This study investigated whether the cerebellum is essential for rapid sacca
de adaptation. Saccade adaptation was elicited by 30% backward target steps
during the primary saccade. Patients with cerebellar lesions adapted less
than normal subjects, but saccade adaptation was most impaired in the group
of patients with cerebellar degeneration. As the variability of the saccad
e gain in patients with cerebellar degeneration did not significantly diffe
r from that in the other patients, the increased variability in motor perfo
rmance due to a cerebellar lesion cannot alone explain this impaired adapta
tion.