Vertical optokinetic nystagmus in Parkinson's disease

Christopher M. Knapp, Irene Gottlob, Rebecca J. McLean, Yusuf A. Rajabally, Richard J. Abbott, Suzanne Rafelt, Frank A. Proudlock

Research output: Contribution to journalArticlepeer-review

5 Citations (SciVal)

Abstract

Parkinson's disease (PD) is associated with a number of oculomotor deficits; however, little is known about changes in vertical optokinetic nystagmus (OKN) associated with PD. We recorded eye movements in 14 PD patients and 14 age-matched controls in response to large field OKN stimulation using stimulus velocities of 20°/second and 40°/ second. We compared asymmetry of horizontal and vertical responses in the two groups. We found vertical OKN to be strongly asymmetric in PD with reduced gains for downward-moving stimuli. This asymmetry was significantly greater than that recorded in control volunteers. We postulate that this could result from an abnormal pursuit/early OKN system in PD leading to greater influence of the delayed OKN system.

Original languageEnglish
Pages (from-to)1533-1538
Number of pages6
JournalMovement Disorders
Volume24
Issue number10
DOIs
Publication statusPublished - 30 Jul 2009

Keywords

  • Asymmetry
  • Dopamine
  • Eye movements
  • Optokinetic nystagmus
  • Parkinson's disease

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