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April 1986

On the Notion of Doll's Eyes

Author Affiliations

Department of Neurology and Neurosurgery University of Leuven Sint-Rafaël 3000 Leuven, Belgium

Arch Neurol. 1986;43(4):315. doi:10.1001/archneur.1986.00520040005005

To the Editor.  —I found the article by Roberts et al1 to be interesting and amusing. Since many young physicians do not understand exactly the term doll's eyes, I would like to add some clarifying remarks.1. In humans there are not two but three possibilities, ie, the oculocephalic reflex is inhibited in conscious persons, disinhibited (indicating that doll's eyes phenomenon is present) in coma, and abolished in brain-stem lesions.2. In a "vestibulomidbrain preparation" the vertical and horizontal gaze mechanisms are preserved.

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