Researchers from Johns Hopkins University, Department of Neurology describe findings in ataxia telangiectasia
2009 AUG 4 - (NewsRx.com) -- Investigators publish new data in the report 'Gaze fixation deficits and their implication in ataxia-telangiectasia.' According to recent research published in the Journal of Neurology, Neurosurgery, and Psychiatry, "Ataxia-telangiectasia (A-T) is an autosomal recessive disorder characterised by progressive neurological deficits, including prominent ocular motor dysfunction. Unstable fixation often leads to difficulty reading and blurred vision." "Here we characterise the disturbance of visual fixation in A-T. Eye movements were recorded from 13 A-T patients (with dual search coils in five patients and video oculography in seven) during attempted fixation. Two abnormalities--nystagmus and saccadic intrusions--were common. Horizontal, vertical and torsional nystagmus was present in straight ahead (spontaneous nystagmus) and eccentric gaze (gaze evoked nystagmus). In eight patients the horizontal nystagmus changed directions--periodic alternating nystagmus (PAN). Two types of saccadic intrusions were seen--micro-saccadic oscillations (SO) and square wave saccadic intrusions (SWSI). SO were small amplitude (0.1-0.9 degrees) and high frequency (14-33 Hz) back to back horizontal saccades. SWSI ranged between 1 degree and 18 degrees (median 3 degrees) with an intersaccadic interval ranging between 50 and 800 ms (median 300 ms). The potential impact of abnormal gaze stabilisation on vision was quantified. Degeneration of cerebellar Purkinje neurons disinhibit the caudal fastigial oculomotor region (FOR) and vestibular nuclei (VN)," wrote A.G. Shaikh and colleagues, Johns Hopkins University, Department of Neurology. The researchers concluded: "Disinhibition of VN can cause nystagmus, including PAN, while disinhibition of FOR can affect saccade generating mechanisms, leading to SWSI and SO." Shaikh and colleagues published their study in the Journal of Neurology, Neurosurgery, and Psychiatry (Gaze fixation deficits and their implication in ataxia-telangiectasia. Journal of Neurology, Neurosurgery, and Psychiatry, 2009;80(8):858-64). For additional information, contact A.G. Shaikh, The Johns Hopkins University, Dept. of Neurology, Baltimore, Maryland USA.. The publisher's contact information for the Journal of Neurology, Neurosurgery, and Psychiatry is: Springer, 233 Spring Street, New York, NY 10013, USA. Keywords: United States, Baltimore, Ataxia Telangiectasia, Ataxia-telangiectasia, Dermatology, Genetics, Neurology, Neurosurgery, Pathologic Nystagmus, Psychiatry, Surgery, Telangiectasia, Urology. This article was prepared by Life Science Weekly editors from staff and other reports. Copyright 2009, Life Science Weekly via NewsRx.com.
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