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Isolated Impairment of Phasic Ocular Motor Activity in Supranuclear Lesions

Guntram Kommerell, MD

Arch Ophthalmol. 1975;93(7):531-534.

Abstract
Abduction saccadic movement slowed to either side without any limitation in the end position occurred in a patient. This ocular motor abnormality constituted a mirror image of the well-known internuclear ophthalmoplegia of adduction, and therefore, the present case is an internuclear ophthalmoplegia of abduction.

Internuclear ophthalmoplegia of either type demonstrates that a lesion between the center for conjugate gaze and the ocular motor nuclei can impair phasic activity of the eye muscles without reducing their tonic function.

Author Affiliations
From the Universitäts-Augenklinik Freiburg, West Germany.

Footnotes
Submitted for publication March 13, 1974.

Reprint requests to Universitäts-Augenklinik, Killianstr., 7800 Freiburg, West Germany (Dr. Kommerell).

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