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NEUROLOGY 1975;25:949
© 1975 American Academy of Neurology

Ocular bobbing

The myth of its localizing value

E. PETER BOSCH, M.D., STEPHEN S. KENNEDY, M.D. and CAROL A. ASCHENBRENER, M.O.

Departments of Neurology, Medicine and Pathology, Division of Neuropathology, the University of Iowa College of Medicine, Iowa City, Iowa.

Ocular bobbing is a distinctive eye movement disorder seen in patients with pontine dysfunction. The typical phenomenon consists of abrupt, spontaneous downward jerks of the eyes with a slow return to the midposition in association with paralysis of spontaneous and reflex horizontal eye movements. Bobbing was present in a patient with acute cerebellar hemorrhage in whom no intrapontine lesions could be demonstrated. The myth that this sign is specific for intrapontine destruction has to be abandoned.

Received for publication March 6, 1975.

Dr. Bosch's address is Department of Neurology, University Hospitals, Iowa City, IA 52242.






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