Abstract
Eye movements serve vision by placing the image of an object of regard on the fovea of each retina and by preventing slippage of images on the retina. The brain has two modes of oculomotor control: Fast eye movements (saccades) and smooth (slow)-pursuit eye movements (SPEM). Fast eye movements bring the fovea to targets that fall on the extrafoveal retina, and SPEM maintain fixation of slowly moving targets. Six distinct oculomotor systems (saccades, smooth pursuit, VOR, vergence, optokinetics, and fixation) are utilized to fulfill the task. This brief survey will concentrate mainly on saccadic and SPEM disturbances in rostral brain-stem pathology. A review of basic anatomy and physiology of the oculomotor system will allow a better understanding of the pathogenetic mechanisms underlying the complex oculomotor brain-stem syndromes.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bogousslavsky J, Regli F (1983) Nuclear and prenuclear syndromes of the oculomotor nerve. Neuro-ophthalmology 3:211–216
Büittner U, Büttner-Ennever JA (1977) Vertical eye movement-related unit activity in the rostral mesencephalic reticular formation of the alert monkey. Brain Res 130:239–252
Büittner-Ennever JA, Büttner U (1978) A cell group associated with vertical eye movements in the rostral mesencephalic reticular formation of the monkey. Brain Res 151:31–47
Caplan R (1980) “Top of the basilar” syndrome. Neurology 30:72–79
Deleu D, Buisseret T, Ebinger G (1989) Vertical one-and-a-half syndrome: supranuclear downgaze paralysis with monocular elevation palsy. Arch Neurol 46:1361–1363
Ford CS, Schwartze GW, Weaver RG, Troost BT (1984) Monocular elevation paresis caused by an ipsilateral lesion. Neurology 34:1264–1267
Hommel M, Bogousslavsky J (1991) The spectrum of vertical gaze palsy following unilateral brainstem stroke. Neurology 41:1229–1234
Keane JR (1981) Sustained upgaze in coma. Ann Neurol 9:409–412
Keller EL, Heinen SJ (1991) Generation of smooth-pursuit eye movements: neuronal mechanisms and pathways. Neurosci Res 11:79–107
Kömpf D, Oppermann J (1986) Vertical gaze palsy and thalamic dementia. Neuro-ophthalmology 6:121–124
Kömpf D, Pasik K, Pasik P, Bender MB (1979) Downward gaze in monkeys. Stimulation and lesion studies. Brain 102:527–558
Kömpf D, Erbguth F, Kreiten K, Druschky KF, Hacke W (1987) Bilateral third nerve palsy in basilar vertebral artery disease. Neurophthalmology 6:355–362
Leigh RJ, Zee DS (1991) The neurology of eye movements. Davis, Philadelphia
Pierrot-Deseilligny C, Rosa A, Masmoudi K, Rivaud S, Gaymard B (1991) Saccade deficits after a unilateral lesion affecting the superior colliculus. J Neurol Neurosurg 54:1106–1109
Susac JO, Hoyt WF, Daroff RB, Lawrence W (1970) Clinical spectrum of ocular bobbing. J Neurol Neurosurg Psychiatry 33:771–775
Thier P, Bachor A, Faiss J, Dichgans J, Koenig E (1991) Selective impairment of smooth-pursuit eye movements due to an ischemic lesion of the basal pons. Ann Neurol 29:443–448
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1993 Springer-Verlag Berlin · Heidelberg
About this paper
Cite this paper
Kömpf, D. (1993). Oculomotor Syndromes in Rostral Brain-Stem Lesions. In: Caplan, L.R., Hopf, H.C. (eds) Brain-Stem Localization and Function. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78172-8_12
Download citation
DOI: https://doi.org/10.1007/978-3-642-78172-8_12
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-78174-2
Online ISBN: 978-3-642-78172-8
eBook Packages: Springer Book Archive