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Orbicularis Oculi Reflex: Studies in Internuclear Ophthalmoplegia and Pseudointernuclear Ophthalmoplegia

Orbicularis Oculi Reflex: Studies in Internuclear Ophthalmoplegia and Pseudointernuclear... Abstract Alteration of the early reflex component of the orbicularis oculi reflex was demonstrated in 11 of 12 patients with internuclear ophthalmoplegia. One patient with partial internuclear ophthalmoplegia and eight patients with myasthenic ophthalmoplegia, including two instances of pseudointernuclear ophthalmoplegia, had normal results of orbicularis oculi reflex studies. It is suggested that study of the orbicularis oculi reflex is useful in quantitatively evaluating patients with internuclear ophthalmoplegia and in differentiating internuclear ophthalmoplegia from pseudointernuclear ophthalmoplegia. References 1. Kugelberg E: Facial reflexes . Brain 75:385-396, 1952.Crossref 2. Rushworth G: Observations on blink reflexes . J Neurol Neurosurg Psychiat 25:93-108, 1962.Crossref 3. Gandiglio G, Fra L: Further observations on facial reflexes . J Neurol Sci 5:273-285, 1967.Crossref 4. Tokunaga A, et al: An experimental study on facial reflex by evoked electromyography . Med J Osaka Univ 9:397-411, 1958. 5. Shahani B: The human blink reflex . J Neurol Neurosurg Psychiat 33:792-800, 1970.Crossref 6. Kimura J, Powers JM, Van Allen MW: Reflex response of orbicularis oculi muscle to supraorbital nerve stimulation: Study in normal subjects and in peripheral facial paresis . Arch Neurol 21:193-199, 1969.Crossref 7. Bender LF, Maynard FM, Hastings SV: The blink reflex as a diagnostic procedure . Arch Phys Med 50:27-31, 1969. 8. Kimura J: Alteration of the orbicularis oculi reflex by pontine lesions: Study in multiple sclerosis . Arch Neurol 22:156-161, 1970.Crossref 9. Namerow NS, Etemadei A: The orbicularis oculi reflex in multiple sclerosis . Neurology 20:1200-1203, 1970.Crossref 10. Glaser JS: Myastenic pseudo-internuclear ophthalmoplegia . Arch Ophthal 75:363-366, 1966.Crossref 11. Kimura J, Rodnitzky RL, Van Allen MW: Electrodiagnostic study of trigeminal nerve . Neurology 20:574-583, 1970.Crossref 12. Kimura J: Electrodiagnosis of brainstem lesions: Study in brainstem neoplasm and syrinx . Neurology 21:449-450, 1971.Crossref 13. Kimura J: Electrodiagnostic study of the brainstem: Alteration of the orbicularis oculi reflex in 39 vascular, six anoxic, and two traumatic lesions. Stroke, to be published. 14. Kimura J, Lyon LW: The orbicularis oculi reflex in the Wallenberg syndrome: Selective alteration of the late reflex by lateral medullary lesion implicating the spinal tract and nucleus of the trigeminal nerve. J Neurol Neurosurg Psychiat, to be published. 15. Cogan DG: Neurology of the Ocular Muscles , ed 2. Springfield, Ill, Charles C Thomas Publishers, 1956, pp 84-91. 16. Smith JL, Cogan DG: Internuclear ophthalmoplegia: A review of 58 cases . Arch Ophthal 61:687, 1959.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Orbicularis Oculi Reflex: Studies in Internuclear Ophthalmoplegia and Pseudointernuclear Ophthalmoplegia

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Publisher
American Medical Association
Copyright
Copyright © 1972 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1972.01000020150006
Publisher site
See Article on Publisher Site

Abstract

Abstract Alteration of the early reflex component of the orbicularis oculi reflex was demonstrated in 11 of 12 patients with internuclear ophthalmoplegia. One patient with partial internuclear ophthalmoplegia and eight patients with myasthenic ophthalmoplegia, including two instances of pseudointernuclear ophthalmoplegia, had normal results of orbicularis oculi reflex studies. It is suggested that study of the orbicularis oculi reflex is useful in quantitatively evaluating patients with internuclear ophthalmoplegia and in differentiating internuclear ophthalmoplegia from pseudointernuclear ophthalmoplegia. References 1. Kugelberg E: Facial reflexes . Brain 75:385-396, 1952.Crossref 2. Rushworth G: Observations on blink reflexes . J Neurol Neurosurg Psychiat 25:93-108, 1962.Crossref 3. Gandiglio G, Fra L: Further observations on facial reflexes . J Neurol Sci 5:273-285, 1967.Crossref 4. Tokunaga A, et al: An experimental study on facial reflex by evoked electromyography . Med J Osaka Univ 9:397-411, 1958. 5. Shahani B: The human blink reflex . J Neurol Neurosurg Psychiat 33:792-800, 1970.Crossref 6. Kimura J, Powers JM, Van Allen MW: Reflex response of orbicularis oculi muscle to supraorbital nerve stimulation: Study in normal subjects and in peripheral facial paresis . Arch Neurol 21:193-199, 1969.Crossref 7. Bender LF, Maynard FM, Hastings SV: The blink reflex as a diagnostic procedure . Arch Phys Med 50:27-31, 1969. 8. Kimura J: Alteration of the orbicularis oculi reflex by pontine lesions: Study in multiple sclerosis . Arch Neurol 22:156-161, 1970.Crossref 9. Namerow NS, Etemadei A: The orbicularis oculi reflex in multiple sclerosis . Neurology 20:1200-1203, 1970.Crossref 10. Glaser JS: Myastenic pseudo-internuclear ophthalmoplegia . Arch Ophthal 75:363-366, 1966.Crossref 11. Kimura J, Rodnitzky RL, Van Allen MW: Electrodiagnostic study of trigeminal nerve . Neurology 20:574-583, 1970.Crossref 12. Kimura J: Electrodiagnosis of brainstem lesions: Study in brainstem neoplasm and syrinx . Neurology 21:449-450, 1971.Crossref 13. Kimura J: Electrodiagnostic study of the brainstem: Alteration of the orbicularis oculi reflex in 39 vascular, six anoxic, and two traumatic lesions. Stroke, to be published. 14. Kimura J, Lyon LW: The orbicularis oculi reflex in the Wallenberg syndrome: Selective alteration of the late reflex by lateral medullary lesion implicating the spinal tract and nucleus of the trigeminal nerve. J Neurol Neurosurg Psychiat, to be published. 15. Cogan DG: Neurology of the Ocular Muscles , ed 2. Springfield, Ill, Charles C Thomas Publishers, 1956, pp 84-91. 16. Smith JL, Cogan DG: Internuclear ophthalmoplegia: A review of 58 cases . Arch Ophthal 61:687, 1959.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Feb 1, 1972

References