy was prominent (suggesting a risk of vision loss in old age). Some cases of atrophic, age-related macular degeneration may represent an evolution of pattern dystrophy.

Adult↗

Eye movement control of computer functions.

The control of computer functions by eye movements was demonstrated in 14 normal volunteers. Electrical potentials recorded by horizontal and vertical electrooculography (EOG) were transformed into a cursor that represented a moving fixation point on a computer display. Subjects were able to spell words and sentences by using eye movements to place the cursor on target letters in the display of an alphabet matrix. The successful demonstration of computer-controlled syntactic construction by eye movements offers a potentially useful technique for computer-assisted communication in special groups, such as developmentally-disabled individuals who have motor paralysis and who cannot speak.

Adult↗

Directional asymmetry of nystagmus elicitation in humans during step and sinusoidal modes of lateral linear acceleration.

We investigated nystagmus elicitation in 50 normal subjects who were exposed interaurally to linear acceleration with step (rectangular) and sinusoidal modes of oscillation using a linear accelerator. Relatively strong G-loads of 0.3-0.5 G at a 10 m stroke were applied to subjects who looked at a memorized target in darkness, with the head and trunk tightly restrained in the upright sitting position. Horizontal and vertical eye movements were recorded by electrooculography (EOG). Various levels of G-directional preponderance (DP), including completely one-sided, were observed similarly in either stimulus mode, strongly suggesting that directional asymmetry in nystagmus elicitation may be a functional characteristic in the otolith-ocular response, in contrast to the canal-ocular response. The effects of G-load increase were less congruent between the two stimulus modes. In the step-mode oscillation, the desaccaded slow eye position which corresponds to the vestibuloocular reflex (VOR) was saw-toothed in shape as was the stimulus velocity curve, but the baseline often drifted slowly and DP-dependently in the direction opposite to the fast phase of nystagmus. When the slow phase velocity (SPV), a slope of the saw-tooth, was adjusted mathematically for such slow drift, it revealed that the adjusted SPVs were almost symmetrical between rightward and leftward G-directions. These results suggest that DP generation is separate from VOR generation which is primarily symmetrical.

Acceleration↗

Nystagmus and postural instability after headshake in patients with vestibular dysfunction.

Nystagmus after rapid head-shaking (post-headshake nystagmus) is often seen in patients with vestibulopathy. Post-headshake nystagmus is transient and is frequently associated with symptoms of dizziness, dysequilibrium, or vertigo. The phenomenon presumably reflects headshake-induced asymmetry in vestibulo-ocular reflex pathways, which persists after head-shaking stops. We postulated that the same vestibular imbalance that underlies post-headshake nystagmus might produce an equivalent in postural instability. To test this hypothesis, we investigated the effect of headshake on postural control and eye movements in patients who exhibited post-headshake nystagmus, vestibulopathy, or both. Postural instability was quantified with a dynamic platform device, whereas eye movements were recorded with electrooculography. Ten normal controls and 21 patients with a history of post-headshake nystagmus or unilateral vestibulopathy were evaluated. Subjects were tested for 20 seconds before and immediately after passive horizontal headshake (+/- 30-degree amplitude) at 2 Hz for 20 seconds. Postural stability was assessed while subjects stood with eyes closed, and the floor was modulated proportionally with sway. The difference in normalized peak-to-peak sway (equilibrium score) before and after headshake was assessed in all subjects and compared between groups. Post-headshake nystagmus was documented by electro-oculography recorded during posturography. Results for normal controls and vestibulopathic subjects without post-headshake nystagmus showed only a small transient decline in postural stability after headshake. Those with post-headshake nystagmus (regardless of caloric asymmetry) showed a robust decline in postural stability.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

[Ocular scanning modalities in dyslexic children (author's transl)].

Voluntary and reflex ocular scanning has been investigated in 55 dyslexic children, aged from 8 to 14 years 3 months, by means of potentiometric electrooculography with multiple monocular electrodes. Results are expressed in terms of amplitude, frequency, shape of movements and ocular congruence. A comparison between the oculomotor behaviour of dyslexic and normal children with no reading problem shows the same types of ocular movements as observed in normal schoolchildren, but they differ in their distribution according to age. Moreover, the evolution of oblique movements, described in normal children and correlated with the degree of schooling, is not the same in dyslexic children, where it instead seems to follow particular patterns. Finally, in stereotyped ocular scanning simulating reading movements, the dyslexics are characterized by the absence of two important stages leading to ocular congruence: scanning with random alternate monocular predominance and scanning with selected alternate monocular predominance.

Adolescent↗

Wallenberg's syndrome: neurotological classification.

OBJECTIVES: Visually induced eye movements were investigated in 26 patients with Wallenberg's syndrome. METHODS: Slow-phase optokinetic nystagmus (OKN) velocities, pursuit gains, and percentage fixation suppression (%FS) of caloric nystagmus were recorded by DC electrooculography (EOG), and stored directly onto FM magnetic tape. RESULTS: OKN velocities, pursuit gains, and %FS decreased toward the lesion side (group A), whereas OKN velocities and pursuit gains decreased toward the side contralateral to the lesion side. %FS decreased toward the lesion side (group B). MR images in group A showed that lesions were only in and near to the vestibular nuclei, and images in group B showed that lesions extended to the cerebellum. CONCLUSION: Visually guided eye movements allow classification of Wallenberg's syndrome into two types, one with brainstem lesions and one with both brainstem and cerebellar lesions. This demonstrates that assessing eye movements is helpful in supplementing MRI data.

Adult↗

The effect of apomorphine administration on smooth pursuit ocular movements in early Parkinsonian patients.

Electrooculography (EOG) recordings in 21 L-DOPA-naive patients suffering from Parkinson's disease (PD) were made before and after apomorphine subcutaneous administration (ASA). The effect of apomorphine on smooth pursuit eye movements (SPEM) was studied. Age-matched healthy subjects, who underwent SPEM recordings without the ASA procedure, were examined in order to compare baseline SPEM. EOG recordings were used to compare the patient group and the control group, and to compare the SPEM before and after ASA within the patient group. Significant differences in SPEM were found between both groups, as well as in the SPEM before and after ASA. The theory that SPEM is disturbed in early PD patients was confirmed. The dopaminergic control of horizontal SPEM is supposed.

Adult↗

Giant axonal neuropathy: visual and oculomotor deficits.

Giant axonal neuropathy, a generalised disorder or neurofilaments, presents as a chronic, progressive peripheral neuropathy in childhood. Evidence for central nervous system involvement is demonstrated in this study of four male patients with giant axonal neuropathy who had defective visual function and abnormal ocular motility. The visual system was studied by electroretinography, which showed normal retinal function, and by visual evoked potentials, which showed disease of both optic nerves and retrochiasmal visual pathways. The ocular motility disorder, studied by electrooculography, comprised defective pursuit, inability to maintain eccentric gaze with gaze paretic and rebound nystagmus, abnormal optokinetic responses and failure of suppression of the vestibulo-ocular reflex by fixation. These findings suggested involvement by giant axonal neuropathy of the cerebellar and brain stem pathways important in the control of ocular motility.

Axons↗

Early physiological effects of lithium treatment: electrooculographic and adaptometric findings in patients with affective and schizoaffective psychoses.

Electrooculography allows to measure the fundocorneal potential, a standing potential of the eye, under the conditions of light and dark adaptation. The results are expressed as the so-called Arden ratio. As was demon-strated by others in healthy volunteers, the Arden ratio, on the average, de-creases under Lithium treatment. However, in individual cases it can also remain unchanged or even rise. We have performed electrooculographic and adaptometric examinations in ten patients with affective disorders (DSM-III, 296. XX) and schizoaffective psychoses (DSM-III, 295.70). The criteria for the assignment of patients to lithium treatment were derived from a study by Angst. Arden ratios were determined six times, respectively, before lithium application and after a therapeutic lithium serum level (0.6-0.8 mmol/l) had been reached (cf. 5). The values observed during lithium treatment were significantly lower than those measured before lithium application. Dark adaptation, as measured using an adaptometer according to Goldmann-Weekers, was disturbed under lithium. The potential predictor function of these findings with regard to the lithium response is being investigated by means of a prospective study.

Adaptation, Ocular↗