Neural control of pursuit eye movements

Applicability of quantitative oculomotor and SARA assessment in children

BACKGROUND

In clinical practice, eye movements can provide an early diagnostic marker for early onset ataxia (EOA). However, quantitative oculomotor assessment is not included in the most frequently used and age-validated ataxia rating scale in children, the Scale for the Assessment and Rating of Ataxia (SARA). We aimed to investigate the applicability of semi-quantitative eye movement assessment by the International Cooperative Ataxia Rating Scale (ICARS_OCM) and Ocular Motion Score (OMS_7-10) complementary to SARA measurements in children.

METHODS

In 52 typically developing children (aged 4-16 years; n = 4 per year of age), three independent assessors scored saccadic eye movements and ocular pursuit according to the ICARS_OCM and matching parameters from the OMS_7-10. For ICARS_OCM, we determined 1) construct validity for coordinated eye movements by correlation with OMS_7-10, ICARS_{EYE-HAND-COORDINATION} and SARA subscale scores, 2) agreement percentage and inter-rater agreement (Fleiss Kappa) and 3) age-dependency.

RESULTS

Spearman's rank correlations of ICARS_OCM with OMS_7-10 and ICARS- and SARA subscales were moderate to fair (all p < .001). Inter-rater agreement of ICARS-_OCM was 80.8%; (Fleiss Kappa: 0.411). ICARS_OCM scores revealed a similar exponentially decreasing association with age as the other SARA (sub)scores, reaching a plateau at 10 years of age.

INTERPRETATION

ICARS_OCM has a valid construct for the measurement of coordinated eye movement performance and is reliably assessable in children. ICARS_OCM reveals a similar age-dependent relationship as the other ataxia subscales, reflecting the physiological maturation of the cerebellum. In children, these data may implicate that ICARS_OCM can reliably contribute to coordination assessment, complementary to the SARA subscales.

Eye-hand synergy and intermittent behaviors during target-directed tracking with visual and non-visual information

Visual feedback and non-visual information play different roles in tracking of an external target. This study explored the respective roles of the visual and non-visual information in eleven healthy volunteers who coupled the manual cursor to a rhythmically moving target of 0.5 Hz under three sensorimotor conditions: eye-alone tracking (EA), eye-hand tracking with visual feedback of manual outputs (EH tracking), and the same tracking without such feedback (EHM tracking). Tracking error, kinematic variables, and movement intermittency (saccade and speed pulse) were contrasted among tracking conditions. The results showed that EHM tracking exhibited larger pursuit gain, less tracking error, and less movement intermittency for the ocular plant than EA tracking. With the vision of manual cursor, EH tracking achieved superior tracking congruency of the ocular and manual effectors with smaller movement intermittency than EHM tracking, except that the rate precision of manual action was similar for both types of tracking. The present study demonstrated that visibility of manual consequences altered mutual relationships between movement intermittency and tracking error. The speed pulse metrics of manual output were linked to ocular tracking error, and saccade events were time-locked to the positional error of manual tracking during EH tracking. In conclusion, peripheral non-visual information is critical to smooth pursuit characteristics and rate control of rhythmic manual tracking. Visual information adds to eye-hand synchrony, underlying improved amplitude control and elaborate error interpretation during oculo-manual tracking.

Visuomotor cerebellum in human and nonhuman primates

In this paper, we will review the anatomical components of the visuomotor cerebellum in human and, where possible, in non-human primates and discuss their function in relation to those of extracerebellar visuomotor regions with which they are connected. The floccular lobe, the dorsal paraflocculus, the oculomotor vermis, the uvula-nodulus, and the ansiform lobule are more or less independent components of the visuomotor cerebellum that are involved in different corticocerebellar and/or brain stem olivocerebellar loops. The floccular lobe and the oculomotor vermis share different mossy fiber inputs from the brain stem; the dorsal paraflocculus and the ansiform lobule receive corticopontine mossy fibers from postrolandic visual areas and the frontal eye fields, respectively. Of the visuomotor functions of the cerebellum, the vestibulo-ocular reflex is controlled by the floccular lobe; saccadic eye movements are controlled by the oculomotor vermis and ansiform lobule, while control of smooth pursuit involves all these cerebellar visuomotor regions. Functional imaging studies in humans further emphasize cerebellar involvement in visual reflexive eye movements and are discussed.

Tunable retina encoders for retina implants: why and how

Current research towards retina implants for partial restoration of vision in blind humans with retinal degenerative dysfunctions focuses on implant and stimulation experiments and technologies. In contrast, our approach takes the availability of an epiretinal multi-electrode neural interface for granted and studies the conditions for successful joint information processing of both retinal prosthesis and brain. Our proposed learning retina encoder (RE) includes information processing modules to simulate the complex mapping operation of parts of the 5-layered neural retina and to provide an iterative, perception-based dialog between RE and human subject. Alternative information processing technologies in the learning RE are being described, which allow an individual optimization of the RE mapping operation by means of iterative tuning with learning algorithms in a dialog between implant wearing subject and RE. The primate visual system is modeled by a retina module (RM) composed of spatio-temporal (ST) filters and a central visual system module (VM). RM performs a mapping 1 of an optical pattern P1 in the physical domain onto a retinal output vector R1(t) in a neural domain, whereas VM performs a mapping 2 of R1(t) in a neural domain onto a visual percept P2 in the perceptual domain. Retinal ganglion cell properties represent non-invertible ST filters in RE, which generate ambiguous output signals. VM generates visual percepts only if the corresponding R1(t) is properly encoded, contains sufficient information, and can be disambiguated. Based on the learning RE and the proposed visual system model, a novel retina encoder (RE*) is proposed, which considers both ambiguity removal and miniature eye movements during fixation. Our simulation results suggest that VM requires miniature eye movements under control of the visual system to retrieve unambiguous patterns P2 corresponding to P1. For retina implant applications, RE* can be tuned to generate optimal ganglion cell codes for epiretinal stimulation.

Brain activation during smooth-pursuit eye movements

A potential application of studying eye movements with functional MRI (fMRI) is to examine patient populations with known eye movement dysfunction, but the reliability with which normal subjects demonstrate activity in specific brain regions has not been established. To date, fMRI studies of smooth-pursuit eye movements have used relatively small numbers of subjects and have been restricted to fixed-effects analyses. We extend these studies to whole brain imaging at 1.5 T, properly accounting for intersubject variation using random effects analysis. Smooth-pursuit eye movements elicited activation consistently in dorsal cortical eye fields and cerebellum. Subcortical activation was greatly attenuated, but not eliminated, with the random-effects second-level analysis. In addition, session-dependent changes in activation were greater in some regions than others and may indicate areas of brain, such as the supplementary eye fields, that are sensitive to attentional modulation of eye movements.

Role of arcuate frontal cortex of monkeys in smooth pursuit eye movements. I. Basic response properties to retinal image motion and position

Anatomical and physiological studies have shown that the "frontal pursuit area" (FPA) in the arcuate cortex of monkeys is involved in the control of smooth pursuit eye movements. To further analyze the signals carried by the FPA, we examined the activity of pursuit-related neurons recorded from a discrete region near the arcuate spur during a variety of oculomotor tasks. Pursuit neurons showed direction tuning with a wide range of preferred directions and a mean full width at half-maximum of 129 degrees. Analysis of latency using the "receiver operating characteristic" to compare responses to target motion in opposite directions showed that the directional response of 58% of FPA neurons led the initiation of pursuit, while 19% led by 25 ms or more. Analysis of neuronal responses during pursuit of a range of target velocities revealed that the sensitivity to eye velocity was larger during the initiation of pursuit than during the maintenance of pursuit, consistent with two components of firing related to image motion and eye motion. FPA neurons showed correlates of two behavioral features of pursuit documented in prior reports. 1) Eye acceleration at the initiation of pursuit declines as a function of the eccentricity of the moving target. FPA neurons show decreased firing at the initiation of pursuit in parallel with the decline in eye acceleration. This finding is consistent with prior suggestions that the FPA plays a role in modulating the gain of visual-motor transmission for pursuit. 2) A stationary eccentric cue evokes a smooth eye movement opposite in direction to the cue and enhances the pursuit evoked by subsequent target motions. Many pursuit neurons in the FPA showed weak, phasic visual responses for stationary targets and were tuned for the positions about 4 degrees eccentric on the side opposite to the preferred pursuit direction. However, few neurons (12%) responded during the preparation or execution of saccades. The responses to the stationary target could account for the behavioral effects of stationary, eccentric cues. Further analysis of the relationship between firing rate and retinal position error during pursuit in the preferred and opposite directions failed to provide evidence for a large contribution of image position to the firing of FPA neurons. We conclude that FPA processes information in terms of image and eye velocity and that it is functionally separate from the saccadic frontal eye fields, which processes information in terms of retinal image position.

Neuronal Clusters in the Primate Motor Cortex during Interceptin of Moving Targets

Two rhesus monkeys were trained to intercept a moving target at a fixed location with a feedback cursor controlled bya 2-D manipulandum. The direction from which the target appeared, the time from the target onset to its arrival at the interception point, and the target acceleration were randomized for each trial, thus requiring the animal to adjust its movement according to the visual input on a trail-by-trail basis. The two animals adopted different strategies, similar to those identified previously in human subjects. Single-cell activity was recorded from the arm area of the primary motor cortex in these two animals, and the neurons were classified based on the temporal patterns in their activity, using a nonhierarchical cluster analysis. Results of this analysis revealed differences in the complexity and diversity of motor cortical activity between the two animals that paralleled those of behavioral strategies. Most clusters displayed activity closedly related to the kinematics of hand movements. In addition, some clusters displayed patterns of activation that conveyed additional information necessary for successful performance of the task, such as the initial target velocity and the interval between successive submovements, suggesting that such information is represented in selective subpopulations of neurons in the primary motor cortex. These results also suggest that conversion of information about target motion into movement-related signals takes place in a broad network of cortical areas including the primary motor cortex.

Functional anatomy of pursuit eye movements in humans as revealed by fMRI

We have investigated the functional anatomy of pursuit eye movements in humans with functional magnetic imaging. The performance of pursuit eye movements induced activations in the cortical eye fields also activated during the execution of visually guided saccadic eye movements, namely in the precentral cortex [frontal eye field (FEF)], the medial superior frontal cortex (supplementary eye field), the intraparietal cortex (parietal eye field), and the precuneus, and at the junction of occipital and temporal cortex (MT/MST) cortex. Pursuit-related areas could be distinguished from saccade-related areas both in terms of spatial extent and location. Pursuit-related areas were smaller than their saccade-related counterparts, three of eight significantly so. The pursuit-related FEF was usually inferior to saccade-related FEF. Other pursuit-related areas were consistently posterior to their saccade-related counterparts. The current findings provide the first functional imaging evidence for a distinction between two parallel cortical systems that subserve pursuit and saccadic eye movements in humans.

Visual motion analysis for pursuit eye movements in area MT of macaque monkeys

We asked whether the dynamics of target motion are represented in visual area MT and how information about image velocity and acceleration might be extracted from the population responses in area MT for use in motor control. The time course of MT neuron responses was recorded in anesthetized macaque monkeys during target motions that covered the range of dynamics normally seen during smooth pursuit eye movements. When the target motion provided steps of target speed, MT neurons showed a continuum from purely tonic responses to those with large transient pulses of firing at the onset of motion. Cells with large transient responses for steps of target speed also had larger responses for smooth accelerations than for decelerations through the same range of target speeds. Condition-test experiments with pairs of 64 msec pulses of target speed revealed response attenuation at short interpulse intervals in cells with large transient responses. For sinusoidal modulation of target speed, MT neuron responses were strongly modulated for frequencies up to, but not higher than, 8 Hz. The phase of the responses was consistent with a 90 msec time delay between target velocity and firing rate. We created a model that reproduced the dynamic responses of MT cells using divisive gain control, used the model to visualize the population response in MT to individual stimuli, and devised weighted-averaging computations to reconstruct target speed and acceleration from the population response. Target speed could be reconstructed if each neuron's output was weighted according to its preferred speed. Target acceleration could be reconstructed if each neuron's output was weighted according to the product of preferred speed and a measure of the size of its transient response.

Neural basis of endogenous and exogenous spatial orienting. A functional MRI study

Whole-brain functional magnetic resonance imaging (MRI) was used to examine the neural substrates of internally (endogenous) and externally (exogenous) induced covert shifts of attention. Thirteen normal subjects performed three orienting conditions: endogenous (location of peripheral target predicted by a central arrow 80% of the time), exogenous (peripheral target preceded by noninformative central cue). Behavioral results indicated faster reaction times (RTs) for valid than for invalid trials for the endogenous condition but slower RTs for valid than for invalid trials for the exogenous condition (inhibition of return). The spatial extent and intensity of activation was greatest for the endogenous condition, consistent with the hypothesis that endogenous orienting is more effortful (less automatic) than exogenous orienting. Overall, we did not observe distinctly separable neural systems associated with the endogenous and exogenous orienting conditions. Both exogenous and endogenous orienting, but not the control condition, activated bilateral parietal and dorsal premotor regions, including the frontal eye fields. These results suggest a specific role for these regions in preparatory responding to peripheral stimuli. The right dorsolateral prefrontal cortex (BA 46) was activated selectively by the endogenous condition. This finding suggests that voluntary, but not reflexive, shifts of attention engage working memory systems.

Providing distinct vergence and version dynamics in a bilateral oculomotor network

Given reported interactions between vergence and version dynamics, ocular reflexes cannot be properly modelled as separate independent subsystems. Using a model structure compatible with known anatomy, we show that a single bilateral system can produce results consistent with observed data both at the central and ocular levels. This model provides for both vergence and conjugate integrators in a single controller, and explains the observed modulation on abducens interneurons and mesencephalic vergence cells during vergence responses. Reported interactions between version and vergence would then be a natural consequence of a shared premotor network. Major implications include: the need to record both eyes in a protocol, since cross-talk is always possible; and adaptation to monocular changes could be distributed in all motor projections to both eyes.

"Express" smooth pursuit

For the majority of human smooth pursuit eye movements made to a horizontal ramp target of unpredictable direction, the reciprocal of the latency appears to have a Gaussian distribution of the same general form as for saccades to step targets, but with smaller median. There are more latencies shorter than some 100 msec than would be expected from such a distribution: they form a distinct population ("express smooth pursuit responses") whose distribution is similar to that of express saccades. They still occur in the absence of a cue, when the target is unpredictable.

Comparison of the smooth eye tracking disorder of schizophrenics with that of nonhuman primates with specific brain lesions

The smooth pursuit eye tracking deficit (ETD) often associated with schizophrenia has generated enormous interest over the last 20 years. The deficit is observed in about 80% of schizophrenics and in half of their first degree relatives. It is not affected by neuroleptic medication and is not due to inattention. A review of 52 studies (and actual records when available) on ETD in schizophrenia reveals that the deficit can consistently be described as low gain pursuit augmented with catch-up saccades and often peppered with intrusive saccades. A review of the brain areas that have been shown to be involved in pursuit provides the necessary background for the subsequent section which details the nature of the smooth tracking deficits following experimental lesions. This section reveals that the ETD following lesions of the frontal lobe is unique in that it closely resembles the ETD of schizophrenics. This finding lends further support for frontal lobe theories of schizophrenia.

Smooth pursuit in schizophrenia: abnormalities of open- and closed-loop responses

A sample of 29 schizophrenia patients and 27 nonpsychiatric subjects were tested on measures of open- and closed-loop smooth-pursuit performance. Rashbass step-ramps were used to measure pursuit latency and open-loop gain. Regular ramps were used to calculate frequency and amplitude of both catch-up saccades and square-wave jerks, frequency of anticipatory saccades, and steady-state gain. Schizophrenia patients demonstrated lower open-loop gain than did nonpsychiatric subjects, an effect that was accentuated at faster target velocities. They also showed reduced steady-state gain, but only to 30 degrees/s right-moving targets. There was no evidence of saccadic abnormalities during smooth pursuit among the schizophrenia patients. These patients generated fewer square-wave jerks than did nonpsychiatric subjects for 10 degrees /s left-moving targets. These results suggest an abnormality of smooth-pursuit initiation among patients with schizophrenia.

The cerebellum as a predictor of neural messages--II. Role in motor control and motion sickness

The hypothesis of a "stable estimator" was proposed in the preceding article as a circuit computing an internal estimate of a body movement variable and endowed with regulating properties. Such a circuit would exist for each variable, and would be embedded in a particular folium of the cerebellar cortex and the related paths of the brainstem nuclei and the inferior olive. In this article, the action of the premotor orders on the stable estimator circuit is studied, at initiation and during execution of voluntary movements. A feedback loop via the cerebellar cortex would control on-going movements and maintain the efficacy of the stabilizing sensorimotor reaction, while preventing its interfering with the movement. The regulating loop via the inferior olive would have a short-term role in initiating movements and would boost insufficient stabilizing reactions. The discrepancy between internal estimates of the same variable would be reflected in motion sickness.

Generation of smooth-pursuit eye movements: neuronal mechanisms and pathways

This article reviews the current state of knowledge of the primate smooth-pursuit system. The emphasis is on the neuronal mechanisms and pathways that control pursuit eye movements in the monkey. The review covers the neuronal structures believed to be involved in pursuit generation from striate cortex to the final premotoneuron structures in the brainstem. Information gathered from physiological and anatomical work is stressed.

Inferior frontal eye field projections to the pursuit-related dorsolateral pontine nucleus and middle temporal area (MT) in the monkey

Inferior frontal eye field (FEF) projections to the dorsolateral pontine nucleus (DLPN), and corticocortical connections with the superior temporal sulcal (STS) cortex, were studied in five macaque monkeys which had received horseradish peroxidase (HRP) gel implants into the inferior prearcuate cortex (including area 45 of Walker, 1940). These connections were contrasted with those from the dorsal FEF (area 8a) in another macaque monkey. Findings of heavy inferior FEF projections to the ipsilateral DLPN (light to the contralateral DLPN) and reciprocal connections with the deep caudal bank and fundus of the superior temporal sulcus (STS), presumed to be the middle temporal (MT) visual area (Maunsell & Van Essen, 1983a), appeared to go hand in hand with more pronounced projections to the stratum superficialis of the superior colliculus (SC). In contrast, the HRP gel implant in the dorsal prearcuate cortex (area 8a of Walker, 1940) resulted in only very light projections to the ipsilateral DLPN, more pronounced projections to the dorsomedial pontine nucleus (DMPN), almost no projection to the stratum superficialis (SS), and more pronounced reciprocal connections with the upper bank of the STS, presumed to be the medial superior temporal (MST) area (Maunsell & Van Essen, 1983a). Both the inferior and dorsal FEF also had extensive reciprocal connections with the ventral intraparietal area (VIP; Maunsell & Van Essen, 1983a) in the caudal bank of the intraparietal sulcus. The correlated projections of the inferior FEF to the DLPN, MT area, and SS may explain its reported role in smooth pursuit (Lynch, 1987), in addition to its well-established role in the production of voluntary purposeful saccadic eye movements (Bruce et al., 1985).

The effect on motion sickness and oculomotor function of GR 38032F, a 5-HT3-receptor antagonist with anti-emetic properties

1. The 5-hydroxytryptamine (5-HT3) receptor antagonist, GR 38032F, which possesses potent anti-emetic properties in vomiting induced by cancer chemotherapeutic drugs, has been tested to determine its value in the prophylaxis of motion sickness induced by cross-coupled stimulation. The double-blind trial compared GR 38032F with both a placebo (lactose) and with hyoscine. In addition, studies of ocular pursuit and saccadic eye movements were carried out following the administration of each drug. 2. The prophylactic effect of GR 38032F on motion-induced nausea was indistinguishable from that of placebo, whereas following hyoscine subjects showed a highly significant (P less than 0.001) increase in tolerance to cross-coupled stimulation. Tests of oculomotor function showed no effect on saccadic eye movement from either drug. However, both drugs produced a significant (P less than 0.05) though small reduction in eye velocity gain during pursuit eye movement. 3. These findings suggest that the 5-HT3 receptor is not involved in the neural pathways that bring about motion sickness, but that it may have a role in the control of ocular pursuit. The absence of an anti-motion sickness effect from a drug that is effective in the treatment of vomiting induced by cancer chemotherapy serves to emphasize that different neural mechanisms are involved in the generation of motion sickness.

Interaction of visual and non-visual signals in the initiation of smooth pursuit eye movements in primates

The initiation of smooth pursuit eye movements (PEM) by visual and non-visual signals was analysed in humans and monkeys. While PEM latency ranged around 150 ms when a purely visual target was provided, it often dropped to about 0 ms, or even became negative, when target movement was coupled to the subject's arm; this suggests that signals about the intention to move the arm can be evaluated for PEM control. Eye movements always started in the visually correct direction, independent of the sign of coupling between arm and target; from this we conclude that intentional signals are not mere triggers, but also convey directional information. Short-latency PEM trials were intermixed with those characterized by normal latencies, which often resulted in bimodal latency distributions; this suggests that visual and intentional signals compete for the control of PEM.

Supratentorial structures controlling oculomotor functions and their involvement in cases of stroke

A study is presented mainly of the supratentorial structures that play an important role in saccadic eye movements and smooth pursuit. Eye-movement impairments associated with stroke in the corresponding brain region are then described.

Predictive behavior of optokinetic eye movements

Optokinetic nystagmus is often thought of as a "primitive" oculomotor response, while smooth pursuit is thought of as a "higher" one. We have used conditions that are usually thought of as eliciting optokinetic responses; i.e., large-field stimuli confined to the retinal periphery, and instructions to subjects to respond passively. In spite of this, the responses showed predictive behavior similar to that described for smooth pursuit.

Computational model of the motor program generator for pursuit

A parallel processing neural network model of a motor program generator (MPG) for pursuit eye movements (PEM) was developed. The MPG model consists of two neural networks (velocity maps), which represent velocity values theta R and theta L respectively, as eccentric locations on the map with zero in the center. Neurons are arranged in a circular layer and connected only to their immediate neighbors. The potential field P of all neurons is analogous to a flat circular membrane whose center can be pushed up or down. During PEM one of the two maps, which are connected in a push-pull fashion, always features an activity peak (AP) which travels with constant velocity vT from one neuron to the next. The shape of P defines whether AP travels in a circle (theta = constant), towards the periphery (theta increase) or towards the center (theta decrease). Such a model provides a novel approach for understanding neural generators of non-periodical motor programs.