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Abstract The localization of function in the cell masses of the oculomotor nucleus has not been established. While allocation of pupillary constriction to the small-celled Edinger-Westphal nucleus has been generally recognized, there is still controversy regarding the representation of functions of the extrinsic ocular muscles subserved by the third cranial nerve. Tsuchida1 stated that there was no exact localization and that the ocular muscles received their innervation diffusely from all the cell groups. The most widely accepted view is that of Brouwer,2 who from a review of the literature and from a single clinicopathologic observation postulated the following cephalocaudal arrangement of functional representation of the ocular muscles within the oculomotor nucleus; (a) sphincter pupillae; (b) levator palpebrarum; (c) superior rectus; (d) medial rectus; (e) inferior oblique, and (f) inferior rectus. This scheme of segmentation had been suggested previously by Bernheimer3 on the basis of the retrograde cell degeneration References 1. Tsuchida, U.: Ueber die Ursprungskerne der Augenbewegungen und über die mit diesen in Beziehung stehenden Bahnen im Mittel- und Zwischenhirn , Arb. a. d. hirnanat. Inst. in Zürich , 1906, no. (2) . 2. Brouwer, B.: Klinisch-anatomische Untersuchung über den Oculomotoriuskern , Ztschr. f. d. ges. Neurol. u. Psychiat. 40:152-193, 1918.Crossref 3. Bernheimer, S.: Experimentelle Studien zur Kenntnis der Innervation der inneren and ausseren vom Oculomotorius versorgten Muskeln des Auges , Arch. f. Ophth. 44:481-525, 1897. 4. Hensen, V., and Völckers, C.: Ueber den Ursprung den Accommodationsnerven, nebst Bemerkungen über die Function der Wurzeln des Nervus oculomotorius , Arch. f. Ophth. (pt. 1) 24:1-26, 1878. 5. Ranson, S. W.: On the Use of the Horsley-Clarke Stereotaxic Instrument , Psychiat. en neurol. bl. 38:534, 1934. 6. Harrison, F.: Modification in Technic for Use of the Horsley-Clarke Stereotaxic Instrument , Arch. Neurol. & Psychiat. 40:563-565 ( (Sept.) ) 1938. 7. Ranson, S. W., and Magoun, H. W.: The Central Path of the Pupillo-Constrictor Reflex in Response to Light , Arch. Neurol. & Psychiat. 30:1193-1202 ( (Dec.) ) 1938. 8. Magoun, H. W., and Ranson, S. W.: The Central Path of the Light Reflex: A Study of the Effect of Lesions , Arch. Ophth. 13:791-811 ( (May) ) 1935. 9. Bach, L.: Zur Lehre von den Augenmuskellähmungen in den Störungen der Pupillbewegung , Arch. f. Ophth. 47:339-386 and 551-630, 1939. 10. von Monakow, C.: Gehirnpathologie , ed. 2, Vienna, A. Hölder, 1905, p. 103. 11. Benjamin, J. W.: The Nucleus of the Oculomotor Nerve with Special Reference to Innervation of the Pupil and Fibers from the Pretectal Region , J. Nerv. & Ment. Dis. 89:294-310, 1932. 12. Hensen, V., and Völckers, C. V.: Ueber die Accommodationsbewegung der Choroidea im Auge des Menschen, des Affen und der Katze , Arch. f. Ophth. (pt. 1) 19:156-162, 1873.
Archives of Neurology & Psychiatry – American Medical Association
Published: Jan 1, 1943
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