Electrophysiological study on the pathology of synkinesis after facial nerve paralysis.
Electrophysiological study on the pathology of synkinesis after facial nerve paralysis.
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面神经麻痹后联带病理学的电生理研究。
DOI：
10.3109/00016489409128324
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Yoshio Koike
中科院分区：
文献类型：
--
作者：
H. Maeyama;Masaru Aoyagi;H. Tojima;H. Inamura;H. Kohsyu;Yoshio Koike
本文通过对面神经麻痹患者进行电生理检查，探讨了面神经麻痹患者的联带运动特点及其发生机制。对114例面神经麻痹患者进行了神经电图（ENoG）和瞬目反射检查。结果表明，联带运动可以通过瞬目反射来确定，并且联带运动的出现频率随瘫痪程度的加重而增加。从潜伏期的检查中发现，在联带运动病例中识别的早期成分（SI）是以缓慢的传导速度通过纤维的波形。神经重度变性或轻度变性与神经变性程度无关。从上述结果可以得出结论，联带运动是作为复制神经的错误方向而产生的。
By conducting electrophysiological tests on patients with facial nerve paralysis, the characteristics of synkinesis and the mechanisms of its manifestations were examined. The subjects were 114 patients of facial nerve paralysis on whom electroneurography (ENoG) and the blink reflex were conducted. As a result, it was indicated that synkinesis could be determined by the blink reflex, and that the frequency of synkinesis manifestation increased with severity of paralysis. From examination during the latent period, early component (SI) recognized in the cases of synkinesis was found to be the waveform which passed the fibers with a slow conducting speed. It was not related to the degree of degeneration of nerves for either the severe or light degeneration of nerves. From the above result it was concluded that synkinesis is generated as a misdirection of reproduced nerves.