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October 1985

Doll's Head Maneuver and Conjugate Eye Movement

Author Affiliations

Rutgers Medical School St Peter's Medical Center 254 Easton Ave New Brunswick, NJ 08903

Arch Neurol. 1985;42(10):932. doi:10.1001/archneur.1985.04060090010001

To the Editor.  —The discussion of the doll's eyes phenomenon in a recent article1 was most interesting, especially to one of my vintage who can recall his fascination in early childhood with the eye movement of his sister's dolls. Although it is clearly true that lack of agreement as to what is normal for a doll has led to ambiguous use of the term doll's eyes, I must disagree with the authors when they suggest that the problem could be resolved by describing the response as either inhibited or disinhibited. In a comatose patient with upper brainstem damage and whose eyes remain in the midline on rapid passive rotation of the head, inhibition has, of course, not been reestablished; rather, while inhibition remains absent there has now been loss of the effector mechanism for the disinhibited reflex.Why not simply state that on doll's head maneuver conjugate eye

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