Smooth pursuit requires the coordination of many brain regions that are far away from each other. This makes it particularly susceptible to impairment from a variety of disorders and conditions.
Schizophrenia There is significant evidence that smooth pursuit is deficient in people with schizophrenia and their relatives. People with schizophrenia tend to have trouble pursuing very fast targets. This impairment is correlated with less activation in areas known to play a role in pursuit, such as the frontal eye field. However, other studies have shown that people with schizophrenia show relatively normal pursuit, compared to controls, when tracking objects that move unexpectedly. The greatest deficits are when the patients track objects of a predictable velocity which begin moving at a predictable time. This study speculates that smooth pursuit deficits in schizophrenia are a function of the patients' inability to store motion vectors.
Autism People with
autism show a plethora of visual deficits. One such deficit is to smooth pursuit. Children with autism show reduced velocity of smooth pursuit compared to controls during ongoing tracking. However, the latency of the pursuit response is similar to controls. This deficit appears to only emerge after middle adolescence.
Trauma People with
post traumatic stress disorder, with secondary psychotic symptoms, show pursuit deficits. These patients tend to have trouble maintaining pursuit velocity above 30 degree/second. A correlation has also been found between performance on tracking tasks and a childhood history of physical and emotional abuse.
Drugs and Alcohol "Lack of Smooth Pursuit" is a scorable clue on the NHTSA's standardized
field sobriety tests. The clue, in combination with others, may be used to determine if a person is impaired by alcohol and/or drugs. Drugs causing lack of smooth pursuit include depressants, some inhalants, and dissociative anesthetics (such as
phencyclidine or
ketamine).
Preterm Birth Children born very preterm show smooth pursuit deficits compared to paired controls born at full term. This delay in smooth pursuit has also been linked to later neurodevelopment in toddlerhood in children born very preterm. ==See also==