Schik G, Mohr S, Hofferberth B
Department of Neurology, General Hospital, Celle, Germany.
Int Tinnitus J. 2000;6(2):154-9.
Elderly patients with diseases of the central nervous system often show saccadic disorders. Before these disorders can be called pathological, they must be distinguished from the physiological effects of aging. The purpose of this study was to determine the effect of aging on visual and auditory saccadic eye movements. Ninety healthy volunteers were divided into three groups (younger than 30 years; 30-50 years; older than 50 years), with 30 volunteers in each group. Visual and auditory predictive 15-degree saccades were evoked and recorded with electrooculography. Recorded parameters were peak velocity, duration, and latency. Both stimuli showed increasing latencies with increasing age and a higher peak velocity in the middle group as compared to the oldest group. The latter result was significant only for saccades to visual targets. Duration was almost identical for both patterns and all age groups. Between the age groups, latencies were significantly shorter for the saccades to auditory targets, and no differences in peak velocity occurred. The results stress the importance of an age-related assessment for saccadic parameters. The increasing latency and decreasing peak velocity in elderly people probably result from age-related degenerative changes in central nervous system parts that are involved in the generation of saccadic eye movements. We found no indications of a different effect of aging through either the visual or the auditory pathway for saccadic parameters.
患有中枢神经系统疾病的老年患者常表现出眼球扫视障碍。在将这些障碍称为病理性之前,必须将其与衰老的生理影响区分开来。本研究的目的是确定衰老对视觉和听觉眼球扫视运动的影响。90名健康志愿者被分为三组(年龄小于30岁;30至50岁;年龄大于50岁),每组30名志愿者。通过眼电图诱发并记录视觉和听觉预测性15度扫视。记录的参数为峰值速度、持续时间和潜伏期。两种刺激均显示随着年龄增长潜伏期增加,且与最年长者相比,中年组的峰值速度更高。后一结果仅在对视觉目标的扫视中显著。两种模式和所有年龄组的持续时间几乎相同。在各年龄组之间,对听觉目标的扫视潜伏期明显更短,且峰值速度没有差异。结果强调了对扫视参数进行年龄相关评估的重要性。老年人潜伏期增加和峰值速度降低可能是由于参与眼球扫视运动产生的中枢神经系统部分出现了与年龄相关的退行性变化。我们没有发现衰老通过视觉或听觉通路对扫视参数产生不同影响的迹象。