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Brain, Vol. 109, No. 1, 159-180, 1986
© 1986 Oxford University Press

research-article

LATE CORTICAL CEREBELLAR ATROPHY

CLINICAL AND OCULOGRAPHIC FEATURES

R. W. BALOH1,3,, R. D. YEE2 and V. HONRUBIA3

1 Department of Neurology, UCLA School of Medicine Los Angeles, California, USA 2 Jules Stein Eye Institute, Department of Ophthalmology, UCLA School of Medicine Los Angeles, California, USA 3 Department of Surgery (Head and Neck), UCLA School of Medicine Los Angeles, California, USA

Correspondence to: Correspondence to Dr R. W Baloh, Department of Neurology, UCLA School of Medicine, Los Angeles, California 90024, USA.

Ten patients with late cortical cerebellar atrophy documented with computerized tomography (CT) and magnetic resonance (MR) imaging presented a uniform pattern of oculomotor abnormalities. All had deficits in smooth pursuit and fixation suppression of the vestibulo-ocular reflex (VOR) The gain of the VOR was often increased but the dynamics of the VOR were not different from normals. Full-field optokinetic responses and visual-vestibular interaction mediated via the VOR velocity storage element were preserved. Just as in lower primates, the cerebellum in humans is a critical relay station for foveal pursuit and visual-vestibular interaction requiring foveal pursuit. Vestibular responses and visual-vestibular interaction mediated through the VOR velocity storage element are relatively independent of the cerebellum

Received March 26, 1985. Revised May 31, 1985. Accepted June 11, 1985.


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