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Encyclopedia of Clinical Neuropsychology pp 674–675Cite as

Conjugate Gaze

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Synonyms

Eye movements; Versional movements

Definition

Conjugate gaze is the ability of the eyes to work together or in unison. It refers to the motion of both eyes in the same direction at the same time. The eyes can look laterally (left/right), upward, or downward. Disorders in conjugate gaze refer to the inability to look in a certain direction with both eyes.

Current Knowledge

Conjugate gaze is mediated in the brain stem by the medial longitudinal fasciculus, which is a nerve tract that connects the abducens, trochlear, and oculomotor nuclei. These nuclei, in turn, are responsible for the muscles that control eye movements. The left pontine center connects with the right frontal center for conjugate gaze to the left, and the right pontine center connects with the left frontal center for conjugate gaze to the right. If extraocular muscles are not working properly, dysconjugate gaze can result, which can then cause diplopia. The mechanisms for horizontal eye movements are better...

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References and Readings

  • Lavin, P. J. M., & Weissman, B. (2000). Neuro-Opthalmology. In W. G. Bradley, R. B. Daroff, G. M. Fenichel, & C. D. Marsden (Eds.), Neurology in clinical practice: Principles of diagnosis and management. Boston, MA: Butterworth-Heinemann.

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  • Marshall, K. G. (2006). Cranial nerve III, IV and VI: Disorders of conjugate Gaze. Patient Care Canada, 17, 51–57.

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  • Ross, R. T. (1999). How to examine the nervous system (3rd ed.). Stamford, CT: Appleton and Lange.

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Author information

Authors and Affiliations

  1. Division of Cognitive and Behavioral Neurology, Brigham and Women's Hospital, 221 Longwood Ave, 2115, Boston, MA, USA

    Mary-Ellen Meadows

Authors
  1. Mary-Ellen Meadows
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Editor information

Editors and Affiliations

  1. Physical Medicine and Rehabilitation, and Professor of Neurosurgery, and Psychiatry Virginia Commonwealth University – Medical Center Department of Physical Medicine and Rehabilitation, VCU, 980542, Richmond, Virginia, 23298-0542, USA

    Jeffrey S. Kreutzer

  2. Kessler Foundation Research Center, 1199 Pleasant Valley Way, West Orange, NJ, 07052, USA

    John DeLuca

  3. Professor of Physical Medicine and Rehabilitation, and Neurology and Neuroscience, University of Medicine and Dentistry of New Jersey – New Jersey Medical School, New Jersey, USA

    John DeLuca

  4. Independent Practice, 564 M.O.B. East, 100 E. Lancaster Ave., Wynnewood, PA, 19096, USA

    Bruce Caplan

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Meadows, ME. (2011). Conjugate Gaze. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79948-3_1353

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