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Departments of Neurology and Pediatrics (Pediatric Neurology) (Dr. Jane Donat), the Department of Neurology (Dr. Jeffrey Donat), and the Department of Pediatrics (Neonatology) (Dr. Lay), Louisiana State University Medical School, Shreveport, LA
Internuclear ophthalmoplegia was found by caloric testing of the vestibuloocular reflex in normal, very premature infants, indicating that the medial longitudinal fasciculus is functionally immature. At this age, the medial longitudinal fasciculus is more responsive to stimulation by the oculocephalic (doll's-eye) reflex, which resulted in conjugate deviation of the eyes.
Address correspondence and reprint requests to Dr. J. F. Donat, Department of Neurology, LSU Medical Center, P.O. Box 33932, Shreveport, LA 71130.
Accepted for publication October 9, 1979.
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