1. Oculomotor control after hemidecortication: One hemisphere encodes normal ipsilateral oblique anti-saccades.
- Author
-
Savina O and Guitton D
- Subjects
- Adult, Cerebral Cortex physiopathology, Female, Frontal Lobe physiopathology, Humans, Male, Middle Aged, Photic Stimulation, Reaction Time physiology, Eye Movements physiology, Hemispherectomy, Neuronal Plasticity physiology, Visual Fields physiology
- Abstract
A critical question in neurology is how the brain reorganizes its structure and function following injury. Here, we consider oculomotor control following a massive brain lesion, a hemispherectomy. We used the oblique anti-saccade task which requires the suppression of a saccade towards a visual cue, flashed anywhere in a patient's seeing hemifield, and the generation, in the dark, of an anti-saccade to a task-dependent location in the opposite blind hemifield; inverting either the horizontal or both horizontal and vertical components. Anti-saccades require a visuo-motor vector inversion that normally involves bilateral interactions between frontal, parietal and subcortical structures across both hemispheres. Here, oblique anti-saccades presented a major challenge to the patient's single hemisphere, requiring one site in visual cortex to communicate with an instruction-dependent site in oculomotor cortex. Patients with discrete frontal lobe damage can be strongly impaired in anti-saccades. By contrast, hemispherectomy patients performed oblique anti-saccades normally, contrasting with their permanent contralesional hemianopia and severe hemiparesis., (Copyright © 2018 Elsevier Ltd. All rights reserved.)
- Published
- 2019
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