Cerebral Functional Response during Eyelid Opening/Closing with Bell’s Phenomenon and Volitional Vertical Eye Movements in Humans

Bell’s phenomenon is a physiological phenomenon wherein the eye ball involuntarily rolls upward during eyelid closing. Although this phenomenon occurs in healthy individuals, the neural mechanism related to Bell’s phenomenon has not yet been identified. We aimed to investigate the brain regions rele...

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Published inThe Tohoku Journal of Experimental Medicine Vol. 240; no. 2; pp. 141 - 146
Main Authors Suzuki, Yukihisa, Kiyosawa, Motohiro, Ishiwata, Kiichi, Oda, Keiichi, Ishii, Kenji
Format Journal Article
LanguageEnglish
Published Japan Tohoku University Medical Press 01.10.2016
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Abstract Bell’s phenomenon is a physiological phenomenon wherein the eye ball involuntarily rolls upward during eyelid closing. Although this phenomenon occurs in healthy individuals, the neural mechanism related to Bell’s phenomenon has not yet been identified. We aimed to investigate the brain regions relevant to Bell’s phenomenon and volitional eye movement using [15O] H2O and positron emission tomography (PET). We measured regional cerebral blood flow (rCBF) in 8 normal subjects under 3 conditions: at rest with eyes closed, during opening and closing of the eyelids in response to sound stimuli (lid opening/closing), and during vertical movement of the eyes with lids closed in response to sound stimuli (volitional eye movement). The supplementary motor area (SMA) proper, right superior temporal gyrus, right insular cortex and left angular gyrus were activated during lid opening/closing. The right frontal eye field (FEF), pre-SMA, left primary motor area, right angular gyrus, and SMA proper were activated during volitional eye movement. The SMA proper was active during both tasks, while the FEF and pre-SMA were active during volitional eye movement, but not during eyelid opening/closing. A comparison of activation during volitional eye movements and lid opening/closing tasks revealed a relative increase in rCBF in the FEF. There were no areas that are activated in relation to Bell’s phenomenon. In conclusion, activation in the FEF mainly occurs during volitional eye movement. Since Bell’s phenomenon is a reflexive eye movement, the FEF is scarcely concerned in Bell’s phenomenon.
AbstractList Bell’s phenomenon is a physiological phenomenon wherein the eye ball involuntarily rolls upward during eyelid closing. Although this phenomenon occurs in healthy individuals, the neural mechanism related to Bell’s phenomenon has not yet been identified. We aimed to investigate the brain regions relevant to Bell’s phenomenon and volitional eye movement using [15O] H2O and positron emission tomography (PET). We measured regional cerebral blood flow (rCBF) in 8 normal subjects under 3 conditions: at rest with eyes closed, during opening and closing of the eyelids in response to sound stimuli (lid opening/closing), and during vertical movement of the eyes with lids closed in response to sound stimuli (volitional eye movement). The supplementary motor area (SMA) proper, right superior temporal gyrus, right insular cortex and left angular gyrus were activated during lid opening/closing. The right frontal eye field (FEF), pre-SMA, left primary motor area, right angular gyrus, and SMA proper were activated during volitional eye movement. The SMA proper was active during both tasks, while the FEF and pre-SMA were active during volitional eye movement, but not during eyelid opening/closing. A comparison of activation during volitional eye movements and lid opening/closing tasks revealed a relative increase in rCBF in the FEF. There were no areas that are activated in relation to Bell’s phenomenon. In conclusion, activation in the FEF mainly occurs during volitional eye movement. Since Bell’s phenomenon is a reflexive eye movement, the FEF is scarcely concerned in Bell’s phenomenon.
Bell's phenomenon is a physiological phenomenon wherein the eye ball involuntarily rolls upward during eyelid closing. Although this phenomenon occurs in healthy individuals, the neural mechanism related to Bell's phenomenon has not yet been identified. We aimed to investigate the brain regions relevant to Bell's phenomenon and volitional eye movement using [15O] H2O and positron emission tomography (PET). We measured regional cerebral blood flow (rCBF) in 8 normal subjects under 3 conditions: at rest with eyes closed, during opening and closing of the eyelids in response to sound stimuli (lid opening/closing), and during vertical movement of the eyes with lids closed in response to sound stimuli (volitional eye movement). The supplementary motor area (SMA) proper, right superior temporal gyrus, right insular cortex and left angular gyrus were activated during lid opening/closing. The right frontal eye field (FEF), pre-SMA, left primary motor area, right angular gyrus, and SMA proper were activated during volitional eye movement. The SMA proper was active during both tasks, while the FEF and pre-SMA were active during volitional eye movement, but not during eyelid opening/closing. A comparison of activation during volitional eye movements and lid opening/closing tasks revealed a relative increase in rCBF in the FEF. There were no areas that are activated in relation to Bell's phenomenon. In conclusion, activation in the FEF mainly occurs during volitional eye movement. Since Bell's phenomenon is a reflexive eye movement, the FEF is scarcely concerned in Bell's phenomenon.Bell's phenomenon is a physiological phenomenon wherein the eye ball involuntarily rolls upward during eyelid closing. Although this phenomenon occurs in healthy individuals, the neural mechanism related to Bell's phenomenon has not yet been identified. We aimed to investigate the brain regions relevant to Bell's phenomenon and volitional eye movement using [15O] H2O and positron emission tomography (PET). We measured regional cerebral blood flow (rCBF) in 8 normal subjects under 3 conditions: at rest with eyes closed, during opening and closing of the eyelids in response to sound stimuli (lid opening/closing), and during vertical movement of the eyes with lids closed in response to sound stimuli (volitional eye movement). The supplementary motor area (SMA) proper, right superior temporal gyrus, right insular cortex and left angular gyrus were activated during lid opening/closing. The right frontal eye field (FEF), pre-SMA, left primary motor area, right angular gyrus, and SMA proper were activated during volitional eye movement. The SMA proper was active during both tasks, while the FEF and pre-SMA were active during volitional eye movement, but not during eyelid opening/closing. A comparison of activation during volitional eye movements and lid opening/closing tasks revealed a relative increase in rCBF in the FEF. There were no areas that are activated in relation to Bell's phenomenon. In conclusion, activation in the FEF mainly occurs during volitional eye movement. Since Bell's phenomenon is a reflexive eye movement, the FEF is scarcely concerned in Bell's phenomenon.
Bell's phenomenon is a physiological phenomenon wherein the eye ball involuntarily rolls upward during eyelid closing. Although this phenomenon occurs in healthy individuals, the neural mechanism related to Bell's phenomenon has not yet been identified. We aimed to investigate the brain regions relevant to Bell's phenomenon and volitional eye movement using [ O] H O and positron emission tomography (PET). We measured regional cerebral blood flow (rCBF) in 8 normal subjects under 3 conditions: at rest with eyes closed, during opening and closing of the eyelids in response to sound stimuli (lid opening/closing), and during vertical movement of the eyes with lids closed in response to sound stimuli (volitional eye movement). The supplementary motor area (SMA) proper, right superior temporal gyrus, right insular cortex and left angular gyrus were activated during lid opening/closing. The right frontal eye field (FEF), pre-SMA, left primary motor area, right angular gyrus, and SMA proper were activated during volitional eye movement. The SMA proper was active during both tasks, while the FEF and pre-SMA were active during volitional eye movement, but not during eyelid opening/closing. A comparison of activation during volitional eye movements and lid opening/closing tasks revealed a relative increase in rCBF in the FEF. There were no areas that are activated in relation to Bell's phenomenon. In conclusion, activation in the FEF mainly occurs during volitional eye movement. Since Bell's phenomenon is a reflexive eye movement, the FEF is scarcely concerned in Bell's phenomenon.
Author Kiyosawa, Motohiro
Oda, Keiichi
Suzuki, Yukihisa
Ishii, Kenji
Ishiwata, Kiichi
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Pierrot-Deseilligny, C., Rivaud, S., Gaymard, B., Muri, R. & Vermersch, A.I. (1995) Cortical control of saccades. Ann. Neurol., 37, 557-567.
Bodis-Wollner, I., Bucher, S.F. & Seelos, K.C. (1999) Cortical activation patterns during voluntary blinks and voluntary saccades. Neurology, 53, 1800-1805.
Bruce, C.J. & Goldberg, M.E. (1985) Primate frontal eye fields. I. Single neurons discharging before saccades. J. Neurophysiol., 53, 603-635.
Friston, K.J., Frith, C.D., Liddle, P.F. & Frackowiak, R.S. (1991) Comparing functional (PET) images: the assessment of significant change. J. Cereb. Blood Flow Metab., 11, 690-699.
van Eimeren, T., Boecker, H., Konkiewitz, E.C., Schwaiger, M., Conrad, B. & Ceballos-Baumann, A.O. (2001) Right lateralized motor cortex activation during volitional blinking. Ann. Neurol., 49, 813-816.
Talairach, J. & Tournoux, P. (1988) Co-planar stereotaxic atlas of the human brain. 3-dimentional proportional system: an approach to cerebral imaging, Thieme Medical Publishers, Stuttgart.
Friston, K.J., Frith, C.D., Liddle, P.F., Dolan, R.J., Lammertsma, A.A. & Frackowiak, R.S.J. (1990) The relationship between global and local changes in PET scans. J. Cereb. Blood Flow Metab., 10, 458-466.
Suzuki, Y., Kiyosawa, M., Mochiuki, M., Ishiwata, K. & Ishii, K. (2010) The pre-supplementary and primary motor areas generate rhythm for voluntary eye opening and closing movements. Tohoku J. Exp. Med., 222, 97-104.
Picard, N. & Strick, P.L. (1996) Motor areas of the medial wall: a review of their location and functional activation. Cereb. Cortex, 6, 342-353.
Schubotz, R.I. & von Cramon, D.Y. (2001) Functional organization of the lateral premotor cortex: fMRI reveals different regions activated by anticipation of object properties, location and speed. Brain Res. Cogn. Brain Res., 11, 97-112.
Schreurs, B.G., Bahro, M., Molchan, S.E., Sunderland, T., Anthony, R. & McIntosh, A.R. (2001) Interactions of prefrontal cortex during eyeblink conditioning as a function of age. Neurobiol. Aging, 22, 237-246.
Bour, L.J., Aramideh, M. & de Visser, B.W. (2000) Neurophysiological aspects of eye and eyelid movements during blinking in humans. J. Neurophysiol., 83, 166-176.
Iwasaki, M., Kellinghaus, C., Alexopoulos, A.V., Burgess, R.C., Kumar, A.N., Han, Y.H., et al. (2005) Effects of eyelid closure, blinks, and eye movements on the electroencephalogram. Clin. Neurophysiol., 116, 878-885.
Takagi, M., Abe, H., Hasegawa, S. & Usui, T. (1992) Reconsideration of Bell’s phenomenon using a magnetic search coil method. Doc. Ophthalmol., 80, 343-852.
Graser, J.S. (1999) Neuro-ophthalmology, 3rd ed., J. B. Lippincott Company, Philadelphia.
Cassanello, R.C. & Ferrea, V.P. (2007) Computing vector differences using a gain field-like mechanism in monkey frontal eye field. J. Physiol., 582, 647-664.
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References_xml – reference: Hanes, D.P., Patterson, W.F. 2nd. & Schall, J.D. (1998) Role of frontal eye fields in countermanding saccades: visual, movement, and fixation activity. J. Neurophysiol., 79, 817-834.
– reference: Bour, L.J., Aramideh, M. & de Visser, B.W. (2000) Neurophysiological aspects of eye and eyelid movements during blinking in humans. J. Neurophysiol., 83, 166-176.
– reference: Friston, K.J., Frith, C.D., Liddle, P.F. & Frackowiak, R.S. (1991) Comparing functional (PET) images: the assessment of significant change. J. Cereb. Blood Flow Metab., 11, 690-699.
– reference: Fox, P.T. & Mintun, M.A. (1989) Noninvasive functional brain mapping by change-distribution analysis of averaged PET images of H215O tissue activity. J. Nucl. Med., 30, 141-149.
– reference: Talairach, J. & Tournoux, P. (1988) Co-planar stereotaxic atlas of the human brain. 3-dimentional proportional system: an approach to cerebral imaging, Thieme Medical Publishers, Stuttgart.
– reference: Iwasaki, M., Kellinghaus, C., Alexopoulos, A.V., Burgess, R.C., Kumar, A.N., Han, Y.H., et al. (2005) Effects of eyelid closure, blinks, and eye movements on the electroencephalogram. Clin. Neurophysiol., 116, 878-885.
– reference: Cassanello, R.C. & Ferrea, V.P. (2007) Computing vector differences using a gain field-like mechanism in monkey frontal eye field. J. Physiol., 582, 647-664.
– reference: Schubotz, R.I. & von Cramon, D.Y. (2001) Functional organization of the lateral premotor cortex: fMRI reveals different regions activated by anticipation of object properties, location and speed. Brain Res. Cogn. Brain Res., 11, 97-112.
– reference: Bruce, C.J. & Goldberg, M.E. (1985) Primate frontal eye fields. I. Single neurons discharging before saccades. J. Neurophysiol., 53, 603-635.
– reference: Bodis-Wollner, I., Bucher, S.F. & Seelos, K.C. (1999) Cortical activation patterns during voluntary blinks and voluntary saccades. Neurology, 53, 1800-1805.
– reference: Picard, N. & Strick, P.L. (1996) Motor areas of the medial wall: a review of their location and functional activation. Cereb. Cortex, 6, 342-353.
– reference: van Eimeren, T., Boecker, H., Konkiewitz, E.C., Schwaiger, M., Conrad, B. & Ceballos-Baumann, A.O. (2001) Right lateralized motor cortex activation during volitional blinking. Ann. Neurol., 49, 813-816.
– reference: Graser, J.S. (1999) Neuro-ophthalmology, 3rd ed., J. B. Lippincott Company, Philadelphia.
– reference: Esteban, A., Traba, A. & Prieto, J. (2004) Eyelid movements in health and disease. The supranuclear impairment of the palpebral motility. Neurophysiol. Clin., 34, 3-15.
– reference: Friston, K.J., Frith, C.D., Liddle, P.F., Dolan, R.J., Lammertsma, A.A. & Frackowiak, R.S.J. (1990) The relationship between global and local changes in PET scans. J. Cereb. Blood Flow Metab., 10, 458-466.
– reference: Pierrot-Deseilligny, C., Rivaud, S., Gaymard, B., Muri, R. & Vermersch, A.I. (1995) Cortical control of saccades. Ann. Neurol., 37, 557-567.
– reference: Suzuki, Y., Kiyosawa, M., Mochiuki, M., Ishiwata, K. & Ishii, K. (2010) The pre-supplementary and primary motor areas generate rhythm for voluntary eye opening and closing movements. Tohoku J. Exp. Med., 222, 97-104.
– reference: Schreurs, B.G., Bahro, M., Molchan, S.E., Sunderland, T., Anthony, R. & McIntosh, A.R. (2001) Interactions of prefrontal cortex during eyeblink conditioning as a function of age. Neurobiol. Aging, 22, 237-246.
– reference: Takagi, M., Abe, H., Hasegawa, S. & Usui, T. (1992) Reconsideration of Bell’s phenomenon using a magnetic search coil method. Doc. Ophthalmol., 80, 343-852.
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  doi: 10.1212/WNL.53.8.1800
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  doi: 10.1038/jcbfm.1990.88
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  doi: 10.1113/jphysiol.2007.128801
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  doi: 10.1002/ana.410370504
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  doi: 10.1007/BF00154383
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  doi: 10.1016/j.clinph.2004.11.001
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  doi: 10.1038/jcbfm.1991.122
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Snippet Bell’s phenomenon is a physiological phenomenon wherein the eye ball involuntarily rolls upward during eyelid closing. Although this phenomenon occurs in...
Bell's phenomenon is a physiological phenomenon wherein the eye ball involuntarily rolls upward during eyelid closing. Although this phenomenon occurs in...
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SubjectTerms Adult
Bell’s phenomenon
Cerebrovascular Circulation
Cerebrum - blood supply
Cerebrum - physiology
Electrooculography
Eye Movements - physiology
Eyelids - physiology
Female
frontal eye field
Humans
Male
Models, Biological
Motor Activity
positron emission tomography
regional cerebral blood flow
Rest
Subtraction Technique
volitional eye movement
Young Adult
Title Cerebral Functional Response during Eyelid Opening/Closing with Bell’s Phenomenon and Volitional Vertical Eye Movements in Humans
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Volume 240
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