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The neural network, including the interstitial nucleus of Cajal (INC), functions as an oculomotor neural integrator involved in the control of vertical gaze holding. Impairment of the vestibulocerebellum (VC), including the flocculus (FL), has been shown to affect vertical gaze holding, indicating that the INC cooperates with the VC in controlling this function. However, a network between the INC and VC has not been identified. In this study, we aimed to obtain anatomical evidence of a neural pathway from the INC to the VC (the INC-VC pathway) in rats. Injection of dextran-conjugated Alexa Fluor 488 or adeno-associated virus 2-retro (AAV2retro) expressing GFP into the FL or another VC region (uvula/nodulus) did not reveal any retrogradely labeled neurons in the INC, suggesting that INC neurons do not project directly to the VC. Rabies virus-based transsynaptic tracing experiments revealed that the INC-VC pathway is mediated via synaptic connections with the prepositus hypoglossi nucleus (PHN) and medial vestibular nucleus (MVN). The INC neurons in the INC-VC pathway were mainly localized bilaterally within the rostral region of the INC. Transsynaptic tracing experiments involving the INC-FL pathway revealed that INC neurons connected to the FL via the bilateral PHN and MVN. These results indicate that the INC-VC pathway is not a direct pathway but is mediated via the PHN and MVN. These findings can provide clues for understanding the network mechanisms responsible for vertical gaze holding.
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http://dx.doi.org/10.1523/ENEURO.0294-24.2024 | DOI Listing |
Cerebellum
September 2025
Department of Neurology, The Johns Hopkins School of Medicine, Baltimore, MD, USA.
Spinocerebellar ataxia type 27B (SCA27B), caused by GAA repeat expansions in FGF14, is an increasingly recognized form of late-onset cerebellar ataxia. However, early diagnosis remains challenging due to mild or absent cerebellar motor signs and often normal brain magnetic resonance imaging (MRI). Oculovestibular abnormalities, although prevalent, are frequently overlooked and not captured by standard clinical scales such as the Scale for the Assessment and Rating of Ataxia (SARA).
View Article and Find Full Text PDFBMJ Case Rep
September 2025
Ophthalmology, Maulana Azad Medical College, New Delhi, India.
Insult to the midbrain vertical gaze pathways results in impaired downgaze, upgaze or both. Downgaze palsies are rarer and are often accompanied by horizontal gaze anomalies.
View Article and Find Full Text PDFActa Otolaryngol
August 2025
Department of Audiology, Faculty of Health Sciences, Inonu University, Malatya, Turkey.
Background: The vestibular system is crucial for balance and gaze stability. Proprioceptive inputs from the musculoskeletal system significantly contribute to vestibular processing, especially under postural challenge.
Objectives: To examine how proprioceptive inputs in various body positions affect the vestibulo-ocular reflex (VOR) and otolith organ function.
J Eye Mov Res
August 2025
Department of Cartography and Geomatics, Adam Mickiewicz University Poznan, 61-712 Poznan, Poland; Tel.: +48-61-829-6251.
Visual search is a core component of map reading, influenced by both cartographic design and human perceptual processes. This study investigates whether the location of a target cartographic symbol-central or peripheral-can be predicted using eye-tracking data and machine learning techniques. Two datasets were analyzed, each derived from separate studies involving visual search tasks with varying map characteristics.
View Article and Find Full Text PDFBMJ Case Rep
August 2025
Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.
We present a rare case of a middle-aged male with his eyes fixed in hypotropia-esotropia for 12 years. He had been diagnosed with and operated on for posterior fossa pilocytic astrocytoma prior to symptom onset. Contrast-enhanced MRI of the brain and orbit revealed dilated ventricles, a shunt in situ and a distorted midbrain architecture.
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