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I. Quantitative Analysis of Refixation Saccades in a Hemispherectomy Patient

B. Todd Troost, MD; Ronald B. Weber, MD; Robert B. Daroff, MD

Arch Neurol. 1972;27(5):441-448.

Abstract
We describe the quantitative analysis of refixation saccades in a man who had a left hemispherectomy 11 years previously. Saccades in both directions were of equal maximum angular velocities. However, refixation saccades to the right were grossly inaccurate compared to those to the left. Eye movement experiments with proprioceptive extremity input and those performed in total darkness indicated that the unidirectional inaccuracy was not entirely due to the complete right homonymous field defect. The subject demonstrated two unique types of corrective eye movements for dysmetric saccades and a high proportion of hypometric saccades in a rightward direction. These quantitative studies defined the functional capability of the single cerebral hemisphere in making saccades in each direction.

Author Affiliations
Miami, Fla

From the Ocular Motor Neurophysiology Laboratory, Neurology Service, Miami Veterans Administration Hospital and the Department of Neurology, University of Miami School of Medicine, Miami, Fla. Dr. Weber is now with the George Washington University School of Medicine, Washington, DC.

Footnotes
Accepted for publication June 16, 1972.

Reprint requests to Neurology Service, Veterans Administration Hospital, 1201 NW 16th St, Miami, Fla 33125 (Dr. Daroff).

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