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November 1953

STATISTICAL CONTROL STUDIES IN NEUROLOGYIV. Discomfort with Conjugate Gaze in Head Injuries

AMA Arch NeurPsych. 1953;70(5):617-620. doi:10.1001/archneurpsyc.1953.02320350069007

THIS IS the fourth of a series of statistical studies in neurology dealing with the evaluation of clinical signs by comparing their incidence in given groups of cases with adequate controls. In the previous papers we discussed the Babinski, Wilson pronator, and Hoffmann signs.1

The present investigation concerns itself with the clinical significance of discomfort with conjugate gaze studied in 2,604 cases of head injury. Mann,2 in 1931, discussed its occurrence in head injuries, pointing out its value in proving the existence of a brain stem lesion. He noted that feelings of uneasiness and difficulty in looking to one side may be present without actual paresis of ocular muscles. Gurevich,3 in 1938, described what he called the oculostatic syndrome in head injuries and outlined a method of clinical examination which included the effect of conjugate gaze on body position. He observed occasional falling backward with upward gaze,