1
|
Dimigen O, Ehinger BV. Regression-based analysis of combined EEG and eye-tracking data: Theory and applications. J Vis 2021; 21:3. [PMID: 33410892 PMCID: PMC7804566 DOI: 10.1167/jov.21.1.3] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2019] [Accepted: 08/14/2020] [Indexed: 12/27/2022] Open
Abstract
Fixation-related potentials (FRPs), neural responses aligned to the end of saccades, are a promising tool for studying the dynamics of attention and cognition under natural viewing conditions. In the past, four methodological problems have complicated the analysis of such combined eye-tracking/electroencephalogram experiments: (1) the synchronization of data streams, (2) the removal of ocular artifacts, (3) the condition-specific temporal overlap between the brain responses evoked by consecutive fixations, and (4) the fact that numerous low-level stimulus and saccade properties also influence the postsaccadic neural responses. Although effective solutions exist for the first two problems, the latter two are only beginning to be addressed. In the current paper, we present and review a unified regression-based framework for FRP analysis that allows us to deconvolve overlapping potentials while also controlling for both linear and nonlinear confounds on the FRP waveform. An open software implementation is provided for all procedures. We then demonstrate the advantages of this proposed (non)linear deconvolution modeling approach for data from three commonly studied paradigms: face perception, scene viewing, and reading. First, for a traditional event-related potential (ERP) face recognition experiment, we show how this technique can separate stimulus ERPs from overlapping muscle and brain potentials produced by small (micro)saccades on the face. Second, in natural scene viewing, we model and isolate multiple nonlinear effects of saccade parameters on the FRP. Finally, for a natural sentence reading experiment using the boundary paradigm, we show how it is possible to study the neural correlates of parafoveal preview after removing spurious overlap effects caused by the associated difference in average fixation time. Our results suggest a principal way of measuring reliable eye movement-related brain activity during natural vision.
Collapse
Affiliation(s)
- Olaf Dimigen
- Department of Psychology, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Benedikt V Ehinger
- Institute of Cognitive Science, Universität Osnabrück, Osnabrück, Germany
- Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, The Netherlands
| |
Collapse
|
2
|
Balazs S, Kermanshahi K, Binder H, Rattay F, Bodis-Wollner I. Gamma-Band Modulation and Coherence in the EEG by Involuntary Eye Movements in Patients in Unresponsive Wakefulness Syndrome. Clin EEG Neurosci 2016; 47:196-206. [PMID: 26346965 DOI: 10.1177/1550059415601756] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2014] [Accepted: 07/20/2015] [Indexed: 11/15/2022]
Abstract
Gamma power and coherence in the electroencephalogram increase in healthy individuals in association with voluntary eye movements, saccades. Patients with unresponsive wakefulness syndrome show repetitive involuntary eye movements that are similar to saccades but progress at a much lower speed. In the present study, we explored the changes in gamma power and coherence related to these eye movements and investigated whether any relationship to the patients' clinical status could be found that would indicate first neurophysiological signs of recovery. To this end, we assessed the clinical status and registered classical scalp electroencephalography with 19 surface electrodes and electro-oculogram of 45 consecutive patients at admission and at 4 weekly intervals. Slow gamma activity (in the frequency range of 37-40 Hz) was analyzed before, during, and after eye movements (pre, -intra and post-eye movement) by means of "continuous wavelet transform." We graded recovery using clinical behavioral scales, taking into account the variables, age, gender, recovery (yes or no), as well as the patients diagnoses (traumatic brain injury, hypoxia, hemorrhage, infection). Statistical evaluation was performed using DataLab, R, and Kruskal-Wallis methods. Based on the clinical status, we distinguished between recovering and chronic groups of patients. In comparison with the chronic group, the recovering group showed significantly higher gamma power over the posterior electrodes and significant higher values of coherence in the gamma-band activity during the presaccadic period of eye movements. We suggest that our findings on the onset of involuntary eye movements in the recovering group of patients with unresponsive wakefulness syndrome indicates a first neurophysiological sign of favorable prognosis.
Collapse
Affiliation(s)
- Susanne Balazs
- Department of Neurology, Otto Wagner Spital, Vienna, Austria
| | - Kazem Kermanshahi
- Institute for Analysis and Scientific Computing, Vienna University of Technology, Vienna, Austria
| | - Heinrich Binder
- Department of Neurology, Otto Wagner Spital, Vienna, Austria
| | - Frank Rattay
- Institute for Analysis and Scientific Computing, Vienna University of Technology, Vienna, Austria
| | - Ivan Bodis-Wollner
- Department of Neurology and Department of Ophthalmology, State University of New York, Brooklyn, NY, USA
| |
Collapse
|
3
|
Yerram S, Glazman S, Bodis-Wollner I. Cortical control of saccades in Parkinson disease and essential tremor. J Neural Transm (Vienna) 2012; 120:145-56. [PMID: 22926662 DOI: 10.1007/s00702-012-0870-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2012] [Accepted: 07/20/2012] [Indexed: 01/10/2023]
Abstract
A number of studies suggest that some features of essential tremor (ET) and Parkinson disease (PD) overlap. Besides tremor, also some cognitive features have been implicated in ET and PD. There is recent evidence that a common genetic mutation occurs in ET and PD. Saccadic eye movements could provide an easily quantifiable procedure to help in the differential diagnosis in early PD and ET. Being able to distinguish early on the two diseases may help in tailoring therapy. Cortical control of saccades and antisaccades as they pertain to the potential discrimination of PD and ET is reviewed. Imaging and electrophysiological studies are highlighted; however, there are still few studies. Hopefully this review will stimulate further research, in particular in the direction of differences and similarities in the neural circuits involved in PD and ET.
Collapse
Affiliation(s)
- S Yerram
- Department of Neurology, SUNY Downstate Medical Center, Brooklyn, NY, USA
| | | | | |
Collapse
|
4
|
Cortical control of voluntary saccades in Parkinson's disease and pre-emptive perception. Parkinsonism Relat Disord 2012; 18 Suppl 1:S100-3. [PMID: 22166401 DOI: 10.1016/s1353-8020(11)70032-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Gamma range EEG has been associated with cognition. Bodis-Wollner et al. [Ann NY Acad Sci 2002;956:464-7] and Forgacs et al. [Perception 2008;37:419-32] described posterior perisaccadic gamma (35-45 Hz) modulation associated with voluntary saccades. Voluntary impairment is a hallmark of Parkinson's disease (PD). We have done correlational analysis of frontally and posteriorly (posterior-parietal) recorded intrasaccadic gamma (ISG) powers, to understand cortical control of voluntary saccades in PD and healthy controls. Fifteen PD patients (55-71 years, 4 females) and 17 healthy controls (54-72 years, 9 females) participated in the study. The EEG was recorded over frontal and posterior-parietal scalp sites. Saccades were recorded with electro-oculogram and infra-red ISCAN camera. Subjects executed horizontal voluntary saccades to a mark; 15 degree distance rightwards or leftwards (centrifugal CF) from the central fixation, then back to the center (centripetal CP) and so on, for 2 minutes. Perisaccadic EEG segments were wavelet transformed followed by Hilbert transform to obtain ISG (35-45 Hz) powers. ISG power was trial-averaged, separately for the 4 possible saccade types; CP and CF, rightwards and leftwards. The perisaccadic EEG revealed disorganization in the intrasaccadic period. The correlations between frontal and posterior ISG power are high in PD (correlation coefficient >0.6) while low in controls (correlation coefficient <0.02). We interpret these results as lack of modulatory coupling between frontal and posterior intrasaccadic mechanisms in PD. Impaired volition in PD may be due to impaired circuitry of preemptive perception (PEP). Interareal phase coupling analysis will help in investigating the cortical voluntary saccade control with greater temporal precision.
Collapse
|
5
|
Bodis-Wollner I. Current aspects of cognitive neurophysiology of Parkinson disease: an introduction. Clin EEG Neurosci 2010; 41:68-75. [PMID: 20521488 DOI: 10.1177/155005941004100205] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Parkinson Disease (PD) is the second most common neurodegenerative disorder after Alzheimer's disease. With increased longevity and improved health care, our society is experiencing an unprecedented challenge posed by neurodegenerative disorders. Alzheimer's disease alone is now the third most expensive disease to treat in the U.S., costing close to $100 billion annually. While treatment of the motor manifestations of PD has advanced much, the treatment of its non-motor features, in particular mental dysfunction remain as unresolved problems in PD. Electrophysiological and imaging studies in this issue are providing new information on the roles of the frontal cortex, pedunculopontine nucleus, dopaminergic mesolimbic system and thalamocortical circuits on cognitive and mental dysfunction in PD.
Collapse
Affiliation(s)
- Ivan Bodis-Wollner
- Department of Neurology, State University of New York, Brooklyn, New York 11203, USA.
| |
Collapse
|
6
|
Javaid MA, Weeden J, Flom P, Avitable M, Glazman S, Bodis-Wollner I. Perisaccadic gamma modulation in Parkinson disease patients and healthy subjects. Clin EEG Neurosci 2010; 41:94-101. [PMID: 20521492 DOI: 10.1177/155005941004100209] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We quantified the anterior-posterior distribution of the gamma modulation index (GMI), an index of perisaccadic phasic modulation of the gamma (35-45 Hz) range electroencephalogram (EEG), in healthy human subjects and Parkinson disease (PD) patients. The EEG was recorded over the frontal, parietal, temporal and occipital sites in 11 idiopathic PD patients (age 50-70 years, four females), 4 age matched healthy volunteers (1 female) and 17 young healthy controls (age 21-30 years, four females) Eye movements were recorded with EOG and ISCAN camera. Subjects executed saccades to a mark at right and back to fixation point and vice versa. The saccades directed away from center/fixation (centrifugal CF) were analyzed. Two minutes of EEG were obtained from each subject for the two possible saccade types (centrifugal rightwards and leftwards at 15 degrees). Each perisaccadic EEG segment was analyzed using continuous wavelet transform for quantifying the power and time course of gamma EEG ranges for each saccade type. A three way ANOVA was used for statistical analysis. Perisaccadic GMI (peak intrasaccadic power divided by mean power) in healthy subjects was higher over the contralateral hemisphere to the saccade direction, for both centrifugal saccades at anterior, posterior and occipital recording sites. Contrary to the healthy subject GMI remained near one in PD, i.e., there was no evidence of intrasaccadic gamma power increase in PD patients.
Collapse
Affiliation(s)
- M A Javaid
- Clinical Neurophysiology Lab, National Parkinson Foundation, COEX, USA
| | | | | | | | | | | |
Collapse
|
7
|
Rieger JW, Schoenfeld MA, Heinze HJ, Bodis-Wollner I. Different spatial organizations of saccade related BOLD-activation in parietal and striate cortex. Brain Res 2008; 1233:89-97. [DOI: 10.1016/j.brainres.2008.07.108] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2008] [Revised: 07/16/2008] [Accepted: 07/26/2008] [Indexed: 10/21/2022]
|
8
|
Abstract
How can an action to a target be selected without yet knowing what it is? Pre-emptive perception (PEP) is a framework which orders neuronal mechanisms in association with voluntary actions before an action is started and until it is completed. It is assumed that PEP serves the purpose of perception, but a conscious, perceptual identification of the goal is not obligatorily completed during the time period of PEP itself. The concept of PEP is that the brain pre-emptively optimizes an action plan to maximize eventual perception, even before being sure what the goal is. Experimental studies of voluntary saccadic eye movements are considered as prototypic activity within the framework of PEP. The core concept of pre-emption is that a particular saccade is selected while a large number of other possible actions are deselected. Pre-emptive computations include mechanisms associated with internal context and reward. Neurophysiological studies which show anatomically and functionally separate cortical and some subcortical neuronal groups in computing saccades are summarized. There is a potential relationship of PEP as a neurobiological framework and some philosophical concepts. Terms for processes between planning and action, such as intention, anticipation, and attention, are often incongruent in everyday language and in epistemology. It is proposed here that a scrutiny of these terms can be rigorously approached by temporal subdivision of PEP and conversely, clear definitions of these terms can lead to organized experimental designs of cognitive neurobiology. The temporal subdivision of PEP allows a critique of The Will in the definition of Schopenhauer and distinguishes it from the 'free will'.
Collapse
Affiliation(s)
- Ivan Bodis-Wollner
- Downstate Medical Center, State University of New York, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.
| |
Collapse
|
9
|
|
10
|
Amassian V, Mari Z, Sagliocco L, Hassan N, Maccabee P, Cracco JB, Cracco RQ, Bodis-Wollner I. Perception of Phosphenes and Flashed Alphabetical Characters is Enhanced by Single-Pulse Transcranial Magnetic Stimulation of Anterior Frontal Lobe: The Thalamic Gate Hypothesis. Perception 2008; 37:375-88. [DOI: 10.1068/p5948] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Single pulses of transcranial magnetic stimulation (sTMS) restricted locally to the primary cortical areas for somatosensory and visual input, unlike the effects of repetitive stimulation, usually fail to elicit projected sensations. We tested the effect of sTMS over anterior frontal cortex in facilitating phosphenes from preceding sTMS over calcarine cortex, which alone was rarely effective in eliciting phosphenes. The combined sTMS elicited complex phosphenes, which changed with the site of frontal sTMS and the interstimulus interval. Our results show that sTMS over anterior frontal cortex also improved reporting of weakly illuminated, flashed four-letter stimuli, which permitted its statistical validation. We propose that the present demonstration of frontal cortical facilitation of visual awareness, when combined with the previous finding of projected paresthesias and sense of movement (Amassian et al, 1991 Brain114 2505 – 2520), provide evidence of a general frontal opening effect on a thalamic gate. Opening this gate facilitates entry of information from primary cortical receiving areas to thalamus. Thereby, the reciprocal thalamocortical interrelations that subserve conscious awareness of sensory stimuli could be fostered.
Collapse
Affiliation(s)
- Vahe Amassian
- Department of Neurology, [also Department of Physiology and Pharmacology
| | | | | | | | | | | | | | - Ivan Bodis-Wollner
- Department of Ophthalmology], Downstate Medical Center, State University of New York, 450 Clarkson Avenue, Brooklyn, NY 11201, USA
| |
Collapse
|
11
|
Forgacs PB, von Gizycki H, Selesnick I, Syed NA, Ebrahim K, Avitable M, Amassian V, Lytton W, Bodis-Wollner I. Perisaccadic Parietal and Occipital Gamma Power in Light and in Complete Darkness. Perception 2008; 37:419-32. [DOI: 10.1068/p5875] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Our objective was to determine perisaccadic gamma range oscillations in the EEG during voluntary saccades in humans. We evaluated occipital perisaccadic gamma activity both in the presence and absence of visual input, when the observer was blindfolded. We quantified gamma power in the time periods before, during, and after horizontal saccades. The corresponding EEG was evaluated for individual saccades and the wavelet transformed EEG averaged for each time window, without averaging the EEG first. We found that, in both dark and light, parietal and occipital gamma power increased during the saccade and peaked prior to reaching new fixation. We show that this is not the result of muscle activity and not the result of visual input during saccades. Saccade direction affects the laterality of gamma power over posterior electrodes. Gamma power recorded over the posterior scalp increases during a saccade. The phasic modulation of gamma by saccades in darkness—when occipital activity is decoupled from visual input—provides electrophysiological evidence that voluntary saccades affect ongoing EEG. We suggest that saccade-phasic gamma modulation may contribute to short-term plasticity required to realign the visual space to the intended fixation point of a saccade and provides a mechanism for neuronal assembly formation prior to achieving the intended saccadic goal. The wavelet-transformed perisaccadic EEG could provide an electrophysiological tool applicable in humans for the purpose of fine analysis and potential separation of stages of ‘planning’ and ‘action’.
Collapse
Affiliation(s)
| | | | - Ivan Selesnick
- Department of Electrical & Computer Engineering, Polytechnic University, Brooklyn, NY 11201, USA
| | | | | | | | | | | | | |
Collapse
|
12
|
Lalli S, Hussain Z, Ayub A, Cracco RQ, Bodis-Wollner I, Amassian VE. Role of the calcarine cortex (V1) in perception of visual cues for saccades. Clin Neurophysiol 2006; 117:2030-8. [PMID: 16884952 DOI: 10.1016/j.clinph.2006.05.022] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2005] [Revised: 05/18/2006] [Accepted: 05/22/2006] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To determine the initial level at which the pathways for cue perception, saccades and antisaccades diverge. METHODS Two procedures: single pulse transcranial magnetic stimulation (sTMS) over posterior occiput and backward masking were used. A visual cue directed saccades to the left or right, either a pro-saccade (to the side of the cue but beyond it) or an antisaccade, i.e., contraversive saccade. No visual target was presented. RESULTS Latencies of the two types of saccades did not differ. Focal sTMS applied unilaterally over V1 suppressed both perception of a cue flashed 80-90ms earlier contralaterally (but not ipsilaterally) and the appropriate saccade. Masking at a delay of 100ms abolished the appropriate saccade and cue perception. CONCLUSIONS V1 is essential for the perception of a flashed cue and for executing appropriate pro- and contraversive saccades. Masking may occur beyond V1, where the pathways for perception and for saccades at least to the next visual processing level start separating. SIGNIFICANCE VI is needed for rapid, accurate perceptual and motor responses to the crudest (left versus right) cues. It is unlikely that the "where" system can have a major direct input bypassing V1.
Collapse
Affiliation(s)
- S Lalli
- Department of Neurology, State University of New York, Downstate Medical Center, Brooklyn, NY 11203, USA
| | | | | | | | | | | |
Collapse
|
13
|
Balazs S, Stepan C, Binder H, von Gizycki H, Avitable M, Obersteiner A, Rattay F, Selesnick I, Bodis-Wollner I. Conjugate eye movements and gamma power modulation of the EEG in persistent vegetative state. J Neurol Sci 2006; 246:65-9. [PMID: 16580696 DOI: 10.1016/j.jns.2006.02.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2005] [Revised: 02/03/2006] [Accepted: 02/06/2006] [Indexed: 11/21/2022]
Abstract
BACKGROUND Power in the gamma band EEG increases during saccades in normal subjects. OBJECTIVE To develop a potential method to quantify signs of cortical responsiveness in persistent vegetative state (PVS) we quantified gamma range EEG in association with conjugate slow ballistic eye movements (SBEM). METHODS The EEG and the simultaneous electro-oculogram were recorded in 14 (8F/6M) PVS patients. Clinical scoring was based on the Glasgow Coma Scale (GCS) and Coma Rating Scale (CRS). The Wavelet Transform, followed by Hilbert transform was applied to the EEG and gamma power distribution was quantified relative to the timing of an eye movement. We correlated the clinical and the neurophysiological measures. RESULTS Gamma activity was present in all PVS patients. Its power was modulated in association with eye movements only in less severely affected patients, with minimum power prior to, and maximum power during the eye movement. In severely affected patients there was no evidence of a temporal relationship between gamma power and the phase of the eye movement. CONCLUSIONS Detecting changes in the time course of gamma power in relation to conjugate ballistic eye movements provides a quantitative neurophysiological method for prospective longitudinal studies to explore if the preservation of this CNS function relates to the potential for recovery in PVS patients.
Collapse
Affiliation(s)
- Susanne Balazs
- Department of Neurology, Otto Wagner Spital, 1145 Baumgartner Höhe 1, Vienna, Austria.
| | | | | | | | | | | | | | | | | |
Collapse
|
14
|
Forgacs PB, Von Gizycki H, Harhula M, Avitable M, Selesnick I, Bodis-Wollner I. Chapter 25 The wavelet transformed EEG: a new method of trial-by-trial evaluation of saccade-related cortical activity. ACTA ACUST UNITED AC 2006; 59:183-9. [PMID: 16893110 DOI: 10.1016/s1567-424x(09)70029-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Affiliation(s)
- Peter B Forgacs
- Department of Neurology, State University of New York, Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203-2098, USA
| | | | | | | | | | | |
Collapse
|
15
|
Reva NV, Aftanas LI. The coincidence between late non-phase-locked gamma synchronization response and saccadic eye movements. Int J Psychophysiol 2004; 51:215-22. [PMID: 14962573 DOI: 10.1016/j.ijpsycho.2003.09.005] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2003] [Revised: 06/24/2003] [Accepted: 09/24/2003] [Indexed: 10/26/2022]
Abstract
The event-related response in the gamma (30-45 Hz) frequency band was studied in healthy subjects (n=45) viewing sequentially presented pictures from the International Affective Picture System. The distinct non-phase-locked gamma response was obtained in characteristic time window (200-400 ms) with clear-cut centro-parietal location. The strong coincidence between induced gamma oscillations and saccadic eye movements was revealed. We suggest that saccade-related gamma increase is another manifestation of the phenomenon known as presaccadic spike potential, which is commonly registered over parietal scalp leads at 10-20 ms prior to saccade onset. It is hypothesized that late non-phase-locked gamma synchronization mainly reflects activity of a system responsible for attentional tuning and motor planning/execution of saccadic eye movements.
Collapse
Affiliation(s)
- N V Reva
- Psychophysiology Laboratory, State-Research Institute of Physiology, Siberian Branch, Russian Academy of Medical Sciences, Timakova str. 4, 630117 Novosibirsk, Russia.
| | | |
Collapse
|
16
|
Abstract
Neuropsychiatric, perceptual and cognitive deficits are increasingly recognized as non-motor manifestations of Parkinson's Disease (PD).The premorbid personality profile of PD patients is characterized by a number of traits which figure prominently after the disease becomes manifest. In particular, less novelty seeking is one premorbid trait providing an understanding of later cognitive deficits. Anxiety and depression have been shown to precede in some patients motor manifestations and cannot be attributed to anti-parkinsonian therapy. Some neuropsychiatric manifestations and in particular hallucinosis are linked to select perceptual and cognitive changes. Cognitive deficits are common in PD, in particular in younger onset patients. Current animal studies link genetic differences in the dopamine transporter and dopamine catabolic enzyme system to select cognitive impairments attributed to frontal lobe dysfunction.Visuo-cognitive impairment is prevalent in PD. Retinal dopaminergic deficiency has been shown in patients and in the animal model of PD. Visuo-spatial deficits, however, are not simply passive reflections of retinal deficiency. In addition to vision, saccadic eye movements are affected in PD whether they contribute to visuo-spatial dysfunction is unknown. However, recent functional Magnetic Resonance Imaging (fMRI) and electroencephalogram (EEG) studies show an essential role of the occipital cortex in saccadic eye movements and positron emission tomography (PET) studies show occipital hypometabolism in PD. Visual and eye movement studies suggest that certain neuropsychiatric and cognitive deficits in PD are linked to the visual system. Synchrony of signals are essential for the co-operation of distributed neuronal network engaged in sensory-motor coordination. Local, dopaminergic neuronal groups in the retina, basal ganglia and frontal cortical memory system are affected in PD. These connections may not primarily rely on dopamine as a neurotransmitter. It is suggested that to understand visuocognitive changes we should consider pathology affecting neuronal connections, necessary for binding parallel distributed networks.
Collapse
Affiliation(s)
- Ivan Bodis-Wollner
- Downstate Medical Centre, State University of New York, Kings County Hospital Center and SUNY, 450 Clarkson Avenue, Box 1213 Brooklyn, NY 11203, USA.
| |
Collapse
|