[Changes and disorders in voluntary saccades during development and aging].
We examined age-dependent changes in voluntary eye movements in normal subjects (age : 5-76) using a visually guided saccade (V-saccade) task and a memory guided saccade (M-saccade) task. Changes were more evident in M-saccades. The latencies were long in children (< 12 y.o.) and elderly people (> 50 y.o.). Both young children and elderly people tended to break fixation by making a saccade to the cue stimulus that indicated the future target position. On the other hand, both young children and elderly people tended to be slow in making M-saccade promptly after the central fixation point went off. Thus, they had difficulties both in suppressing unnecessary saccades and in initiating saccades based on memory. Interestingly, similar difficulties were observed, in exaggerated forms, in patients in basal ganglia disorders, such as Parkinson's disease, juvenile parkinsonism, dopa-responsive dystonia, and hereditary progressive dystonia with marked diurnal fluctuation. These findings were consistent with the known functions of the basal ganglia which have been revealed by physiological studies using trained monkeys. The substantia nigra pars reticulata exerts tonic inhibitory influences over the superior colliculus, thereby preventing excitatory inputs from triggering unnecessary saccades. The tonic inhibition, however, is removed by a phasic inhibition largely originating in the caudate nucleus. Thus, inhibition and disinhibition are key mechanisms of the basal ganglia. In fact, experimental manipulations of these serial inhibitory pathway in the basal ganglia led either to the difficulty in initiation of saccades, especially M-saccades, or to the difficulty in suppressing unnecessary saccades. These comparisons suggest that the functions of the basal ganglia are immature in young children while they become deteriorated in elderly people.
Hikosaka
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Department of Physiology, Juntendo University School of Medicine, Tokyo.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002648:Child; D002675:Child, Preschool; D006801:Humans; D008875:Middle Aged; D012438:Saccades / Q000502:physiology*