CONJUGATE EYE DEVIATION - LOCALIZATION OF HEMISPHERIC LESIONS

CC TIJSSEN; Marina de Koning-Tijssen

doi:10.3109/01658109108997306

CONJUGATE EYE DEVIATION - LOCALIZATION OF HEMISPHERIC LESIONS

CC TIJSSEN^*
, Marina de Koning-Tijssen

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Conjugate eye deviation (CED) is generally attributed to a lesion of the frontal eye fields or its subcortical projections leading to a contralateral saccadic palsy. This theory is mainly based on experimental studies. However, clinical studies yield rather conflicting results as to the localizing value of this sign. The authors therefore performed a prospective study of 74 patients with CED caused by a hemispheric lesion. The diagnosis and site of the lesion was based on CT-scan and/or autopsy findings. In all but two patients the sign was caused by a stroke. The results of the study can be summarized as follows: 1. The area of the frontal eye fields is not damaged in most patients with CED, rather, the inferior parietal lobule is involved.

2. One exclusive location of the lesion responsible for CED is unlikely.

3. CED can probably result from a lesion at different sites within the circuit formed by inferior parietal lobule-frontal eye fields-superior colliculus and pontine reticular formation, predominantly located in the connecting pathways.

4. There is a hemispheric asymmetry for this sign, with a more frequent occurrence after right-sided lesions.

Original language	English
Pages (from-to)	118-118
Number of pages	1
Journal	Neuro-Ophthalmology
Volume	11
Issue number	2
DOIs	https://doi.org/10.3109/01658109108997306
Publication status	Published - Apr-1991
Event	JOINT MEETING OF THE BELGIAN NEUROLOGICAL AND OPHTHALMOLOGICAL SOC : PROBLEMS OF OCULAR MOVEMENTS - BRUGES, Belgium Duration: 22-Jun-1990 → …

Keywords

CONJUGATE EYE DEVIATION
HEMISPHERIC LESION

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@article{c8f3797eb7af44339ac20de43bfab859,

title = "CONJUGATE EYE DEVIATION - LOCALIZATION OF HEMISPHERIC LESIONS",

abstract = "Conjugate eye deviation (CED) is generally attributed to a lesion of the frontal eye fields or its subcortical projections leading to a contralateral saccadic palsy. This theory is mainly based on experimental studies. However, clinical studies yield rather conflicting results as to the localizing value of this sign. The authors therefore performed a prospective study of 74 patients with CED caused by a hemispheric lesion. The diagnosis and site of the lesion was based on CT-scan and/or autopsy findings. In all but two patients the sign was caused by a stroke. The results of the study can be summarized as follows: 1. The area of the frontal eye fields is not damaged in most patients with CED, rather, the inferior parietal lobule is involved.2. One exclusive location of the lesion responsible for CED is unlikely.3. CED can probably result from a lesion at different sites within the circuit formed by inferior parietal lobule-frontal eye fields-superior colliculus and pontine reticular formation, predominantly located in the connecting pathways.4. There is a hemispheric asymmetry for this sign, with a more frequent occurrence after right-sided lesions.",

keywords = "CONJUGATE EYE DEVIATION, HEMISPHERIC LESION",

author = "CC TIJSSEN and \{de Koning-Tijssen\}, Marina",

year = "1991",

month = apr,

doi = "10.3109/01658109108997306",

language = "English",

volume = "11",

pages = "118--118",

journal = "Neuro-Ophthalmology",

issn = "0165-8107",

publisher = "Taylor \& Francis Group",

number = "2",

note = "JOINT MEETING OF THE BELGIAN NEUROLOGICAL AND OPHTHALMOLOGICAL SOC : PROBLEMS OF OCULAR MOVEMENTS ; Conference date: 22-06-1990",

}

TY - JOUR

T1 - CONJUGATE EYE DEVIATION - LOCALIZATION OF HEMISPHERIC LESIONS

AU - TIJSSEN, CC

AU - de Koning-Tijssen, Marina

PY - 1991/4

Y1 - 1991/4

N2 - Conjugate eye deviation (CED) is generally attributed to a lesion of the frontal eye fields or its subcortical projections leading to a contralateral saccadic palsy. This theory is mainly based on experimental studies. However, clinical studies yield rather conflicting results as to the localizing value of this sign. The authors therefore performed a prospective study of 74 patients with CED caused by a hemispheric lesion. The diagnosis and site of the lesion was based on CT-scan and/or autopsy findings. In all but two patients the sign was caused by a stroke. The results of the study can be summarized as follows: 1. The area of the frontal eye fields is not damaged in most patients with CED, rather, the inferior parietal lobule is involved.2. One exclusive location of the lesion responsible for CED is unlikely.3. CED can probably result from a lesion at different sites within the circuit formed by inferior parietal lobule-frontal eye fields-superior colliculus and pontine reticular formation, predominantly located in the connecting pathways.4. There is a hemispheric asymmetry for this sign, with a more frequent occurrence after right-sided lesions.

AB - Conjugate eye deviation (CED) is generally attributed to a lesion of the frontal eye fields or its subcortical projections leading to a contralateral saccadic palsy. This theory is mainly based on experimental studies. However, clinical studies yield rather conflicting results as to the localizing value of this sign. The authors therefore performed a prospective study of 74 patients with CED caused by a hemispheric lesion. The diagnosis and site of the lesion was based on CT-scan and/or autopsy findings. In all but two patients the sign was caused by a stroke. The results of the study can be summarized as follows: 1. The area of the frontal eye fields is not damaged in most patients with CED, rather, the inferior parietal lobule is involved.2. One exclusive location of the lesion responsible for CED is unlikely.3. CED can probably result from a lesion at different sites within the circuit formed by inferior parietal lobule-frontal eye fields-superior colliculus and pontine reticular formation, predominantly located in the connecting pathways.4. There is a hemispheric asymmetry for this sign, with a more frequent occurrence after right-sided lesions.

KW - CONJUGATE EYE DEVIATION

KW - HEMISPHERIC LESION

U2 - 10.3109/01658109108997306

DO - 10.3109/01658109108997306

M3 - Article

SN - 0165-8107

VL - 11

SP - 118

EP - 118

JO - Neuro-Ophthalmology

JF - Neuro-Ophthalmology

IS - 2

T2 - JOINT MEETING OF THE BELGIAN NEUROLOGICAL AND OPHTHALMOLOGICAL SOC : PROBLEMS OF OCULAR MOVEMENTS

Y2 - 22 June 1990

ER -

CONJUGATE EYE DEVIATION - LOCALIZATION OF HEMISPHERIC LESIONS

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Keywords

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