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Craniofacial Muscles

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56 V.E. Das

Fig. 4.3 Top panel —comparative cross-section MRIs of a normal subject and a patient with

incomitant pattern strabismus. The lateral rectus of the patient is shifted inferiorly in supraduction

(adapted from Oh et al. 2002 ) . This sideslip of the rectus muscle could be the source for pattern

strabismus in this patient. Bottom panels —Recording from a medial rectus motoneuron in a monkey

with sensory-induced strabismus. As expected, during horizontal smooth-pursuit, this rightburst-tonic

(BT) neuron is modulated in correlation with movement of the left eye. During vertical

pursuit with the right eye viewing (right column), there is an inappropriate horizontal component

in the left eye that is the dynamic equivalent to an A-pattern strabismus. The motoneuron shows

activity that is correlated with this horizontal component suggesting that A patterns in sensoryinduced

monkeys are due to central innervation (adapted from Joshi and Das 2011 ) . Right eye—

red ; left eye— blue . Positive values indicate rightward or upward eye positions and negative values

indicate leftward or downward eye positions

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