Two distinct deficits of visual tracking caused by unilateral lesions of cerebral cortex in humans

We studied horizontal visual tracking in 20 patients with unilateral cerebral lesions and in 10 age‐matched control subjects. Five patients, all with posterior lesions, showed impaired smooth pursuit of predictable targets moving toward the side of the cerebral lesion. Using nonpredictable step‐ramp...

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Veröffentlicht in:Annals of neurology 1988-03, Vol.23 (3), p.266-273
Hauptverfasser: Thurston, Stephen E., Leigh, R. John, Crawford, Trevor, Thompson, Alan, Kennard, Christopher
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container_end_page 273
container_issue 3
container_start_page 266
container_title Annals of neurology
container_volume 23
creator Thurston, Stephen E.
Leigh, R. John
Crawford, Trevor
Thompson, Alan
Kennard, Christopher
description We studied horizontal visual tracking in 20 patients with unilateral cerebral lesions and in 10 age‐matched control subjects. Five patients, all with posterior lesions, showed impaired smooth pursuit of predictable targets moving toward the side of the cerebral lesion. Using nonpredictable step‐ramp stimuli, we identified two distinct deficits of visual tracking. The first was a unidirectional deficit of smooth pursuit, for targets moving toward the side of the lesion, in response to stimuli presented into either visual hemifield. The second deficit, identified in a sixth patient who did not show pursuit asymmetry to predictable targets, was a bidirectional inability to estimate the speed of a moving target in the visual hemifield contralateral to the side of the lesion; this caused inaccurate saccades to moving (but not stationary) targets and impaired smooth pursuit initiation. These visual tracking deficits were independent of homonymous hemianopia or hemispatial neglect. These two tracking deficits are similar to those described in rhesus monkeys with lesions of the medial superior temporal and middle temporal visual areas.
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source MEDLINE; Wiley Online Library All Journals
subjects Adolescent
Adult
Aged
Biological and medical sciences
Brain Damage, Chronic - physiopathology
Brain Injuries - physiopathology
Brain Mapping
Brain Neoplasms - physiopathology
Cerebral Cortex - physiopathology
Cerebral Hemorrhage - physiopathology
Cerebral Infarction - physiopathology
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
Dominance, Cerebral - physiology
Eye Movements
Female
Humans
Male
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Neurology
Pursuit, Smooth
Saccades
title Two distinct deficits of visual tracking caused by unilateral lesions of cerebral cortex in humans
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