Oculomotor functions of the parietal lobe: Effects of chronic lesions in humans

This review summarises research in patients with chronic lesions of parietal oculomotor cortex and compares their oculomotor performance to patients with lesions of the frontal eye field (FEF). The observations identify the oculomotor functions for which these regions are indispensable, and explore dynamic interactions within cortical and subcortical networks for oculomotor control. The experiments examined endogenously generated saccades, saccades to visual targets, antisaccades, saccade choice and saccade remapping for inhibitory spatial tagging. The findings suggest that the key function of parietal oculomotor cortex is the computation of sensorimotor transformations, rather than the initiation of either voluntary or reflexive saccades. They also reveal the re-organisation of cortico-subcortical networks after brain injury, and provide insight into their dynamic interactions: FEF lesions result in disinhibition of reflexive saccades toward the contralesional field and an impairment of reflexive saccades toward the ipsilesional field; whereas parietal lesion result in the opposite pattern.