The ocular tilt reaction.

Academic Article


  • A patient with ocular motility findings consistent with a right superior oblique palsy was found to have binocular ocular torsion and a head tilt that led to the diagnosis of an ocular tilt reaction. Magnetic resonance imaging disclosed a right pontine lesion presumably involving the descending tract from the interstitial nucleus of Cajal to the contralateral vestibular nucleus. This lesion is located more inferiorly than one would expect in a superior oblique palsy. Physicians should be aware that patients with a vertical deviation and a head tilt might have an ocular tilt reaction, as opposed to a superior oblique palsy.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Vaphiades MS
  • Start Page

  • 127
  • End Page

  • 132
  • Volume

  • 53