Abstract:
:We report a case of induced oscillopsia caused by deep brain stimulation (DBS) of the pedunculopontine nucleus (PPN). Recent reports have described involuntary oscillopsia during DBS of the PPN that patients have described as trembling vision. Here we substantiate this observation using infra-red eye tracking. It has been suggested that this phenomenon might be used as an indicator of accurate targeting of the PPN with DBS. Our observations suggest that this phenomenon may not be related to a constricted anatomical structure and therefore such practise may be unwise. Scrutiny has led us to believe that the oscillopsia in our patient is not caused by direct stimulation of the oculomotor nerve as suggested in a previous report, but by stimulation of fibres in the uncinate fasciculus of the cerebellum and the superior cerebellar peduncle, which in turn stimulate the saccadic pre-motor neurones in the brainstem.
journal_name
Stereotact Funct Neurosurgjournal_title
Stereotactic and functional neurosurgeryauthors
Jenkinson N,Brittain JS,Hicks SL,Kennard C,Aziz TZdoi
10.1159/000335871subject
Has Abstractpub_date
2012-01-01 00:00:00pages
124-9issue
2eissn
1011-6125issn
1423-0372pii
000335871journal_volume
90pub_type
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journal_title:Stereotactic and functional neurosurgery
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journal_title:Stereotactic and functional neurosurgery
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journal_title:Stereotactic and functional neurosurgery
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journal_title:Stereotactic and functional neurosurgery
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journal_title:Stereotactic and functional neurosurgery
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pub_type: 杂志文章
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