Reinhart Jürgens

Natural and drug-induced variations of velocity and duration of human saccadic eye movements: Evidence for a control of the neural pulse generator by local feedback

The present report considers goal directed human saccadic eye movements. It addresses the question how a given perceived target excentricity is transformed into the innervation pattern that creates the saccade to the target. More specifically, it investigates whether this pattern is an appropriately selected preprogram or whether it is continuously controlled by a local feedback loop that compares a non-visual eye position signal to the perceived target excentricity (a visual signal would be too slow). To this end, the relation between the accuracy of saccades aimed at a given target and their velocity and duration was examined. Duration and velocity were found to vary by as much as 60% while the amplitude showed no related variation and had an almost constant accuracy of about 90%. By administrating diazepam, the variability of saccade duration and velocity could be further increased, but still the amplitude remained almost constant. These results favour the hypothesis that saccadic innervation is controlled by a local feedback loop.

Emotional responding in amyotrophic lateral sclerosis

AbstractAmyotrophic lateral sclerosis (ALS) is a fatal disease, leaving the patient in a partially or completely deafferented state. In an explorative study, we investigated responses to visual socio–emotional stimuli in ALS patients. Pictures from the International Affective Picture System (IAPS) were verbally judged by 12 moderately affected ALS patients with a spinal onset and a slow progression and 18 age–matched controls, and data were compared with psychophysiological responses. Verbal emotional judgments of patients were more positive than ratings of controls. Regarding arousal, patients neutralized extreme pictures, in that they rated calm pictures as more exciting than controls and exciting pictures as more calm. These changes of emotional processing were unrelated to depression or frontal lobe dysfunction. There were no major differences between patients and controls concerning physiological responses to emotional stimuli. We conclude that emotional responses of ALS patients tend to be altered towards positive valence and towards a more balanced arousal state in early stages of the disease. These findings contradict assumptions of a generally negative impact of the disease on the emotional disposition and may indicate compensatory cognitive or neuroplastic changes.

Estimation of self-turning in the dark: comparison between active and passive rotation

Abstract The present work compares passive and active rotations in darkness with the aim of characterizing the contribution of efferent and proprioceptive information to the perception of angular displacement. The perception of angular displacements was measured in 12 naive subjects (Ss), who either stood on a rotating platform (passive mode, P) or actively turned about their vertical axis by stepping around ”on the spot” on a stationary platform (active mode, A). Rotations consisted of short acceleration epochs followed by constant velocity periods of 18.5, 37, and 55°/s, with angular displacements ranging from 30° to 810° (presented in a randomized order); in the case of active turning, Ss had learned to approximately produce any of these three velocity levels on command. Ss indicated perceived displacement either verbally (verbal estimation mode, E), or by stopping their rotation when self-displacement appeared to match the magnitude specified by the experimenter (targeting, T). The resulting four conditions (PE, PT, AE, AT) were administered blockwise. In none of the four conditions was there a systematic dependence of perception on turning velocity. Therefore, the results were pooled across velocities, and the Ss’ performance was summarized in the form of estimation curves showing median estimates as a function of physical displacement. There were several differences between the passive and active modes: AE- and AT-estimation curves were linear, close to veracity, and fairly similar to each other. In contrast, the PE-curve was curved rightwardly (”saturation”), with small displacements being overestimated and large ones underestimated, whereas the PT-curve was linear and indicated a pronounced overestimation of large displacements. Moreover, both the random and the systematic errors (measures of individual consistency and correctness of individual calibration, respectively) were significantly smaller in the active than in the passive modes. The observed independence of Ss’ perception from turning velocity also during passive rotation suggests that the perceptual time constant was significantly longer than 16 s (a value cited as typical for vestibular perception), being possibly ”enhanced” by contextual implications and by expectations of the Ss. The clear improvement of perceptual performance in the active mode testifies to the importance of the efferent and proprioceptive signals arising during active motion. On the assumption that these signals are about as ”noisy” as the vestibular ones, the smaller errors during active turning could result from their combination with the vestibular signal. Alternatively, they could also be intrinsically less noisy than the vestibular signal and simply replace the latter during active motion. In the context of these alternatives (which are not exhaustive), the general problem of sensory fusion is discussed, that is, by which mechanisms are signals from different sensory sources combined to obtain a unified representation of the self’s orientation.

Disturbed smooth pursuit and saccadic eye movements in schizophrenia

SummarySmooth pursuit and saccadic eye movements of schizophrenic patients were examined. In a pendulum (0.5 Hz) tracking task schizophrenic inpatients had a slightly lower smooth pursuit gain than outpatients and controls, who showed no significant differences. The number of saccades, counter-saccades and velocity arrests occuring in a 20 s tracking epoque was the same in patients and controls, but patients made larger saccades. When tracking a stepping target by saccadic eye movements, schizophrenic inpatients, and to a lesser extent outpatients, exhibited longer reaction times than controls and had a higher incidence of “non-fixation” (saccades away from the target while the target is stationary). Schizophrenic patients also showed a significantly larger proportion of dysmetric saccades (undershooting the target). While similar changes of reaction time and non-fixation score were observed in manic-depressives and alcoholics, dysmetria was more often found in schizophrenics and possibly constitutes the expression of a specific impairment of attention.

Perception of angular displacement without landmarks: evidence for Bayesian fusion of vestibular, optokinetic, podokinesthetic, and cognitive information

The perception of angular displacement during self turning is generally based on a combination of redundant signals from different sources. For example, during active turning in a visually structured environment devoid of landmarks, podokinesthetic, vestibular, and optokinetic velocity signals are fused and integrated over time to yield a unitary percept of the ongoing change in angular position (‘podokinesthetic’ refers to proprioceptive and corollary signals related to leg and foot movement). Previously we have shown that the fusion of two of these afferents improves perceptual accuracy and reliability in comparison to when only one is available. For example, with only a single modality available, slow rotations are perceived to be significantly larger than fast ones, whereas the combination of two modalities greatly reduces this difference. These observations spurred the hypothesis that displacement perception results from a weighted average of bottom-up (sensory) signals and top-down signals (a priori knowledge or expectation), with the weight of the latter decreasing the more sensory information is available. We now ask (1) whether the accuracy of angular displacement estimation can be further improved if it can draw on all three sensory modalities instead of only two, and (2) whether bottom-up sensory and top-down a priori information is combined for displacement estimation in a statistically optimal way. To this end 12 healthy subjects (Ss) standing on a turning platform surrounded by a rotatable optokinetic pattern were exposed to 6 different sensory conditions: pure podokinesthetic (P), vestibular (V), or optokinetic (O) stimulation, and combined podokinesthetic-vestibular (PV), vestibular-optokinetic (VO), or podokinesthetic-vestibular-optokinetic (PVO) stimulation. Stimuli had constant angular velocities of either 15, 30, or 60°/s. Subjects were to press a signal button when they felt that angular displacement had reached a previously instructed magnitude (150–900°). In agreement with earlier observations, the combination of two sensory signals improved the accuracy of displacement perception by reducing both the variance of subjects’ displacement estimates and their dependence on turning velocity. Adding a third sensory signal (condition PVO) led to a further reduction of variance and almost eliminated the effect of velocity. We show that these experimental results are compatible with a probabilistic fusion mechanism based on Bayes’ law. This mechanism would operate on logarithmic representations of turning velocity and proceed in two stages. A first stage fuses all available bottom-up information to create a unitary representation of the velocity signalled by the different sensory modalities. A second stage then fuses this sensory information with top-down a priori information; the latter creates a bias in favour of a ‘default velocity’ that grows as the uncertainty of the sensory information increases. Our experimental data agree with the relation between (1) the variance of displacement estimates and (2) their modulation by velocity predicted by this scheme.

Fusion of vestibular and podokinesthetic information during self-turning towards instructed targets.

When observers step about their vertical axis (“active turning”) without vision they dispose of essentially two sources of information that can tell them by how much they have turned: the vestibular cue which reflects head rotation in space and the “podokinesthetic” cue, a compound of leg proprioceptive afferents and efference copy signals which reflects the observers motion relative to his support. We ask how these two cues are fused in the process leading to the perception of self-displacement during active turning. To this end we compared the performance of observers in three angular navigation tasks which differed with regard to the number and type of available motion cues: (1) Passive rotation, vestibular cue (ves) only; observers are standing on a platform which is being rotated. (2) Treadmill stepping, podokinesthetic cue (pod) only; observers step counter to the rotating platform so as to remain stable in space. (3) Active turning, ves and pod available; observers step around on the stationary platform. In all three tasks, angular velocity varied from trial to trial (15, 30, 60°/s) but was constant during trials. Perception was probed by having the observers signal when they thought to have reached a previously instructed angular displacement, either in space or relative to the platform (“target”; range 60–1080°). Performance was quantified in terms of the targeting gain (displacement reached by the observer divided by target angle) and of the random error (Er), which records an observers deviation during single trials from his average performance. Confirming previous observations, Er was found to be significantly smaller during active turning than during passive turning, and we now complement these observations by showing that it is also significantly smaller than during treadmill stepping. This behaviour of Er is compatible with the idea that ves and pod be averaged during active turning. On the other hand, the observed characteristics of the targeting gain (GT) support this idea only for the case of fast rotations (60°/s); at lower velocities, the gain found during active turning was clearly not the average of the GT values recorded in the passive and the treadmill modes. We therefore also discuss alternative scenarios as to how ves and pod could interact, among these one based on the concept of a vestibular eigenmodel. A common denominator of these scenarios is that ves assumes the role of a prerequisite for an optimal use of pod during turning on a stationary support, without itself entering the calculation of displacement perception; this perception would be based exclusively on pod. Finally, it was a consistent observation that during passive rotations cognitive mechanisms fill in for the decaying vestibular signal in the context of the present navigation task, enabling observers to achieve large displacements surprisingly well although the duration of these movements exceeds by far the conventionally cited value of the central vestibular time constant (=20 s).

Differential diagnostic value of eye movement recording in PSP-parkinsonism, Richardson's syndrome, and idiopathic Parkinson's disease

Vertical gaze palsy is a highly relevant clinical sign in parkinsonian syndromes. As the eponymous sign of progressive supranuclear palsy (PSP), it is one of the core features in the diagnosis of this disease. Recent studies have suggested a further differentiation of PSP in Richardsons syndrome (RS) and PSP-parkinsonism (PSPP). The aim of this study was to search for oculomotor abnormalities in the PSP-P subset of a sample of PSP patients and to compare these findings with those of (i) RS patients, (ii) patients with idiopathic Parkinsons disease (IPD), and (iii) a control group. Twelve cases of RS, 5 cases of PSP-P, and 27 cases of IPD were examined by use of video-oculography (VOG) and compared to 23 healthy normal controls. Both groups of PSP patients (RS, PSP-P) had significantly slower saccades than either IPD patients or controls, whereas no differences in saccadic eye peak velocity were found between the two PSP groups or in the comparison of IPD with controls. RS and PSP-P were also similar to each other with regard to smooth pursuit eye movements (SPEM), with both groups having significantly lower gain than controls (except for downward pursuit); however, SPEM gain exhibited no consistent difference between PSP and IPD. A correlation between eye movement data and clinical data (Hoehn & Yahr scale or disease duration) could not be observed. As PSP-P patients were still in an early stage of the disease when a differentiation from IPD is difficult on clinical grounds, the clear-cut separation between PSP-P and IPD obtained by measuring saccade velocity suggests that VOG could contribute to the early differentiation between these patient groups.

Comparison of smooth pursuit eye movement deficits in multiple system atrophy and Parkinson’s disease

Because of the large overlap and quantitative similarity of eye movement alterations in Parkinson’s disease (PD) and multiple system atrophy (MSA), a measurement of eye movement is generally not considered helpful for the differential diagnosis. However, in view of the pathophysiological differences between MSA and PD as well as between the cerebellar (MSA-C) and Parkinsonian (MSA-P) subtypes of MSA, we wondered whether a detailed investigation of oculomotor performance would unravel parameters that could help to differentiate between these entities. We recorded eye movements during sinusoidal pursuit tracking by means of video-oculography in 11 cases of MSA-P, 8 cases of MSA-C and 27 cases of PD and compared them to 23 healthy controls (CTL). The gain of the smooth pursuit eye movement (SPEM) component exhibited significant group differences between each of the three subject groups (MSA, PD, controls) but not between MSA-P and MSA-C. The similarity of pursuit impairment in MSA-P and in MSA-C suggests a commencement of cerebellar pathology in MSA-P despite the lack of clinical signs. Otherwise, SPEM gain was of little use for differential diagnosis between MSA and PD because of wide overlap. However, inspection of the saccadic component of pursuit tracking revealed that in MSA saccades typically correct for position errors accumulated during SPEM epochs (“catch-up saccades”), whereas in PD, saccades were often directed toward future target positions (“anticipatory saccades”). The differences in pursuit tracking between PD and MSA were large enough to warrant their use as ancillary diagnostic criteria for the distinction between these disorders.

Signs of impaired selective attention in patients with amyotrophic lateral sclerosis

The evidence for involvement of extramotor cortical areas in non-demented patients with amyotrophic lateral sclerosis (ALS) has been provided by recent neuropsychological and functional brain imaging studies. The aim of this study was to investigate possible alterations in selective attention, as an important constituent part of frontal brain function in ALS patients. A classical dichotic listening task paradigm was employed to assess event-related EEG potential (ERPs) indicators of selective attention as well as preattentive processing of mismatch, without interference by motor impairment.A total of 20 patients with sporadic ALS according to the revised El Escorial criteria and 20 healthy controls were studied. Additionally a neuropsychological test battery of frontotemporal functions was applied.Compared with the controls, the ALS patients showed a distinct decrease of the fronto-precentral negative difference wave (Nd), i.e., the main ERP indicator of selective attention. Analysis of the P3 component of the ERPs indicated an increased processing of non-relevant stimuli in ALS patients confirming a reduced focus of attention. We conclude impaired selective attention reflects a subtle variant of frontotemporal dementia frequently observed in ALS patients at a relatively early stage of the disease.

Somatosensory evoked potentials and magnitude of perception

SummaryWith step indentations of the index finger tip in randomized order, via a mechanostimulator, the tactile receptors of human skin were adequately stimulated. Recording the EEG over the contralateral and ipsilateral cortex, the evoked potentials and their 95% confidence limits were analysed. Simultaneously the psychophysical magnitude estimations were analysed.1.The perceptual estimations were linearly related to step amplitude.2.The early components of the E.P. show no obvious correlation to stimulus amplitude.3.The later components (with peak latencies of 120 msec or more) show a monotone, non-linear rising function with respect to stimulus amplitude.4.The early waves of the evoked potentials up to about 120 msec are well localized over the contralateral postcentral hand area while the late components resemble the alpha rhythm in wave length and distribution over both hemispheres. The possible role of alpha-synchronisation in the later components is discussed.