A detailed, kinematic analysis revealed subtle deficits in midline pointing and prehension in a patient showing good clinical signs of recovery from optic ataxia associated with bilateral parietooccipital damage. Relative to control subjects, the patient tended to misreach to the left with her right hand, and to the right with her left hand on a pointing task. While reach kinematics were otherwise normal in the pointing task, they were markedly disturbed in a prehension task, in which reaching and grasping movements must be integrated. In addition, difficulties in making fine postural adjustments to the hands were still evident 17 months post-injury. These findings suggest an important role for the posterior parietal lobes in programming goal-directed manual movements, and have implications for current theories of motor control and visual perception.