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Control of Voluntary and Reflexive Saccades in Parkinson's Disease.

 I. T. Armstrong, F. Chan, R. J. Riopelle and D. P. Munoz
  
 

Abstract:
Our lab is quantifying eye movement abnormalities in patient groups with pathophysiology in the frontal cortex and/or basal ganglia. Saccadic eye movements were measured in 10 Parkinson's (PD) patients and in age- and sex-matched normal controls. Characteristics of reflexive and voluntary eye movements were studied using pro- and antisaccade tasks with and without delays.

In the no-delay condition, the target appeared concurrent with the eye movement signal. Subjects performed a block of prosaccades to the visual target followed immediately by two blocks of antisaccades, eye movements made away from the visual target. In the delay condition, the target appeared before the signal for movement initiation; pro- and antisaccade trials were randomly interleaved. We probed spatial working memory by having subjects move their eyes to remembered locations of multiple sequential target steps after an interval of delay. PD patients made saccades with shorter saccadic reaction times (SRT) in the prosaccade task and longer SRT in the antisaccade task. Saccade amplitudes were hypometric. PD patients had more difficulty withholding a voluntary eye movement until the signal for movement in the delay tasks. Finally, PD patients made a greater number of sequence errors in the spatial working memory task. PD patients were better than control participants at reflexive saccades but worse than the controls on voluntary saccades.

 
 


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