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Neurophysiological study of the facial nerve

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Hemifacial Spasm

Summary

The facial nerve is often involved in paralysis and spasm, and there are some unique aspects in the evaluation of facial nerve disorders. Electroneurography (ENoG) and computed surface electromyography (EMG) allows an accurate early prediction of the severity of idiopathic facial paralysis, and thus the opportunity to provide an optimal and very successful medical management of its severe forms.

The development of intracranial intraoperative electro- physiological recording and stimulation gave a new dimension to intra-cranial facial nerve surgery [19]. Such intraoperative monitoring reduced the sequelae of pontocerebellar tumor surgery. Above all, it has contributed to the understanding the mechanisms of the essential hemifacial spasm and for providing optimal surgical treatment of vascular compression of the facial nerve.

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References

  1. Blumenthal F, May M (1986) Electrodiagnosis. In: May M (ed) The facial nerve. Thieme, New York, pp 241–262

    Google Scholar 

  2. Dankle JA, Wiegand DA (1994) Investigation of a coaxial bipolar nerve stimulator for intraoperative motor nerve monitoring. Laryngoscope 104: 619–622

    Article  PubMed  CAS  Google Scholar 

  3. Darrauzet S, Wang T, Eshapasse T, Guerin J, Duroux S, Bebear JP (1994) Valeur pronostique du réflexe de clignement dans la chirurgie du neurinome de l’acoustique. Communication aux Journées multirégionales d’otolaryngologie, Lyon, vril. J Franc Otolaryngol 43: 251–253

    Google Scholar 

  4. Esslen E (1957) Der Spasmus facialis, eine Parabiose Erscheinung. Dtsch Z Nervenh 176: 149–172

    CAS  Google Scholar 

  5. Esslen E (1977) Electromyography and electroneurography. In: Fisch U (ed) Facial nerve surgery. Proceedings of the Third International Symposium on Facial Nerve Surgery. Kugler, Amsterdam, pp 93–100

    Google Scholar 

  6. Fisch U (1977) Managment of Bell’s palsy. In: Fisch U (ed) Facial nerve surgery. Kugler, Amsterdam, pp 393–394

    Google Scholar 

  7. Fligny I, Lamas G, Poignonec S, Couturier J, Soudant J, Willer JC (1993) Mise en évidence et analyse électrophysiologique du réflexe de clignement chez le rat. Intérêt de ce modèle expérimental. Ann Oto-Laryngol (Paris) 110: 470–473

    CAS  Google Scholar 

  8. Furata S, Hirota J, Obata E, Ohyama M (1990) Influence of brain tumors on the blink reflex. In: Castro D (ed) The facial nerve. Proceedings of the Sixth International Symposium on the Facial Nerve (held in Rio de Janeiro, Brazil, 1988). Kugler and Ghedini, Amsterdam, pp 143–145

    Google Scholar 

  9. Glocker FX, Magistris NR, Rössler KM, Hess CV (1994) Magnetic transcranial and electrical stylo-mastoidal stimulation of the facial motor pathway in Bell’s palsy: Time-course and relevance of electrophysiological parameters. Electroenceph Clin Neurophysio 193: 113–120

    Article  Google Scholar 

  10. Hanner P, Badr G, Rosenhall U, Edström S (1986) Trigeminal dysfunction in patients with Bell’s palsy. Acta Oto-Laryngol (Stockh) 101: 224–230

    Article  CAS  Google Scholar 

  11. Henrion P (1988) Etude pronostique de la paralysie faciale périphérique et de ses séquelles par le réflexe trigémino-facial et facio-facial et par la neurographie. A propos de 461 paralysies. Thèse, Paris (Dir. Molina-Negro). Fac Méd Paris-Lariboisière

    Google Scholar 

  12. Kartush J, Bouchard K (1992) Intraoperative facial nerve monitoring: Otology, neurotology and skull base surgery. In: Kartush J (ed) Neuromonitoring in otology and head and neck surgery. Raven Press, New York, pp 99–120

    Google Scholar 

  13. Kohsyu H, Aoyagi M, Tojima H, Tada Y, Inamura H, Ikarashi T, Koike Y (1994) Facial nerve enhancement in Gd-MRI in patients with Bell’s palsy. Acta Oto-Laryngol (Stockh) [Suppl] 511: 165–169

    Article  CAS  Google Scholar 

  14. Lacombe H, Keravel Y, Peynegre R, Esharagha A (1993) Intérêt du monitoring du facial sur la fonction faciale dans la chirurgie translabyrinthique des neurinomes de l’acoustique. Ann OtoLaryngol (Paris) 111: 89–94

    Google Scholar 

  15. Laskawi R, Stennert E, Limberg C (1990) Electrophysiological investigations in patients with hemifacial spasm. In: Castro D (ed) The facial nerve. Proceedings of the Sixth International Symposium on the Facial Nerve (held in Rio de Janeiro, Brazil, 1988). Kugler and Ghedini, Amsterdam, pp 465–467

    Google Scholar 

  16. Lucas MF (1986) Contribution à l’étude du signal d’EMG de surface. Modélisation, identification, classification. Thèse de Dr Ingénieur, Nantes, Fac. des Sciences

    Google Scholar 

  17. Maeyama H, Aoyagi M, Tojima H, Inamura H, Kohsyu H, Koike Y (1994) Electrophysiological study of the pathology of synkinesis after facial nerve paralysis. Acta Otolaryngol (Stockh) [Suppl] 511: 161–164

    Article  CAS  Google Scholar 

  18. Molina P, Bertrand RA, Hardy J (1977) The trigemino-facial reflexes. In: Fisch U (ed) Proceedings of the Third International Symposium on Facial Nerve Surgery. Kugler, Amsterdam, pp 107–128

    Google Scholar 

  19. Moller AR, Jannetta PJ (1985) Microvascular decompression in the hemifacial spasm: Intraoperative electrophysiological observations. Neurosurgery 16: 612–618

    Article  PubMed  CAS  Google Scholar 

  20. Moller AR, Jannetta PJ (1986) Blink reflex in patients with hemifacial spasm. Observations during microvascular decompression operations. J Neurosurg 72: 171–182

    CAS  Google Scholar 

  21. Moller AR (1990) Pathophysiology of hemifacial spasm. In: Castro D (ed) The Facial Nerve. Proceedings of the Sixth International Symposium on the Facial Nerve (held in Rio de Janeiro, Brazil, 1988). Kugler and Ghedini, Amsterdam, pp 469–471

    Google Scholar 

  22. Pialoux P, Freyss G, Beauvillain de Montreuil C (1975) Quelques développements récents des examens électriques appliqués à l’étude des paralysies faciales. Ann Oto-Laryngol (Paris) 92: 205–212

    CAS  Google Scholar 

  23. Poignonec S, Lamas G, Aidan D, Willer JC, Soudant J (1993) Exploration électrophysiologique de l’hémispasme facial. Ann Oto-Laryngol (Paris) 110: 385–391

    CAS  Google Scholar 

  24. Potosching C, Stennert E (1990) Magnetic stimulation: A new possibility in the assessment of facial nerve dysfunction. In: Castro D (ed) The facial nerve. Proceedings of the Sixth International Symposium on the Facial Nerve (held in Rio de Janeiro, Brazil, 1988). Kugler and Ghedini, Amsterdam, pp 183–189

    Google Scholar 

  25. Schmid UD, Moller AR, Schmid J (1992) Transcranial magnetic stimulation of the facial nerve: Intraoperative study of the effect of stimulus parameters on the excitator site in man. Muscle and Nerve 15: 829–836

    Article  PubMed  CAS  Google Scholar 

  26. Silverstein H, Willcox TO Jr, Rosenberg SI, Seidman MD (1994) Prediction of facial nerve function following acoustic neuroma resection using intraoperative facial nerve stimulation. Laryngoscope 104: 539–544

    Article  PubMed  CAS  Google Scholar 

  27. Stennert E (1982) New concepts in the treatment of Bell’s palsy. In: Graham N, Gramm MD, House W (eds) Disorders of the facial nerve. Raven Press, New York, pp 313–317

    Google Scholar 

  28. Tamai Y, Ywamoto YM, Tsujimoto T (1986) Pathways of the blink reflex in the brain of the cat. Interneurons between the trigeminal nuclei and the facial nucleus. Brain Res 199: 19–25

    Article  Google Scholar 

  29. Tojima H, Aoyagi M, Inamura H, Koike Y (1994) Clinical advantages of electroneurography in patients with Bell’s palsy, within two weeks after onset. Acta Otolaryngol (Stockh), [Suppl] 511: 147–149

    Article  CAS  Google Scholar 

  30. Willer JC, Lamour Y (1975) Etude électrophysiologique du réflexe de clignement chez le macaque. CR Acad Sc (Paris) 281 (série D): 563–566

    CAS  Google Scholar 

  31. Willer JC, Lamas G, Poignonec S, Fligny I, Soudant J (1992) Redirection of the hypoglossal nerve to facial muscles alters central connectivity in human brainstem. Brain Res 594: 301–306

    Article  PubMed  CAS  Google Scholar 

  32. Wolf SR, Schneider W, Berg M, Haid CT, Wigand ME (1994) Facial nerve involvement in acoustic neuromas: examination with transcranial magnetic single-and bistimulation. In: Proceedings of the Eighteenth Barany Society Meeting (held in Uppsala, Sweden, June 6–8, 1994). Acta Oto-Laryngol (Stockh) (In press)

    Google Scholar 

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Author information

Authors and Affiliations

  1. E.N.T. Department, Hôpital Lariboisière, 3, rue Ambroise, F-75010, Paris, France

    Georges Freyss M.D. (Professor of Otolaryngology (Paris) & G. Tailame

Authors
  1. Georges Freyss M.D.
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  2. G. Tailame
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Editor information

Editors and Affiliations

  1. Hôpital Neurologique, Lyon, France

    Marc Sindou

  2. Hôpital Henri Mondor, Creteil, France

    Yves Keravel

  3. Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, USA

    Aage R. Møller

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© 1997 Springer-Verlag/Wien

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Freyss, G., Tailame, G. (1997). Neurophysiological study of the facial nerve. In: Sindou, M., Keravel, Y., Møller, A.R. (eds) Hemifacial Spasm. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6829-5_4

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  • DOI: https://doi.org/10.1007/978-3-7091-6829-5_4

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-7416-6

  • Online ISBN: 978-3-7091-6829-5

  • eBook Packages: Springer Book Archive

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