{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T19:51:32Z","timestamp":1791143492708,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,12,24]],"date-time":"2014-12-24T00:00:00Z","timestamp":1419379200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001711","name":"Swiss National Science Foundation","doi-asserted-by":"publisher","award":["32003B-130163\/1"],"award-info":[{"award-number":["32003B-130163\/1"]}],"id":[{"id":"10.13039\/501100001711","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Betty and David Koetser foundation for brain research, zurich switzerland"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Annals of Neurology"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:p>Current concepts postulate a decisive role of the cerebellar nodulus in the processing of otolith input. We hypothesized that nodular lesions abolish otolith\u2010perceptual integration, predicting alignment of perceived direction of earth vertical with the z\u2010axis of the head and not with gravity. In an 80\u2010year\u2010old patient with acute heminodular infarction, the subjective visual vertical deviated contralesionally by \u221221.1\u00b0 when the patient was upright. After subtracting this offset, perceived vertical closely matched the patient's head orientation when the patient was roll\u2010tilted. Otolith\u2010ocular reflexes remained normal. This is the first report on abolished earth verticality perception in heminodular stroke and underlines the importance of the nodulus in spatial orientation. 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