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Vermal infarct with pursuit eye movement disorders.
  1. C Pierrot-Deseilligny,
  2. P Amarenco,
  3. E Roullet,
  4. R Marteau
  1. Service de Neurologie, Hôpital Saint-Antoine, Paris, France.


    Severe deficits of foveal smooth pursuit and optokinetic nystagmus in all directions were electro-oculographically recorded in an 80 year old woman. Magnetic resonance imaging (MRI) showed an infarct involving the postero-inferior part of the vermis (lobules VI to X) and a portion of the left cerebellar hemisphere, with apparent preservation of the flocculus and the brainstem. The role of the vermal lesion in these pursuit eye movement disorders is discussed.

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