Voluntary Saccadic Eye Movements Research Articles

Reflexive and voluntary saccadic eye movements as biomarker of Huntington's Disease.

Subtle abnormalities in the preclinical stage of Huntington's Disease (HD) can be detected using saccadic eye movement assessment reflecting disease progression. This study was aimed to evaluate abnormalities in saccade parameters in asymptomatic carriers and symptomatic HD patients at various stages of HD. The study enrolled 104 participants, including 14 asymptomatic carriers of HTT mutations, 44 symptomatic HD patients, and 46 control subjects. HD severity was measured using the Unified Huntington's Disease Rating Scale Total Motor Score (UHDRS-TMS) and Total Functional Capacity Scale (TFC). The evaluation of rapid eye movements (reflexive saccades, anti-saccades, memory-guided saccades) was carried out using 'Saccadometer Research'. Measures of reflexive and volitional saccades did not differ between the asymptomatic carriers and controls. Significant latency prolongation and increased physiological variability of latency times, as well as higher error rates among HD patients, were found in all saccade tasks (p < 0.001) compared to the controls. Abnormalities in saccade parameters were more pronounced in the advanced stages of the disease. Latency of saccades and error rate of volitional saccades correlated with the UHDRS-TMS and TFC scores. The saccade parameters in asymptomatic HD carriers with a long time to disease development were similar to those in the control group. Saccade abnormalities appeared in symptomatic patients at the beginning of the disease, and correlated with HD severity.

The reduction of saccadic inhibition by distractor repetition.

When visual distractors are presented far from the goal of an impending voluntary saccadic eye movement, saccade execution will occur less frequently about 90 ms after distractor appearance, a phenomenon known as saccadic inhibition. However, it is also known that neural responses in visual and visuomotor areas of the brain will be attenuated if a visual stimulus appears several times in the same location in rapid succession. In particular, such visual adaptation can affect neurons in the mammalian superior colliculus (SC). As the SC is known to be intimately involved in the production of saccadic eye movements, and thus perhaps in saccadic inhibition, we used a memory-guided saccade task to test whether saccadic inhibition in humans would diminish if a distractor appeared several times in quick succession. We found that distractor repetition reduced saccadic inhibition considerably when distractors appeared opposite in space to the goal of the impending saccade. In addition, when three distractors appeared in quick succession but in different, spatially disparate locations, with only the final distractor appearing opposite the saccade goal, saccadic inhibition was reduced by an intermediate level, suggesting that its reduction due to distractor inhibition spatially generalizes. This suggests that distractor suppression can help reduce the impact that suddenly appearing visual stimuli have on purposive eye movement behavior.NEW & NOTEWORTHY This work combines approaches studying saccadic inhibition and visual adaptation to demonstrate that saccadic inhibition is largely eliminated with stimulus repetition. This is likely to be the largest demonstrated effect of visual stimulus context on saccadic inhibition. It also provides evidence for the existence of a mechanism that acts to suppress the effect of frequently appearing visual stimuli on purposive eye movement behavior in dynamic visual environments.

New insights into cerebellar dysfunction in patients with delusional disorder: A systematic review

IntroductionThe cerebellum has been implicated in cognitive, affective and motor functions, including emotion regulation, executive control and sensorimotor processing. In schizophrenia, cerebellar dysfunction has been associated with treatment resistance and clinical features. However, few studies have been focused on delusional disorder (DD).ObjectivesOur main purpose was to review the evidence available on cerebellum abnormalities and dysfunctions in patients with DD.MethodsA systematic review was conducted through PubMed, Scopus and ClinicalTrials.gov (inception-June 2022) according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) directives. The following search terms were used: cerebellum OR cerebellar AND (“delusional disorder” AND paranoia). Reference lists from included studies were hand-checked to find other potential relevant papers.ResultsSix studies were included from a total of 119 retrieved records (PubMed: 52, Scopus: 66, ClinicalTrials.gov: 1). Study 1:Patients with DD somatic type (n=14) presented a decreased gray matter volume in cerebellar lobules compared to healthy controls (HC) (n=32, left lobule VIIIa) and non-somatic DD (n=18, lobule V). Cerebellar volumes did not seem to differ between HC and non-somatic DD. Study 2:Abnormalities of voluntary saccadic eye movements, linking frontal and cerebellar functions, were found in DD patients (n=34) compared to HC (n=40). Study 3: Abnormal smooth pursuit eye movements in DD (n=15) compared with HC (n=40) and similar to schizophrenia (n=40). Case reports (n=3): DD associated with Dandy-Walker variant (partial vermian hypoplasia), unruptured intracerebral aneurysm of basilar artery, and megacisterna magna.ConclusionsCerebellar deficits in patients with DD has been reported, particularly in those presenting somatic delusional contents.Disclosure of InterestNone Declared

Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Updated Clinical Practice Guideline From the Academy of Neurologic Physical Therapy of the American Physical Therapy Association.

Background:Uncompensated vestibular hypofunction can result in symptoms of dizziness, imbalance, and/or oscillopsia, gaze and gait instability, and impaired navigation and spatial orientation; thus, may negatively impact an individual's quality of life, ability to perform activities of daily living, drive, and work. It is estimated that one-third of adults in the United States have vestibular dysfunction and the incidence increases with age. There is strong evidence supporting vestibular physical therapy for reducing symptoms, improving gaze and postural stability, and improving function in individuals with vestibular hypofunction. The purpose of this revised clinical practice guideline is to improve quality of care and outcomes for individuals with acute, subacute, and chronic unilateral and bilateral vestibular hypofunction by providing evidence-based recommendations regarding appropriate exercises.Methods:These guidelines are a revision of the 2016 guidelines and involved a systematic review of the literature published since 2015 through June 2020 across 6 databases. Article types included meta-analyses, systematic reviews, randomized controlled trials, cohort studies, case-control series, and case series for human subjects, published in English. Sixty-seven articles were identified as relevant to this clinical practice guideline and critically appraised for level of evidence.Results:Based on strong evidence, clinicians should offer vestibular rehabilitation to adults with unilateral and bilateral vestibular hypofunction who present with impairments, activity limitations, and participation restrictions related to the vestibular deficit. Based on strong evidence and a preponderance of harm over benefit, clinicians should not include voluntary saccadic or smooth-pursuit eye movements in isolation (ie, without head movement) to promote gaze stability. Based on moderate to strong evidence, clinicians may offer specific exercise techniques to target identified activity limitations and participation restrictions, including virtual reality or augmented sensory feedback. Based on strong evidence and in consideration of patient preference, clinicians should offer supervised vestibular rehabilitation. Based on moderate to weak evidence, clinicians may prescribe weekly clinic visits plus a home exercise program of gaze stabilization exercises consisting of a minimum of: (1) 3 times per day for a total of at least 12 minutes daily for individuals with acute/subacute unilateral vestibular hypofunction; (2) 3 to 5 times per day for a total of at least 20 minutes daily for 4 to 6 weeks for individuals with chronic unilateral vestibular hypofunction; (3) 3 to 5 times per day for a total of 20 to 40 minutes daily for approximately 5 to 7 weeks for individuals with bilateral vestibular hypofunction. Based on moderate evidence, clinicians may prescribe static and dynamic balance exercises for a minimum of 20 minutes daily for at least 4 to 6 weeks for individuals with chronic unilateral vestibular hypofunction and, based on expert opinion, for a minimum of 6 to 9 weeks for individuals with bilateral vestibular hypofunction. Based on moderate evidence, clinicians may use achievement of primary goals, resolution of symptoms, normalized balance and vestibular function, or plateau in progress as reasons for stopping therapy. Based on moderate to strong evidence, clinicians may evaluate factors, including time from onset of symptoms, comorbidities, cognitive function, and use of medication that could modify rehabilitation outcomes.Discussion:Recent evidence supports the original recommendations from the 2016 guidelines. There is strong evidence that vestibular physical therapy provides a clear and substantial benefit to individuals with unilateral and bilateral vestibular hypofunction.Limitations:The focus of the guideline was on peripheral vestibular hypofunction; thus, the recommendations of the guideline may not apply to individuals with central vestibular disorders. One criterion for study inclusion was that vestibular hypofunction was determined based on objective vestibular function tests. This guideline may not apply to individuals who report symptoms of dizziness, imbalance, and/or oscillopsia without a diagnosis of vestibular hypofunction.Disclaimer:These recommendations are intended as a guide to optimize rehabilitation outcomes for individuals undergoing vestibular physical therapy. The contents of this guideline were developed with support from the American Physical Therapy Association and the Academy of Neurologic Physical Therapy using a rigorous review process. The authors declared no conflict of interest and maintained editorial independence.Video available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A369).

Deficits in saccadic eye movements differ between subtypes of patients with mild cognitive impairment

ABSTRACT Introduction: Mild cognitive impairment (MCI) is known to be heterogeneous in its cognitive features and course of progression. Whilst memory impairment is characteristic of amnestic MCI (aMCI), cognitive deficits other than memory can occur in both aMCI and non-amnestic MCI (naMCI) and accurate assessment of the subtypes of MCI is difficult for clinicians without the application of extensive neuropsychological testing. In this study, we examine metrics derived from recording of reflexive and voluntary saccadic eye movements as a potential alternative method for discriminating between subtypes and assessing cognitive functions in MCI. Method: A total of 29 MCI patients and 29 age- and education-matched healthy controls (HCs) participated in the cross-sectional study. We recorded horizonta l and vertical pro-saccades and anti-saccade responses. All the participants also completed a comprehensive neuropsychological tests battery. Results: Significant differences in saccadic eye movement were found between the subtypes of MCI and HCs. Patients with aMCI had a higher percentage of short latency “express” saccades than HCs. We found strong associations between saccadic reaction times and cognitive domains, including executive functions and attention. The mini-mental state examination (MMSE) was also found to correlate with uncorrected errors in the anti-saccade task. Conclusions: The increased proportion of saccades in the express latency range in aMCI may be indicative of problems with cognitive inhibitory control in these patients. A focus on this and other saccade metrics in the preclinical and prodromal stages of dementia may help to predict the clinical progression of the disease and direct interventions for the management of MCI. The clinical significance of saccadic eye movement impairments in MCI is not yet fully understood and should be investigated in further studies using larger samples.

Detection of Parkinson’s disease from handwriting using deep learning: a comparative study

Degenerative disorders such as Parkinson’s disease (PD) have an influence on daily activities due to rigidity of muscles, tremor or cognitive impairment. Micrographia, speech intensity, and deficient generation of voluntary saccadic eye movements (Pretegiani and Optican in Front Neurol 8:592, 2017) are manifestations of PD that can be used to devise noninvasive and low cost clinical tests. In this context, we have collected a multimodal dataset that we call Parkinson’s disease Multi-Modal Collection (PDMultiMC), which includes online handwriting, speech signals, and eye movements recordings. We present here the handwriting dataset that we call HandPDMultiMC that will be made publicly available. The HandPDMultiMC dataset includes handwriting samples from 42 subjects (21 PD and 21 controls). In this work we investigate the application of various Deep learning architectures, namely the CNN and the CNN-BLSTM, to PD detection through time series classification. Various approaches such as Spectrograms have been applied to encode pen-based signals into images for the CNN model, while the raw time series are directly used in the CNN-BLSTM. In order to train these models for PD detection on large scale data, various data augmentation approaches for pen-based signals are proposed. Experimental results on our dataset show that the best performance for early PD detection (97.62% accuracy) is reached by a combination of CNN-BLSTM models trained with Jittering and Synthetic data augmentation approaches. We also illustrate that deep architectures can surpass the models trained on pre-engineered features even though the available data is small.

Voluntary Saccadic Eye Movements Ride the Attentional Rhythm.

Visual perception seems continuous, but recent evidence suggests that the underlying perceptual mechanisms are in fact periodic-particularly visual attention. Because visual attention is closely linked to the preparation of saccadic eye movements, the question arises how periodic attentional processes interact with the preparation and execution of voluntary saccades. In two experiments, human observers made voluntary saccades between two placeholders, monitoring each one for the presentation of a threshold-level target. Detection performance was evaluated as a function of latency with respect to saccade landing. The time course of detection performance revealed oscillations at around 4 Hz both before the saccade at the saccade origin and after the saccade at the saccade destination. Furthermore, oscillations before and after the saccade were in phase, meaning that the saccade did not disrupt or reset the ongoing attentional rhythm. Instead, it seems that voluntary saccades are executed as part of an ongoing attentional rhythm, with the eyes in flight during the troughs of the attentional wave. This finding for the first time demonstrates that periodic attentional mechanisms affect not only perception but also overt motor behavior.

Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Evidence-Based Clinical Practice Guideline: FROM THE AMERICAN PHYSICAL THERAPY ASSOCIATION NEUROLOGY SECTION.

Uncompensated vestibular hypofunction results in postural instability, visual blurring with head movement, and subjective complaints of dizziness and/or imbalance. We sought to answer the question, "Is vestibular exercise effective at enhancing recovery of function in people with peripheral (unilateral or bilateral) vestibular hypofunction?" A systematic review of the literature was performed in 5 databases published after 1985 and 5 additional sources for relevant publications were searched. Article types included meta-analyses, systematic reviews, randomized controlled trials, cohort studies, case control series, and case series for human subjects, published in English. One hundred thirty-five articles were identified as relevant to this clinical practice guideline. Based on strong evidence and a preponderance of benefit over harm, clinicians should offer vestibular rehabilitation to persons with unilateral and bilateral vestibular hypofunction with impairments and functional limitations related to the vestibular deficit. Based on strong evidence and a preponderance of harm over benefit, clinicians should not include voluntary saccadic or smooth-pursuit eye movements in isolation (ie, without head movement) as specific exercises for gaze stability. Based on moderate evidence, clinicians may offer specific exercise techniques to target identified impairments or functional limitations. Based on moderate evidence and in consideration of patient preference, clinicians may provide supervised vestibular rehabilitation. Based on expert opinion extrapolated from the evidence, clinicians may prescribe a minimum of 3 times per day for the performance of gaze stability exercises as 1 component of a home exercise program. Based on expert opinion extrapolated from the evidence (range of supervised visits: 2-38 weeks, mean = 10 weeks), clinicians may consider providing adequate supervised vestibular rehabilitation sessions for the patient to understand the goals of the program and how to manage and progress themselves independently. As a general guide, persons without significant comorbidities that affect mobility and with acute or subacute unilateral vestibular hypofunction may need once a week supervised sessions for 2 to 3 weeks; persons with chronic unilateral vestibular hypofunction may need once a week sessions for 4 to 6 weeks; and persons with bilateral vestibular hypofunction may need once a week sessions for 8 to 12 weeks. In addition to supervised sessions, patients are provided a daily home exercise program. These recommendations are intended as a guide for physical therapists and clinicians to optimize rehabilitation outcomes for persons with peripheral vestibular hypofunction undergoing vestibular rehabilitation.Video Abstract available for more insights from the author (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A124).

Identification of Double-Step Saccades Elicited by Auditory Double-Step Stimuli

Voluntary Saccadic eye movements can have visual, auditory, and auditory-visual bisensory origins. An experiment may be defined to examine how changing the type of sensory inputs and the number of them in a sequence reveals the type of the saccade generated by the oculomotor system; herein deemed single-step or double-step. This work reports design of experiments of double-step auditory stimuli played for human subjects, recording triggered saccadic eye movements, detecting each saccade, as well as estimating the saccade response characteristics, namely duration and latency. Based on the latency, then, it determines the type of the generated saccade by the subject through a clustering technique. We found that when doubling the amplitude of the two separate steps in double-step inputs, while keeping their duration unchanged, the number of triggered double-step saccades rises. The hindsight from this finding is useful because it can guide future stimulus designs to trigger specific saccade types in humans. Such designs, in turn, demystify the nature of dominant saccadic response as we explore the changes of sounds in any controlled environment.

Temporal order judgments are disrupted more by reflexive than by voluntary saccades

We do not always perceive the sequence of events as they actually unfold. For example, when two events occur before a rapid eye movement (saccade), the interval between them is often perceived as shorter than it really is and the order of those events can be sometimes reversed (Morrone MC, Ross J, Burr DC. Nat Neurosci 8: 950-954, 2005). In the present article we show that these misperceptions of the temporal order of events critically depend on whether the saccade is reflexive or voluntary. In the first experiment, participants judged the temporal order of two visual stimuli that were presented one after the other just before a reflexive or voluntary saccadic eye movement. In the reflexive saccade condition, participants moved their eyes to a target that suddenly appeared. In the voluntary saccade condition, participants moved their eyes to a target that was present already. Similarly to the above-cited study, we found that the temporal order of events was often misjudged just before a reflexive saccade to a suddenly appearing target. However, when people made a voluntary saccade to a target that was already present, there was a significant reduction in the probability of misjudging the temporal order of the same events. In the second experiment, the reduction was seen in a memory-delay task. It is likely that the nature of the motor command and its origin determine how time is perceived during the moments preceding the motor act.

Cross-frequency interaction of the eye-movement related LFP signals in V1 of freely viewing monkeys

Recent studies have emphasized the functional role of neuronal activity underlying oscillatory local field potential (LFP) signals during visual processing in natural conditions. While functionally relevant components in multiple frequency bands have been reported, little is known about whether and how these components interact with each other across the dominant frequency bands. We examined this phenomenon in LFP signals obtained from the primary visual cortex of monkeys performing voluntary saccadic eye movements (EMs) on still images of natural-scenes. We identified saccade-related changes in respect to power and phase in four dominant frequency bands: delta-theta (2–4 Hz), alpha-beta (10–13 Hz), low-gamma (20–40 Hz), and high-gamma (>100 Hz). The phase of the delta-theta band component is found to be entrained to the rhythm of the repetitive saccades, while an increment in the power of the alpha-beta and low-gamma bands were locked to the onset of saccades. The degree of the power modulation in these frequency bands is positively correlated with the degree of the phase-locking of the delta-theta oscillations to EMs. These results suggest the presence of cross-frequency interactions in the form of phase-amplitude coupling (PAC) between slow (delta-theta) and faster (alpha-beta and low gamma) oscillations. As shown previously, spikes evoked by visual fixations during free viewing are phase-locked to the fast oscillations. Thus, signals of different types and at different temporal scales are nested to each other during natural viewing. Such cross-frequency interaction may provide a general mechanism to coordinate sensory processing on a fast time scale and motor behavior on a slower time scale during active sensing.

Modeling the role of basal ganglia in saccade generation: Is the indirect pathway the explorer?

We model the role played by the Basal Ganglia (BG) in the generation of voluntary saccadic eye movements. The BG model explicitly represents key nuclei like the striatum (caudate), Substantia Nigra pars reticulata (SNr) and compata (SNc), the Subthalamic Nucleus (STN), the two pallidal nuclei and Superior Colliculus. The model is cast within the Reinforcement Learning (RL) framework, with the dopamine representing the temporal difference error, the striatum serving as the critic, and the indirect pathway playing the role of the explorer. Performance of the model is evaluated on a set of tasks such as feature and conjunction searches, directional selectivity and a successive saccade task. Behavioral phenomena such as independence of search time on number of distractors in feature search and linear increase in search time with number of distractors in conjunction search are observed. It is also seen that saccadic reaction times are longer and search efficiency is impaired on diminished BG contribution, which corroborates with reported data obtained from Parkinson's Disease (PD) patients.

Effects of haloperidol on cognition in schizophrenia patients depend on baseline performance: A saccadic eye movement study

Schizophrenic patients are heterogeneous with respect to voluntary eye movement performance, with some showing impairment (e.g., high antisaccade error rates) and others having intact performance. To investigate how this heterogeneity may correlate with different cognitive outcomes after treatment, we used a prosaccade and antisaccade task to investigate the effects of haloperidol in schizophrenic subjects at three time points: baseline (before medication), 3-5 days post-medication, and 12-14 days post-medication. We also investigated changes on the Stroop Task and the Positive and Negative Syndrome Scale (PANSS) in these same subjects. Results were compared to matched controls. When considered as a single patient group, haloperidol had no effects across sessions on reflexive and voluntary saccadic eye movements of schizophrenic patients. In contrast, the performance of the Control group improved slightly but significantly across sessions on the voluntary eye movement task. When each subject was considered separately, interestingly, for schizophrenic patients change in voluntary eye movement performance across sessions depended on the baseline performance in a non-monotonic manner. That is, there was maximal worsening of voluntary eye movement performance at an intermediate level of baseline performance and the worsening decreased on either side of this intermediate baseline level. When patients were divided into categorical subgroups (nonimpaired and impaired), consistent with the non-monotonic relationship, haloperidol worsened voluntary eye movement performance in the nonimpaired patients and improved performance in the impaired patients. These results were only partially reflected in the Stroop Test. Both patient subgroups showed clinically significant improvement over time as measured by the PANSS. These findings suggest that haloperidol has different effects on cognitive performance in impaired and nonimpaired schizophrenic patients that are not evident in clinical ratings based on the PANSS. Given that good cognitive function is important for long-term prognosis and that there is heterogeneity in schizophrenia, these findings are critical for optimal evaluation and treatment of schizophrenic patients.

The use of zolpidem in the treatment of progressive supranuclear palsy

Progressive supranuclear palsy (PSP) is a debilitating progressive neurodegenerative disorder for which there is no proven pharmacological treatment. Zolpidem immediate release formulation has been reported to show short-term improvements in motor function and voluntary saccadic eye movements, but the benefits were not sustained. A 61-year-old man with a 4-year history of PSP was observed over 6 months to have sustained improvement in motor function, pseudobulbar symptoms and ocular motility 2 months after commencing zolpidem controlled release (CR) formulation. He was admitted to hospital and a detailed neurological and functional assessment recorded on video after withdrawal of zolpidem CR, and again following re-introduction of the medication. Within 1 hour of administration of 25 mg zolpidem CR the patient had a dramatic improvement in fine motor skills, dexterity, speed and fluidity of movement, facial and vocal expression, oropharyngeal coordination and function and pursuit, and voluntary saccadic eye movements. These improvements were observed for 4 hours to 5 hours post-dose and were reproducible on subsequent withdrawal and re-challenging. We found that zolpidem CR, a gamma aminobutryic acid (GABA)ergic agonist of the benzodiazepine type 1 receptor, caused sustained improvement in motor and ocular symptoms in a patient with PSP over 6 months. Further studies are needed to determine the potential roles of GABA neurotransmission in PSP.

Inhibition of voluntary saccadic eye movement commands by abrupt visual onsets.

Saccadic eye movements are made both to explore the visual world and to react to sudden sensory events. We studied the ability for humans to execute a voluntary (i.e., nonstimulus-driven) saccade command in the face of a suddenly appearing visual stimulus. Subjects were required to make a saccade to a memorized location when a central fixation point disappeared. At varying times relative to fixation point disappearance a visual distractor appeared at a random location. When the distractor appeared at locations distant from the target virtually no saccades were initiated in a 30- to 40-ms interval beginning 70-80 ms after appearance of the distractor. If the distractor was presented slightly earlier relative to saccade initiation then saccades tended to have smaller amplitudes, with velocity profiles suggesting that the distractor terminated them prematurely. In contrast, distractors appearing close to the saccade target elicited express saccade-like movements 70-100 ms after their appearance, although the saccade endpoint was generally scarcely affected by the distractor. An additional experiment showed that these effects were weaker when the saccade was made to a visible target in a delayed task and still weaker when the saccade itself was made in response to the abrupt appearance of a visual stimulus. A final experiment revealed that the effect is smaller, but quite evident, for very small stimuli. These results suggest that the transient component of a visual response can briefly but almost completely suppress a voluntary saccade command, but only when the stimulus evoking that response is distant from the saccade goal.

Cortical and cerebellar activation induced by reflexive and voluntary saccades

Reflexive saccades are driven by visual stimulation whereas voluntary saccades require volitional control. Behavioral and lesional studies suggest that there are two separate mechanisms involved in the generation of these two types of saccades. This study investigated differences in cerebral and cerebellar activation between reflexive and self-paced voluntary saccadic eye movements using functional magnetic resonance imaging. In two experiments (whole brain and cerebellum) using the same paradigm, differences in brain activations induced by reflexive and self-paced voluntary saccades were assessed. Direct comparison of the activation patterns showed that the frontal eye fields, parietal eye field, the motion-sensitive area (MT/V5), the precuneus (V6), and the angular and the cingulate gyri were more activated in reflexive saccades than in voluntary saccades. No significant difference in activation was found in the cerebellum. Our results suggest that the alleged separate mechanisms for saccadic control of reflexive and self-paced voluntary are mainly observed in cerebral rather than cerebellar areas.

Pre-Emptive Perception

How can an action to a target be selected without yet knowing what it is? Pre-emptive perception (PEP) is a framework which orders neuronal mechanisms in association with voluntary actions before an action is started and until it is completed. It is assumed that PEP serves the purpose of perception, but a conscious, perceptual identification of the goal is not obligatorily completed during the time period of PEP itself. The concept of PEP is that the brain pre-emptively optimizes an action plan to maximize eventual perception, even before being sure what the goal is. Experimental studies of voluntary saccadic eye movements are considered as prototypic activity within the framework of PEP. The core concept of pre-emption is that a particular saccade is selected while a large number of other possible actions are deselected. Pre-emptive computations include mechanisms associated with internal context and reward. Neurophysiological studies which show anatomically and functionally separate cortical and some subcortical neuronal groups in computing saccades are summarized. There is a potential relationship of PEP as a neurobiological framework and some philosophical concepts. Terms for processes between planning and action, such as intention, anticipation, and attention, are often incongruent in everyday language and in epistemology. It is proposed here that a scrutiny of these terms can be rigorously approached by temporal subdivision of PEP and conversely, clear definitions of these terms can lead to organized experimental designs of cognitive neurobiology. The temporal subdivision of PEP allows a critique of The Will in the definition of Schopenhauer and distinguishes it from the 'free will'.

Exploring the visual world: The neural substrate of spatial orienting

Inspecting the visual environment, humans typically direct their attention across space by means of voluntary saccadic eye movements. Neuroimaging studies in healthy subjects have identified the superior parietal cortex and intraparietal sulcus as important structures involved in visual search. However, in apparent contrast, spatial disturbance of free exploration typically is observed after damage of brain structures located far more ventrally. Lesion studies in such patients disclosed the inferior parietal lobule (IPL) and temporo-parietal junction (TPJ), the superior temporal gyrus (STG) and insula, as well as the inferior frontal gyrus (IFG) of the right hemisphere. Here we used functional magnetic resonance imaging to investigate the involvement of these areas in active visual exploration in the intact brain. We conducted a region of interest analysis comparing free visual exploration of a dense stimulus array with the execution of stepwise horizontal and vertical saccades. The comparison of BOLD responses revealed significant signal increases during exploration in TPJ, STG, and IFG. This result calls for a reappraisal of the previous thinking on the function of these areas in visual search processes. In agreement with lesion studies, the data suggest that these areas are part of the network involved in human spatial orienting and exploration. The IPL dorsally of TPJ seem to be of minor importance for free visual exploration as these areas appear to be equally involved in the execution of spatially predetermined saccades.

Contribution of the Monkey Frontal Eye Field to Covert Visual Attention

The frontal eye field (FEF) has long been regarded as a cortical area critically involved in the execution of voluntary saccadic eye movements. However, recent studies have suggested that the FEF may also play a role in orienting attention. To address this issue, we reversibly inactivated the FEF using multiple microinjections of muscimol, a GABAA agonist, in two macaque monkeys performing visually guided saccades to a single target. The effects of FEF inactivation were also studied in a covert visual search task that required monkeys to search for a target presented among several distractors without making any eye movements. As expected, inactivating the FEF caused spatially selective deficits in executing visually guided saccades, but it also altered the ability to detect a visual target presented among distractors when no eye movements were permitted. These results allow us to conclude definitively to an involvement of the FEF in both oculomotor and attentional functions. Comparison of the present results with a similar experiment conducted in the lateral intraparietal cortex area revealed qualitatively different deficits, suggesting that the two areas may make distinct contributions to selective attention processes.

Voluntary saccadic eye movements in humans studied with a double-cue paradigm

In the classic double-step paradigm, subjects are required to make a saccade to a visual target that is briefly presented at one location and then shifted to a new location before the subject has responded. The saccades in this situation are “reflexive” in that they are made in response to the appearance of the target itself. In the present experiments we adapted the double-step paradigm to study “voluntary” saccades. For this, several identical targets were always visible and subjects were given a cue to indicate that they should make a saccade to one of them. This cue was then changed to indicate another of the targets before the subject had responded: double-cue (DC) paradigm. The saccadic eye movements in our DC paradigm had many features in common with those in the double-step paradigm and we show that apparent differences can be attributed to the spatio-temporal arrangements of the cues/targets rather than to any intrinsic differences in the programming of these two kinds of eye movements. For example, a feature of our DC paradigm that is not seen in the usual double-step paradigm is that the second cue could cause transient delays of the initial saccade, and these delays still occurred when the second cue was reflexive––provided that it was at the fovea (as in our DC paradigm) and not in the periphery (as in the usual double-step paradigm). Thus, the critical factor for the delay was the retinal (foveal) location of the second cue/target––not whether it was cognitive or reflexive––and we argue that the second cue/target is here acting as a distractor. We conclude that the DC paradigm can be used to study the programming of voluntary saccades in the same way that the double-step paradigm can be used to study reflexive saccades.