[Disturbances of visual perception and the lesions on spastic diplegia]

In a study of 12 cerebral palsy with spastic diplegia, the relationship between their disturbances of visual perception and their lesions was discussed. All of them were performed Frostig Developmental Test of Visual perception and Tanaka-Binet Intelligence Test. Six of them showed disturbances of visual perception on Frostig Test. Subtest II, figure-ground, was the lowest of all subtests. The mean of perceptual quotient was under that of intelligence quotient significantly (p less than 0.05 t-test). MRI examination was performed to all and the lesions were detected at 10 of them. Six who showed disturbances of visual perception had the lesions and two who showed good visual perception had no lesions. The lesions were periventricular white matter and extended to semioval center and subcortical white matter at parietal and occipital lobes. Anatomically, their lesions correspond to superior longitudinal bundle and vertical occipital bundle and their bundles have important functions as the pass way of visual perception. Therefore, it was suggested that the disturbances of visual perception detected at spastic diplegia were based on the lesions and the mechanism was disconnection of higher visual pass way.