Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1978 Sep;41(9):819–823. doi: 10.1136/jnnp.41.9.819

Electrical study of jaw and orbicularis oculi reflexes after trigeminal nerve surgery.

I T Ferguson
PMCID: PMC493161  PMID: 690653

Abstract

Trigeminal nerve ophthalmic and motor division function was assessed clinically and electrically in 32 patients who had undergone various surgical procedures for trigeminal neuralgia. Using known electrophysiological techniques, the orbicularis oculi and jaw reflexes were tested in all subjects. Abnormalities of the orbicularis oculi reflex were anticipated on the basis of ophthalmic division anaesthesia. However, jaw reflex abnormalities appeared in operated cases with no clinical or electromyographic evidence of masseter denervation. These results were unexpected, and imply that the proprioceptive fibres of the jaw reflex are mediated by a sensory and not a motor root as previously believed.

Full text

PDF
819

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Close R., Hoh J. F. Effects of nerve cross-union on fast-twitch and slow-graded muscle fibres in the toad. J Physiol. 1968 Sep;198(1):103–125. doi: 10.1113/jphysiol.1968.sp008596. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Eisen A., Danon J. The orbicularis oculi reflex in acoustic neuromas: a clinical and electrodiagnostic evaluation. Neurology. 1974 Apr;24(4):306–311. doi: 10.1212/wnl.24.4.306. [DOI] [PubMed] [Google Scholar]
  3. Goodwill C. J., O'Tuama L. Electromyographic recording of the jaw reflex in multiple sclerosis. J Neurol Neurosurg Psychiatry. 1969 Feb;32(1):6–10. doi: 10.1136/jnnp.32.1.6. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Goodwill C. J. The normal jaw reflex: measurement of the action potential in the masseter muscles. Ann Phys Med. 1968 Feb;9(5):183–188. doi: 10.1093/rheumatology/9.5.183. [DOI] [PubMed] [Google Scholar]
  5. Goor C., Pngerboer De Visser B. W. Jaw and blind reflexes in trigeminal nerve lesions. An electrodiagnostic study. Neurology. 1976 Jan;26(1):95–97. doi: 10.1212/wnl.26.1.95. [DOI] [PubMed] [Google Scholar]
  6. HUFSCHMIDT H. J., SPULER H. Mono- and polysynaptic reflexes of the trigeminal muscles in human beings. J Neurol Neurosurg Psychiatry. 1962 Nov;25:332–335. doi: 10.1136/jnnp.25.4.332. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Henderson W. R. Trigeminal neuralgia: the pain and its treatment. Br Med J. 1967 Jan 7;1(5531):7–15. doi: 10.1136/bmj.1.5531.7. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. KUGELBERG E. [Facial reflexes]. Brain. 1952 Sep;75(3):385–396. doi: 10.1093/brain/75.3.385. [DOI] [PubMed] [Google Scholar]
  9. Kimura J. Electrically elicited blink reflex in diagnosis of multiple sclerosis. Review of 260 patients over a seven-year period. Brain. 1975 Sep;98(3):413–426. doi: 10.1093/brain/98.3.413. [DOI] [PubMed] [Google Scholar]
  10. Kimura J., Lyon L. W. Orbicularis oculi reflex in the Wallenberg syndrome: alteration of the late reflex by lesions of the spinal tract and nucleus of the trigeminal nerve. J Neurol Neurosurg Psychiatry. 1972 Apr;35(2):228–233. doi: 10.1136/jnnp.35.2.228. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Kimura J., Rodnitzky R. L., Van Allen M. W. Electrodiagnostic study of trigeminal nerve. Orbicularis oculi reflex and masseter reflex in trigeminal neuralgia, paratrigeminal syndrome, and other lesions of the trigeminal nerve. Neurology. 1970 Jun;20(6):574–583. doi: 10.1212/wnl.20.6.574. [DOI] [PubMed] [Google Scholar]
  12. Lyon L. W., Van Allen M. W. Alteration of the orbicularis oculi reflex by acoustic neuroma. Arch Otolaryngol. 1972 Feb;95(2):100–103. doi: 10.1001/archotol.1972.00770080188002. [DOI] [PubMed] [Google Scholar]
  13. MCKENZIE K. G. Trigeminal tractotomy. Clin Neurosurg. 1954;2:50-69; discussion, 69-70. [PubMed] [Google Scholar]
  14. McINTYRE A. K. Afferent limb of the myotatic reflex arc. Nature. 1951 Jul 28;168(4265):168–169. doi: 10.1038/168168a0. [DOI] [PubMed] [Google Scholar]
  15. Morello G., Bianchi M., Migliavacca F. Combined extra-intradural temporal rhizotomy for the treatment of trigeminal neuralgia. Results in 409 patients. J Neurosurg. 1971 Mar;34(3):372–379. doi: 10.3171/jns.1971.34.3.0372. [DOI] [PubMed] [Google Scholar]
  16. Ongerboer de Visser B. W., Goor C. Electromyographic and reflex study in idiopathic and symptomatic trigeminal neuralgias: latency of the jaw and blink reflexes. J Neurol Neurosurg Psychiatry. 1974 Nov;37(11):1225–1230. doi: 10.1136/jnnp.37.11.1225. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Shahani B. T., Young R. R. Human orbicularis oculi reflexes. Neurology. 1972 Feb;22(2):149–154. doi: 10.1212/wnl.22.2.149. [DOI] [PubMed] [Google Scholar]
  18. Sweet W. H., Wepsic J. G. Controlled thermocoagulation of trigeminal ganglion and rootlets for differential destruction of pain fibers. 1. Trigeminal neuralgia. J Neurosurg. 1974 Feb;40(2):143–156. doi: 10.3171/jns.1974.40.2.0143. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES