The ability to suppress reflexive responses in favor of voluntary moto
r acts is crucial for everyday life. Both abilities can be tested with
an oculomotor task, the antisaccade task. This task requires subjects
to suppress a reflexive prosaccade to a flashed visual stimulus and i
nstead to generate a voluntary saccade to the opposite side. This arti
cle reviews what is currently known about the neural structures and pr
ocesses which are involved in the performance of this task. Current da
ta show that a variety of brain lesions, neurological diseases and psy
chiatric disorders result in errors, i.e. prosaccades towards the stim
ulus, in this task. Brain imaging studies have shown that a widely dis
tributed cortical and subcortical network is active during the generat
ion of antisaccades. These findings are discussed and the potential of
the antisaccade task for diagnostic purposes is evaluated. (C) 1998 E
lsevier Science Ltd. All rights reserved.