BRAIN and NERVE－神経研究の進歩68巻3号

2016年03月発行

総説

眼球運動からみた小脳機能—小脳病変局在診断の手助けとして

著者： 廣瀬源二郎¹

所属機関： ¹浅ノ川総合病院脳神経センター

ページ範囲：P.271 - P.281

文献概要

眼球運動に密接に関係する小脳部位として，①片葉・傍片葉，②虫部小節・虫部垂，③背側虫部・室頂核後部がある。症候学的には，VOR機能は片葉・傍片葉により，衝動性運動は背側虫部に，また滑動性追従運動は片葉および背側虫部・室頂核後部を含む広い小脳構築の活動によることが最近10年来の機能画像を含む広範な研究により明らかにされた。これらの新たな情報を小脳症状の診断を含めた臨床神経学に応用することはわれわれに課された今後の課題であろう。

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