Ocular tilt reaction: A clinical sign in cerebellar infarctions?

Objectives: The ocular tilt reaction (OTR) consists of the characteristic triad of head tilt, ocular torsion (OT), and skew deviation (SD). In cerebellar lesions there are only a few case reports available reporting about OTR. Thus, we examined systematically OTR in patients with cerebellar lesions to answer the question whether OTR is a frequent clinical sign in patients with cerebellar lesions or not. Methods: Seventy-six patients (median age 64, range 24–84) with acute cerebellar lesions due to stroke were tested for OT, SD and tilts of subjective visual vertical (SVV). Fifty-four patients had pure unilateral…