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"Round the Houses" Sign

"Round the Houses" Sign

This name has been proposed for the inability of patients with progressive supranuclear palsy to produce pure vertical saccades along a straight line in the visual midline. Full vertical excursions are still present, but only accomplished by saccades moving the eyes in a lateral arc ("round the houses").

 

References

Quinn N. The "round the houses" sign in progressive supranuclear palsy. Annals of Neurology 1996; 40: 951