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精神分裂症患者的视动性眼球震颤和追踪性眼球运动

Optokinetic nystagmus and pursuit eye movements in schizophrenia.

作者信息

Latham C, Holzman P S, Manschreck T C, Tole J

出版信息

Arch Gen Psychiatry. 1981 Sep;38(9):997-1003. doi: 10.1001/archpsyc.1981.01780340049006.

DOI:10.1001/archpsyc.1981.01780340049006
PMID:7283672
Abstract

This study of two types of optokinetic nystagmus (OKN) provides evidence that previously reported pursuit impairments in schizophrenics may be due to a cortical dysfunction. Differences in responses to partial-field and full-field OKN stimuli strongly support the hypothesis that there are two functionally distinct but anatomically overlapping mechanisms that can produce nystagmus responses. Partial-field OKN is composed of alternating phases of pursuit and saccadic movements. The slow phases of partial-field OKN, like pursuit eye movements, are of significantly poorer quality in schizophrenics compared with normal controls. Full-field OKN, however, is intact in both groups. Partial-field OKN is an improved test for pursuit abnormalities that reflect disturbances of nonvoluntary attention.

摘要

这项对两种视动性眼球震颤(OKN)的研究提供了证据,表明先前报道的精神分裂症患者的追踪障碍可能是由于皮质功能障碍所致。对部分视野和全视野OKN刺激的反应差异有力地支持了这样一种假说,即存在两种功能上不同但解剖结构上重叠的机制,它们可以产生眼球震颤反应。部分视野OKN由追踪和扫视运动的交替阶段组成。与正常对照组相比,精神分裂症患者的部分视野OKN的慢相,如同追踪眼球运动一样,质量明显较差。然而,两组的全视野OKN都是正常的。部分视野OKN是一种用于检测追踪异常的改进测试,这些异常反映了非随意注意的紊乱。

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Optokinetic nystagmus and pursuit eye movements in schizophrenia.精神分裂症患者的视动性眼球震颤和追踪性眼球运动
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引用本文的文献

1
Eye tracking dysfunction in schizophrenia: characterization and pathophysiology.精神分裂症中的眼动追踪功能障碍:特征与病理生理学
Curr Top Behav Neurosci. 2010;4:311-47. doi: 10.1007/7854_2010_60.
2
Smooth-pursuit eye movement dysfunction in schizophrenia: the role of attention and general psychomotor dysfunctions.精神分裂症中的平稳跟踪眼球运动功能障碍:注意力和一般性精神运动功能障碍的作用。
Eur Arch Psychiatry Clin Neurosci. 1994;244(3):153-60. doi: 10.1007/BF02191891.
3
Psychomotor disturbances in psychiatric patients as a possible basis for new attempts at differential diagnosis and therapy. II. Cross validation study on schizophrenic patients: persistence of a "psychotic motor syndrome" as possible evidence of an independent biological marker syndrome for schizophrenia.
精神科患者的精神运动障碍作为鉴别诊断和治疗新尝试的可能基础。II. 对精神分裂症患者的交叉验证研究:“精神病性运动综合征”的持续性作为精神分裂症独立生物学标志物综合征的可能证据。
Eur Arch Psychiatry Neurol Sci. 1986;235(5):301-8. doi: 10.1007/BF00515918.
4
The spectrum of schizophrenia.精神分裂症的谱系
Postgrad Med J. 1987 Dec;63(746):1021-4. doi: 10.1136/pgmj.63.746.1021.
5
Association of tardive dyskinesia with increased frequency of eye movement disturbances in chronic schizophrenic patients. A clinical note.迟发性运动障碍与慢性精神分裂症患者眼球运动障碍频率增加的关联。临床记录。
Eur Arch Psychiatry Neurol Sci. 1990;239(4):241-5. doi: 10.1007/BF01738578.