Smooth pursuit eye tracking dysfunction in schizophrenia: subcortical implications. 1991

R T Pivik
Department of Psychiatry and Physiology, University of Ottawa, Ontario.

The study of smooth pursuit eye tracking behavior in schizophrenics has occupied a prominent position in the search for biological correlates of this mental illness for nearly 20 years. During this time, impairments in this behavior have been shown to be a most robust finding in these patients. Attempts to further characterize the basis for this dysfunction have emphasized the role of cortical--particularly frontal--processes in both the symptomatology of schizophrenia and the eye tracking disturbance. In the present paper, arguments are made in support of a subcortical contribution to smooth pursuit eye tracking dysfunction in schizophrenia. Supporting data include new observations of cortical EEG variations in association with pursuit tracking disruptions, and a review of recent data indicating visual-vestibular and cerebellar-vestibular influences on the tracking disturbances in these patients. On the basis of such data, it is concluded that it is highly unlikely that a single mechanism or process is exclusively responsible for impaired pursuit tracking in schizophrenics, and that there are data to support both cortical and subcortical contributions to this dysfunction.

UI MeSH Term Description Entries
D011698 Pursuit, Smooth Eye movements that are slow, continuous, and conjugate and occur when a fixed object is moved slowly. Pursuits, Smooth,Smooth Pursuit,Smooth Pursuits
D001921 Brain The part of CENTRAL NERVOUS SYSTEM that is contained within the skull (CRANIUM). Arising from the NEURAL TUBE, the embryonic brain is comprised of three major parts including PROSENCEPHALON (the forebrain); MESENCEPHALON (the midbrain); and RHOMBENCEPHALON (the hindbrain). The developed brain consists of CEREBRUM; CEREBELLUM; and other structures in the BRAIN STEM. Encephalon
D001931 Brain Mapping Imaging techniques used to colocalize sites of brain functions or physiological activity with brain structures. Brain Electrical Activity Mapping,Functional Cerebral Localization,Topographic Brain Mapping,Brain Mapping, Topographic,Functional Cerebral Localizations,Mapping, Brain,Mapping, Topographic Brain
D002531 Cerebellum The part of brain that lies behind the BRAIN STEM in the posterior base of skull (CRANIAL FOSSA, POSTERIOR). It is also known as the "little brain" with convolutions similar to those of CEREBRAL CORTEX, inner white matter, and deep cerebellar nuclei. Its function is to coordinate voluntary movements, maintain balance, and learn motor skills. Cerebella,Corpus Cerebelli,Parencephalon,Cerebellums,Parencephalons
D002540 Cerebral Cortex The thin layer of GRAY MATTER on the surface of the CEREBRAL HEMISPHERES that develops from the TELENCEPHALON and folds into gyri and sulci. It reaches its highest development in humans and is responsible for intellectual faculties and higher mental functions. Allocortex,Archipallium,Cortex Cerebri,Cortical Plate,Paleocortex,Periallocortex,Allocortices,Archipalliums,Cerebral Cortices,Cortex Cerebrus,Cortex, Cerebral,Cortical Plates,Paleocortices,Periallocortices,Plate, Cortical
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001143 Arousal Cortical vigilance or readiness of tone, presumed to be in response to sensory stimulation via the reticular activating system. Vigilance, Cortical,Arousals,Cortical Vigilance
D001288 Attention Focusing on certain aspects of current experience to the exclusion of others. It is the act of heeding or taking notice or concentrating. Focus of Attention,Selective Attention,Social Attention,Attention Focus,Attention, Selective,Attention, Social,Selective Attentions
D012559 Schizophrenia A severe emotional disorder of psychotic depth characteristically marked by a retreat from reality with delusion formation, HALLUCINATIONS, emotional disharmony, and regressive behavior. Dementia Praecox,Schizophrenic Disorders,Disorder, Schizophrenic,Disorders, Schizophrenic,Schizophrenias,Schizophrenic Disorder
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