A common mechanism for the control of eye and head movements in humans

How the human brain controls the subtle coupling between eye and head movements is still debated. The brain could either coordinate two separate (eye and head) networks or use a single system involved in gaze (eye + head) control. In a recent report, a total transfer from eye to head movements was observed in a patient with congenital ophthalmoplegia. This led the authors to hypothesize that such transfer resulted from a long-term adaptation between oculomotor and head movement systems. We report on a patient in whom a similar transfer was observed but at the acute stage of an acquired ophthalmoplegia. This case demonstrates that the transfer between head and eye movements does not necessarily require long-term adaptation and supports the hypothesis of a common unique gaze motor command in which eye and head movements would be rapidly exchangeable.