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Localisation and stimulation of the parietal eye field Volume 24, issue 2, April 2022

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  • Localisation and stimulation of the parietal eye field

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Authors
1 Westmead Epilepsy Unit, Westmead Hospital, Westmead NSW 2145 Australia
2 University of Queensland, St Lucia QLD 4072 Australia
3 University of Sydney, City Road, Camperdown NSW 2006 Australia
* Correspondence: Thienan John Phamnguyen Centre for Advanced Imaging, Level 5, Building 57, University Dr, University of Queensland, St Lucia QLD 4072 Australia

Localisation of the human parietal eye fields (PEF) has not been as well studied as the human frontal eye fields (FEF). Stimulation studies in rhesus monkeys have suggested the localisation of the PEF to be within the intraparietal sulcus. Functional MRI studies have demonstrated this region to be highly active and potentially connected in saccadic and gaze shifting tasks. Here, we present a case of a patient with left versive seizures evaluated with SEEG, in whom electrical stimulation within the right intraparietal sulcus resulted in horizontal and downward conjugate eye movements contralateral to stimulation. We illustrate clinical differences between the FEF and PEF on cortical stimulation. In addition to the frontal eye field, it is important to recognise other cortical regions involved in eye movement which can cause conjugate contralateral eye movement.