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Chapter 11 - Oculomotor and Visual-Vestibular Disturbances in Parkinson’s Disease

Published online by Cambridge University Press:  05 March 2022

By
Adolfo M. Bronstein ,
Tim Anderson ,
Diego Kaski ,
Michael MacAskill  and
Aasef Shaikh
Edited by
Néstor Gálvez-Jiménez ,
Amos D. Korczyn  and
Ramón Lugo-Sanchez
Néstor Gálvez-Jiménez
Affiliation:
Florida International University
Amos D. Korczyn
Affiliation:
Tel-Aviv University
Ramón Lugo-Sanchez
Affiliation:
Cleveland Clinic
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Summary

In this chapter we will describe how Parkinson’s disease (PD) affects patients’ eye movements, both bedside and laboratory, preceded by brief review of the anatomo-physiological substrate of eye movements. We will provide a practical summary of how to use the eye movement examination to aid the differential diagnosis of the parkinsonian syndromes, in particular idiopathic PD from multiple system atrophy (MSA), progressive supranuclear palsy (PSP), and corticobasal syndrome (CBS). A sub-section will describe how deep brain stimulation (DBS) also influences eye movements in PD. Despite a plethora of eye movement laboratory studies in PD it is still relatively unknown what the eye movements of these patients are like in real life. Given that the eyes move in order to see better, does the akinesia of PD impose visual deprivation or delays during ecological whole-body movements?.

Type
Chapter
Information
Non-motor Parkinson's Disease , pp. 115 - 129
Publisher: Cambridge University Press
Print publication year: 2022

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