Paramedian Pontine Reticular Formation - Lesions

Lesions

Unilateral lesions of the PPRF produce characteristic findings:

  • Loss of horizontal saccades directed towards the side of the lesion, no matter the current position of gaze
  • Contralateral gaze deviation (acute lesions, such as early stroke, only)
  • Gaze-evoked lateral nystagmus on looking away from the side of the lesion

Bilateral lesions produce horizontal gaze palsy and slowing of vertical saccades

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