| Contralateral reinnervation of midline muscles in nonidiopathic facial palsy. | |
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MedLine Citation:
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PMID: 12766689 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The purpose of this study was to analyze contralateral reinnervation of the facial nerve in eight patients with complete facial palsy after surgery or trauma and seven healthy volunteers. All patients had contralateral reinnervation of facial muscles as demonstrated by electrical nerve stimulation versus none of the control subjects. Four patients had facial muscle movements at the site of the damaged nerve. In one patient this was entirely the result of contralateral reinnervation, whereas the other three patients had innervation both ipsilaterally and contralaterally. This implies that renewed facial muscle activity should be examined considering the origin of the reinnervation, either contralateral or ipsilateral. Contralateral reinnervation is a common phenomenon after total facial palsy and can occur alongside ipsilateral reinnervation. It can be mistaken for adequate reinnervation of the damaged nerve, causing postponement of dynamic reconstruction therapy. |
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Authors:
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H Jacobus Gilhuis; Carien H G Beurskens; Joost de Vries; Henri A M Marres; Ed H M Hartman; Machiel J Zwarts |
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Publication Detail:
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Type: Clinical Trial; Controlled Clinical Trial; Journal Article |
Journal Detail:
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Title: Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society Volume: 20 ISSN: 0736-0258 ISO Abbreviation: J Clin Neurophysiol Publication Date: 2003 Apr |
Date Detail:
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Created Date: 2003-05-26 Completed Date: 2003-07-01 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8506708 Medline TA: J Clin Neurophysiol Country: United States |
Other Details:
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Languages: eng Pagination: 151-4 Citation Subset: IM |
Affiliation:
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Department of Clinical Neurophysiology, Institute of Neurology, University Medical Centre Nijmegen, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Action Potentials Adult Brain Neoplasms / complications, surgery Electric Stimulation Electromyography Facial Muscles / innervation*, physiopathology* Facial Nerve Injuries / etiology, physiopathology* Facial Paralysis / etiology, physiopathology* Female Functional Laterality Humans Male Middle Aged Nerve Regeneration / physiology* Postoperative Care Postoperative Complications Skull Fractures / complications Temporal Bone / injuries |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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