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  Vol. 98 No. 12, December 1980 TABLE OF CONTENTS
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Misdirection revisited. A critical appraisal of acquired oculomotor nerve synkinesis

F. E. Lepore and J. S. Glaser

Two patients exhibiting "primary" oculomotor misdirection caused by intracavernous mass lesions, and a third boy with transient oculomotor synkinesis after migrainous ophthalmoplegia provide background for a reassessment of the currently accepted explanation of anomalous synkineses subsequent to oculomotor nerve palsies. The hypothesis of peripheral misdirection of regenerating motor axons is inconsistent with these clinical observations, and an alternate mechanism is suggested, based on concepts of ephaptic neuronal transmission of impulses or on chromatolysis-induced reorganization of nuclear synapses.

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Oculomotor synkinesis following a midbrain stroke
Messe et al.
Neurology 2001;57:1106-1107.
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