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NEUROLOGY 2007;68:1227-1229
© 2007 American Academy of Neurology

Head taps evoke a crossed vestibulo-ocular reflex

S. Iwasaki, MD, L. A. McGarvie, MBiomedE, G. M. Halmagyi, MD, A. M. Burgess, PhD, J. Kim, PhD, J. G. Colebatch, DSc and I. S. Curthoys, PhD

From the Vestibular Research Laboratory, School of Psychology, The University of Sydney, Sydney, Australia (S.I., A.M.B., J.K., I.S.C.); Department of Otolaryngology, Faculty of Medicine, University of Tokyo, Tokyo, Japan (S.I.); Neurology Department, Royal Prince Alfred Hospital, Sydney, Australia (L.A.M., G.M.H.); and Neurology Department, Prince of Wales Hospital, Sydney, Australia (J.G.C.).

Address correspondence and reprint requests to Dr. Ian S. Curthoys, School of Psychology, University of Sydney, Sydney, NSW 2006, Australia; e-mail: ianc{at}psych.usyd.edu.au

Taps to the forehead on the midline, at the hairline (Fz), with a reflex hammer or powerful bone conduction vibrator caused short-latency surface potentials from beneath both eyes in all healthy subjects. The earliest negative responses were invariably absent from the eye contralateral to the side of a previous vestibular nerve section but were preserved despite sensorineural hearing loss. These responses probably reflect vestibular function via crossed otolith–ocular pathways.


Supported by a grant from the National Health and Medical Research Council of Australia.

Disclosure: The authors report no conflicts of interest.

Received July 21, 2006. Accepted in final form December 4, 2006.




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