Bach M, Kommerell G
Fortschr Ophthalmol. 1989;86(3):253-5.
We examined eight patients with dissociated vertical deviation (DVD) for evidence of misrouting in the visual pathway, using visually evoked potentials. Full-field monocular pattern-onset chequerboard stimulation was employed. The visually evoked potentials were recorded from both occipital lobes. Their differential activity during stimulation of the right eye was compared with that obtained during stimulation of the left eye. In contrast to an earlier report, a predominance of the crossed projection was not found in any of the DVD cases. The results in eight normal control subjects were similar, unlike our findings in eight albino patients (predominance of crossed projection: a relative positivity over the contralateral hemisphere about 100 ms after pattern-onset). Possible artifacts are discussed that may have led to the earlier assumption of misrouting in DVD patients.
我们使用视觉诱发电位检查了8例分离性垂直偏斜(DVD)患者,以寻找视觉通路中神经传导错误的证据。采用全视野单眼模式起始棋盘格刺激。从双侧枕叶记录视觉诱发电位。将右眼刺激期间的差异活动与左眼刺激期间获得的差异活动进行比较。与早期报告不同,在任何DVD病例中均未发现交叉投射占优势。8名正常对照受试者的结果与之相似,这与我们在8名白化病患者中的发现不同(交叉投射占优势:模式起始后约100毫秒对侧半球相对呈阳性)。讨论了可能导致早期认为DVD患者存在神经传导错误的伪迹。