The trigemino-cervical reflex in patients with trigeminal neuralgia
| العنوان: | The trigemino-cervical reflex in patients with trigeminal neuralgia |
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| المؤلفون: | Frediano Tezzon, Raffaele Nardone, Massimo F. Matullo |
| المصدر: | Neurological Research. 27:36-40 |
| بيانات النشر: | Informa UK Limited, 2005. |
| سنة النشر: | 2005 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Stimulation, Electromyography, Functional Laterality, Neck Muscles, Trigeminal neuralgia, Reflex, Reaction Time, medicine, Humans, Trigeminal nerve, medicine.diagnostic_test, business.industry, General Medicine, Carbamazepine, Trigeminal Neuralgia, medicine.disease, Electric Stimulation, Surgery, Neurology, Trigeminal Nerve Diseases, Anesthesia, Anticonvulsants, Female, Neurology (clinical), Brainstem, business, medicine.drug |
| الوصف: | To investigate the central trigeminal system in idiopathic trigeminal neuralgia (TN).Short latency responses can be recorded in sternocleidomastoid (SCM) muscles after stimulation of the trigeminal nerve (trigemino-cervical reflex). This brainstem reflex was investigated in 40 healthy subjects and in 17 patients suffering from idiopathic TN before and after therapy for 2 months with carbamazepin.Before therapy, six patients presented abnormalities of SCM responses on the painful side, six patients with bilateral abnormalities, and five patients with normal responses. A significant variation in the responses after therapy was found only in the patients with unilateral abnormalities: these patients and the patients with normal reflexes before therapy also had a good response to the therapy with significant pain relief.Our findings suggest that the trigemino-cervical reflex could be useful in the clinical assessment of TN prior to instituting non-surgical treatment. The bilateral location of the abnormalities in some patients seems to point to a centrally located dysfunction; therefore, this study supports the idea that mechanisms in the central nervous system may play an important role in the pathophysiology of trigeminal neuralgic pain. |
| تدمد: | 1743-1328 0161-6412 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ee70cb445c0fe45e87c14f1221434160Test https://doi.org/10.1179/016164105x18179Test |
| رقم الانضمام: | edsair.doi.dedup.....ee70cb445c0fe45e87c14f1221434160 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17431328 01616412 |
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