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Reflex vertical gaze and the medial longitudinal fasciculus
  1. L. R. Jenkyn,
  2. G. Margolis,
  3. A. G. Reeves
  1. Division of Neurology, David Prosser Neurology Research Laboratory, Department of Medicine, Dartmouth-Hitchcock Medical Center, Hanover, New Hampshire, USA
  2. The Department of Pathology, Dartmouth Medical School, Hanover, New Hampshire, USA


    Extraocular movements were investigated in a patient with bilateral vascular lesions of the medial longitudinal fasciculus. The patient showed voluntary and reflex horizontal gaze consistent with his lesion, but had absent reflex vertical gaze. Voluntary vertical gaze was present. Necropsy was performed, and the findings suggest that the medial longitudinal fasciculi in the pons conveys impulses for reflex vertical gaze, but are not required for voluntary vertical gaze.

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