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+mediating+vestibular+function+in+roll+plane.+The+projections+from+the+otoliths+and+the+vertical+semicircular+canals+to+the+ocular+motor+nuclei+(trochlear+nucleus+IV%2C+oculomotor+nucleus+III%2C+abducens+nucleus+VI)%2C+the+supranuclear+centers+of+the+interstitial+nucleus+of+Cajal+(INC)%2C+and+the+rostral+interstitial+nucleus+of+the+medial+longitudinal+fasciculus+(riMLF)+are+shown.+They+subserve+the+vestibulo-ocular+reflex+(VOR)+in+three+planes.+The+VOR+is+part+of+a+more+complex+vestibular+reaction+that+also+involves+vestibulospinal+connections+via+the+medial+and+lateral+vestibulospinal+tracts+for+head+and+body+posture+control.+Furthermore%2C+connections+to+the+assumed+vestibular+cortex+(areas+2v+and+3a+and+the+parietoinsular+vestibular+cortex+[PIVC])+via+the+vestibular+nuclei+of+the+thalamus+(Vim%2C+Vce)+are+depicted.+Graviceptive+vestibular+pathways+for+the+roll+plane+cross+at+the+pontine+level.+Ocular+tilt+reaction+(OTR)+(skew+torsion%2C+head+tilt%2C+and+tilt+of+perceived+vertical%2C+subjective+visual+vertical+[SVV])+is+depicted+schematically+on+the+right+in+relation+to+the+level+of+the+lesion:+ipsiversive+OTR+with+peripheral+and+pontomedullary+lesions%3B+contraversive+OTR+with+pontomesencephalic+lesions.+In+vestibular+thalamic+lesions%2C+the+tilts+of+SVV+may+be+contraversive+or+ipsiversive%3B+in+vestibular+cortex+lesions%2C+they+are+preferably+contraversive.+OTR+is+not+induced+by+supratentorial+lesions+above+the+level+of+INC.3.jpg?quality=80&w=800)
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