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Wallenburg syndrome occurs due to damage to lateral segment of the medulla. Medial medullarysyndrome occurs due to damage to upper portion of the medulla. I report a case of a 30 years old woman diagnosed with medullary syndrome[both medial & lateral features] in absence of CT scan findings sent to the department of Physiology for electrophysiological tests like nerve conduction studies, blink reflex, brainstem auditory evoked potential (BERA) & visual evoked potential (VEP). She had loss of sensations on the ipsilateral half of face (right), hemisensory loss on contralateral trunk & extremities, headache, contralateral hemiparesis (left), ipsilateral lingual paresis with atrophy, fibrillations with contralateral positive Babinski’s sign. The electrophysiological tests showed decrease in conduction velocity of right facial nerve, left tibial & peroneal nerves with decreased amplitude. The nerve conduction studies of median nerve (both motor & sensory) were normal. In blink reflex, latency of R2 ipsilateral & R2 contralateral of supraorbital nerves were increased on right side. There were increasedlatencies of waves II, III, IV & V of BERA & increased P100 latencies in VEP.The results of the electrophysiological tests of the patient showed that she had features of both medial & lateral medullary syndrome suggesting a lesion of both upper & middle medulla. The CT scan in this case was normal but conduction of MRI & CT guided angiography of posterior cerebral & vertebral arteries could have further localized the lesion causing this mixed symptomology
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@#Long working hours with video display unit without appropriate breaks could drain the eyes. This study intends to investigate the efficiency of eye rest-break application to reduce dried eye symptoms by increasing blink rates. Blink rates and dried eye symptoms score among laboratory workers before and after the implementation of eye rest-break application were compared. The numbers of blink rates were recorded using a webcam for 5 minutes without the subjects aware when the recording starts or ends. Then, the Ocular Surface Disease Index (OSDI) was used to measure the dried eye symptoms. For eyes rest-break, EyeLeo© application was used. It is computer application that gives reminders to video display unit (VDU) users to take short breaks for their eyes. Six laboratory workers who are constantly working with VDU were selected as subjects. Data was analysed using Wilcoxon Signed-Rank Test, to test the comparison between variables before and after intervention by reporting its median (inter quartile range, IQR). The findings showed that the median after intervention (39.5, 10) is significantly higher (p-value = 0.028) than the median before intervention (7.3, 3). As for dried eye symptoms, median for Ocular Surface Disease Index after intervention (27.9, 8.9) is significantly lower (p-value = 0.027) than the median before intervention (36.5, 9.4). As a conclusion, application such as EyeLeo© eye rest-break is a potential intervention and may be used to increase blink rates and reducing dried eye symptoms among visual display unit workers.
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@#AIM: To detect the thickness of tear film lipid layer(LLT)in children with abnormal blink, to explore the relationship between abnormal blink and LLT, and to find out the diagnostic value of LLT in children with abnormal blink.<p>METHODS: Prospective comparative study. Selecting 46 cases of children with "frequent blink" as the first reason in our ophthalmic outpatient clinic in 2016-11/2017-02 as abnormal blink group. In the same period, 46 children with non-anomalous blink were selected as control group. The history collection, slit lamp examination, refractive examination, Schirmer I test(SⅠt), tear film break-up time(BUT), and the number of times of LLT and incomplete blink(PB)were measured and compared surface light interferometer were compared.<p>RESULTS: The LLT of the abnormal blink group was 72.17(22.13, 91.00)nm, which was lower than that of the control group 81.97(30.25,95.27)nm,(<i>U</i>=674.5, <i>P</i>=0.028); The mean equivalent spherical degrees(-0.98±3.09D)and SⅠt(11.39±2.46mm/5min)in the abnormal blink group were not different from those in the control group(-0.24±3.06D, 11.74±2.10mm/5min)(<i>P</i>>0.05). Mean PB(0.58±0.28)and mean BUT in the eyes of blink group There was a difference(18.27±5.51s)from the control group(0.43±0.17, 21.01±6.14s)(<i>P</i><0.05).<p>CONCLUSION: Children's abnormal blinks are associated with many factors, and the LLT decline may be an important factor in children's abnormal blink.
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@#AIM: To compare the non-invasive tear film break-up time(NIBUT), tear break up time(TBUT), basal tear secretion(BTS)and blink rate in four ethnic groups: Malay, Chinese, Indian and Nigerian.<p>METHODS: Totally 120 healthy(61 males and 59 females)subjects(without dry eye symptoms and ocular surface disorder)with the age 20 to 39 years were recruited; 30 were Malays, 30 were Chinese, 31 were Indians and 29 were Nigerians. Based on McMonnies questionnaire and clinical examination, normal subjects were selected. NIBUT, TBUT, BTS were assessed in only one eye(right)of each subject and blink rate was also assessed.<p>RESULTS: There was significant difference in the NIBUT, TBUT, BTS and blink rate among 4 different ethnic groups(<i>P</i>=0.018),(<i>P</i>=0.001),(<i>P</i>=0.011), and(<i>P</i>=0.004)respectively. No statistically significant difference of NIBUT, TBUT, BTS and blink rate was found between the genders among different ethnic groups. Indian had higher median for NIBUT(10±6s), TBUT(7±5s)and BTS(20±20 mm)than others races. Chinese had lower median for NIBUT(7.5±4s)and TBUT(4±2s)while Malay had low BTS(9.5±16 mm)among the groups. There was no significant correlation of blink rate with NIBUT, TBUT and BTS(<i>r</i>= -0.119, <i>P</i>=0.195),(<i>r</i>=-0.086, <i>P</i>=0.352),(<i>r</i>= -0.123, <i>P</i>=0.180)respectively.<p>CONCLUSION: This study showed the variability in tear-film measurements values in four ethnic groups.
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Objective To evaluate the feature of meibomian glands and tear film lipid layer thickness (LLT) in dry eye of children with long-term visual display terminals (VDTs) exposure.Methods Cross-sectional case control observation was performed.Eighty-four 6-14 years old children (149 eyes) with long or short time VDTs exposure from January to August 2017 in Tianjin Medical University Eye Hospital were enrolled,including 29 children 56 eyes for long time VDTs group and 55 children 93 eyes for short time VDTs group.Questionnaires were designed to detect disease history and ocular surface disease index (OSDI).Slit lamp microscopy,Keratograph 5 M,lipiview ocular surface interometry examination,corneal-conjunctival fluorescence staining,tear film break-up time (BUT) and Schirmer test (S I t) were performed on all the subjects.The subjective OSDI and clinical signs were compared between long time VDTs group and short time VDTs group and correlation between OSDI and clinical signs were analyzed in each group.This study followed the declaration of Helsinki.Informed consent was obtained from each subject or the guardian prior to any medical examination.Results Compared with the short time VDTs group,high OSDI value and long average noninvasive BUT (NIBUTav) were observed in the long time VDTs group,the differences were statistically significant (OSDI:t =-2.662,P =0.009;NIBUTav:Z =2.315,P =0.021).The meibomian gland dropout score was significantly different between the 2 group (x2 =11.779,P =0.008).In long time VDTs group,OSDI was negatively correlated with S I t (rs =-0.598,P =0.050) and positively correlated with meibomian gland dropout score and NIBUTav (rs =0.522,P =0.022;rs =0.597,P =0.011).In short time VDTs group,OSDI was positively correlated with first time noninvasive BUT (NIBUTf),NITBUTav and partial blink rate (rs =0.372,P =0.030;rs =0.408,P =0.008;rs =0.426,P =0.050).Conclusions Compared with short time VDTs exposure,the value of subjective OSDI was high and meibomian gland dropout was serious in long term VDTs exposure dry eye children.The OSDI value is associated with NIBUTf and partial blink ratio in short time VDTs dry eye children.
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@#Trigeminal neuralgia can be a manifestation of contralateral cerebellopontine angle tumor. We report here a 34 year old female patient who presented with right sided facial pain in first and second divison of right trigeminal nerve but her blink reflex was abnormal on the left side. Her brain MRI revealed a left cerebellopontine angle tumor displacing the pons as well as the basilar artery. The distortion and displacement of brainstem and the basilar artery contribute to the genesis of the trigeminal neuralgia contralaterally
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<p><b>OBJECTIVE</b>To observe the efficacy of auricular point sticking therapy for abnormal blink in children and the impact on the breakup time of tear film.</p><p><b>METHODS</b>A total of 123 cases (246 eyes) with abnormal blink were randomly assigned into two groups, 62 cases (124 eyes) to an observation group, 61 cases (122 eyes) to a control group. The observation group received auricular point sticking therapy with western medicine; the treatment was given 6 d per week; the next day received no treatment and changed dressing. The auricular points were yan (LO), pingjianqian (TG), pingjianhou (AT), gan (CO), pi (CO), wei (CO). The western medicine pateints took 1 oral multivitamins tablets per day, and received sodium hyaluronate eye drops and tobramycin eye drops in turn, 3 times per day, 7 day as a course; treatment was lasting 3 courses. Patients in the control group only received western medicine. The blink frequency score and breakup time of tear film of children were observed, the curative effect of the two groups was compared.</p><p><b>RESULTS</b>After treatment, the blink frequency score was lower significantly (<0.01), and lower significantly in subjects in the observation group compared to those in the control group (<0.01). After treatment, less than 10 s were 51 eyes (41.8%) and greater than 10 s (including 10 s) were 71 eyes (58.2%) in the 122 eyes from the control group; in the observation group, less than 10 s were 13 eyes (10.5%) and greater than 10 s (including 10 s) were 111 eyes (89.5%); there was significant difference between the two groups (<0.01). The effective rate of the observation group was 91.9% (114/124), which was higher than the control group 65.6% (80/122); the difference was statistically significant (<0.01).</p><p><b>CONCLUSION</b>The efficacy of auricular point sticking therapy combine western medicine is better in treating children with abnormal blink compared to western medicine by reducing the breakup time of tear film. This suggests that reduction of tear film stability is one of the main reasons which causes frequent eye blink, and breakup time of tear film can be used as the testing standard.</p>
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@#Objective To explore the characteristics of blink reflex (BR) and brainstem auditory evoked potential (BAEP) in patients with consciousness disorder and the role of BR and BAEP in the evaluation of brain stem function. Methods From January to December, 2015, 31 patients with consciousness disorder were examined with BAEP, BR and Glasgow Coma Scale (GCS), and the outcome was record-ed one month after examination. Results BAEP and BR were positively related with GCS score (r≥0.562, P<0.05) and outcome (χ2=9.644, P<0.01). Conclusion Both BR and BAEP can reflect the brain stem function and respective pathway. Their combination could provide ob-jective basis for prognosis evaluation.
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@#Objective To explore the characteristics of blink reflex (BR) and brainstem auditory evoked potential (BAEP) in patients with consciousness disorder and the role of BR and BAEP in the evaluation of brain stem function. Methods From January to December, 2015, 31 patients with consciousness disorder were examined with BAEP, BR and Glasgow Coma Scale (GCS), and the outcome was record-ed one month after examination. Results BAEP and BR were positively related with GCS score (r≥0.562, P<0.05) and outcome (χ2=9.644, P<0.01). Conclusion Both BR and BAEP can reflect the brain stem function and respective pathway. Their combination could provide ob-jective basis for prognosis evaluation.
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Objective To explore the effect of facial nerve decompression via mastoid-epitypanum approach on the treatment of early peripheral traumatic facial paralysis caused by temporal bone fracture.Methods The data of 21 patients with early peripheral traumatic facial paralysis caused by temporal bone fracture in our hospital from October 2011 to June 2016.The facial nerve electrogram and the blink reflex of the injured facial nerve of 21 patients who treated facial nerve decompression via mastoid-epitypanum approach were compared before and after operation.The degree of facial nerve function recovery was evluated by H-B grading method.Results The facial nerve function of all patients had improved in different degrees,85.7% patients recovered to Ⅰ~Ⅱ level.Compared with those before operation,the latency,amplitude and latent period of blink reflex of the ipsilateral facial electroneurography were significantly improved(P<0.05).Conclusion The facial nerve decompression has good effect in the treatment of early peripheral traumatic facial paralysis.
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This paper introduces the concept,the research paradigms and the related theory of the attentional blink,and reviews the relevant researches about the attentional blink of the children and adults with ADHD in the last 10 years.Compared to normal subjects,children and adults with ADHD did show more severe AB effect,and adults with ADHD showed more eye movement behavior.In future studies,standardized RSVP paradigm should be set up to provide convenience for the comparison of results of studies,and find out what kind of processing restrictions will affect the characteristics of different age ADHD groups in the time dimension of attention.In addition,ADHD and inhibitory control related closely,consideration should be given to the combination of inhibitory control paradigm and AB paradigm.
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Objective To analyze the correlation between the dry eye symptom and signs in middle-aged and aged people by Lipiview(R) ocular surface interferometry.Methods A total of 170 eyes from 85 middle-aged and aged people (55-80 years old) were examined with Standard Patient Evaluaion of Eye Dryness(SPEED) questionnaire and Lipiview(R) ocular surface interferometry,meanwhile obtaining the consent of the subjects.Then the correlation between the symptom and Lipid Layer Thinckness (LLT) and partial blink rate were analyzed.Results SPEED questionnaire score was 6.13 ±4.60.LLT was(74.88 ± 21.16) nm.LLT variability was 4.47 ± 3.40.The partial blink rate was 0.62 ± 0.36.The Spearman correlation analysis indicated that the nega-tive correlation was shown between the SPEED questionnaire score and LLT (r =-0.823,P =0.000),SPEED questionnaire score and LLT variability(r =-0.268,P =0.018).The positive correlation were found between LLT and Std.Dev of LLT (r =0.339,P =0.030).However,the results of the SPEED score were uncorrelated with partial blink rate (P ＞ 0.05).Conclusion The results from this study demonstrate that correlation among symptom,LLT and LLT variability,but poor correlation between symptom and partial blink rate.
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OBJECTIVE: To investigate the presence of cranial neuropathy in patients with platinum-analogue chemotherapy using electrodiagnostic evaluations. METHODS: Thirty-nine patients whose chemotherapy was completed within a month and 40 control subjects were enrolled in the study. Electrodiagnostic evaluation was performed using sensory and motor nerve conduction studies and blink reflex studies, in addition to the two-point discrimination test. RESULTS: The chemotherapy group had significantly longer latencies of bilateral R1 responses (left p<0.001; right p<0.001) and greater distance in two-point discrimination (p<0.001) compared to the control group. In the subgroup with peripheral polyneuropathy, the left R1 (p=0.01), both R2i (left p=0.02; right p=0.03) and the left R2c (p=0.02) were prolonged relative to those without the polyneuropathy, and both R1 (left p<0.001; right p<0.001), R2i (left p=0.01; right p=0.03), and the left R2c (p=0.01) were prolonged relative to the controls. On the other hand, the subgroup without the polyneuropathy showed only prolongation of both R1 (left p=0.006; right p<0.001) relative to the controls. CONCLUSION: In the present study, comparison of blink reflex and two-point discrimination showed the likelihood of subclinical cranial neuropathy following platinum-analogue chemotherapy. Cranial neuropathy caused by platinum agents was more profound in patients with peripheral polyneuropathy and may be dependent on the cumulative dose of the drug. The blink reflex may be of value in detecting subclinical cranial neuropathy in patients undergoing platinum-analogue chemotherapy.
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Humans , Blinking , Cranial Nerve Diseases , Cranial Nerves , Discrimination, Psychological , Drug Therapy , Hand , Neural Conduction , Platinum , Platinum Compounds , PolyneuropathiesABSTRACT
Objective: To explore the temporal mechanism of attention in children with attention deficit hyperactivity disorder (ADHD) and controls using a rapid serial visual presentation (RSVP) task in which two letters (T1 and T2) were presented in close temporal proximity among distractors (attentional blink [AB]). Method: Thirty children aged between 9 and 13 years (12 with ADHD combined type and 18 controls) took part in the study. Both groups performed two kinds of RSVP task. In the single task, participants simply had to identify a target letter (T1), whereas in the dual task, they had to identify a target letter (T1) and a probe letter (T2). Results: The ADHD and control groups were equivalent in their single-task performance. However, in the dual-task condition, there were significant between-group differences in the rate of detection of the probe letter (T2) at lag + 1 and lag + 4. The ADHD group exhibited a larger overall AB compared with controls. Conclusion: Our findings provide support for a link between ADHD and attentional blink. .
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Adolescent , Child , Female , Humans , Male , Attention Deficit Disorder with Hyperactivity/physiopathology , Attentional Blink/physiology , Attention Deficit Disorder with Hyperactivity/psychology , Case-Control Studies , Visual PerceptionABSTRACT
The present study aimed to estimate the reliability of the nociceptive blink reflex (nBR) and to evaluate the possible association between the nBR and various pain-related psychological measures: the Anxiety Sensitivity Index-3 (ASI-3), the Fear of Pain Questionnaire III (FPQ-III), the Pain Vigilance and Awareness Questionnaire (PVAQ), the Somatosensory Amplification Scale (SSAS), the Pain Catastrophizing Scale (PCS) and the Situational Pain Catastrophizing Scale (S-PCS). Twenty-one healthy participants were evaluated in two sessions. The nBR was elicited by a so-called "nociceptive-specific" electrode placed over the entry zone of the right supraorbital (V1R), infraorbital (V2R) and the mental (V3R) nerve and left infraorbital (V2L) nerve. The outcomes were: (a) individual electrical sensory (I0) and pain thresholds (IP); b) root mean square (RMS), area-under-thecurve (AUC) and onset latencies of R2 responses; and c) stimulus-evoked pain on a 0-10 numerical rating scale. The questionnaires ASI-3, FPQ-III, PVAQ, SSAS, PCS and S-PCS were also applied. Intraclass Correlation Coefficients (ICCs) and Kappa statistics were computed as a measure of the reliability (α=5%). Besides, Pearson correlation coefficient was used to associate the average of nBR measurements among all sites and the questionnaires. The significance level was set up after a Bonferroni correction (adjusted α=0.8%). ICCs were fair to excellent in 82% of the psychophysical measures and in 86% of V1R, V2R and V2L nBR parameters, whereas the V3R showed poor reliability in 52%. ICCs for intrarater reliability were fair to excellent in 70% of measurements (V3R showed the lowest values) and in 75% of interrater measurements. All kappa values showed at least fair agreement and the majority of the nBR measures (93%) were considered to have moderate to excellent reliability. There was no correlation for any pair of variables considering the adjusted significance level (p>0.008) and only a single significant correlation considering the standard significance level (p < 0.05), where the pain intensity (NRS) at 50% of IP presented a positive and small to moderate correlation with the PCS (r = 0.43, p = 0.047). The nBR and its associated psychophysical measures can be considered a sufficiently reliable test to assess the trigeminal nociceptive function. On the other hand, it seems not associated with psychological factors in healthy participants.
O presente estudo teve como objetivo estimar a confiabilidade do reflexo de piscar nociceptivo (nBR, sigla em inglês) e avaliar a possível associação entre o nBR e várias medidas psicológicas relacionadas à dor: o Anxiety Sensitivity Index-3 (ASI-3), o Fear of Pain Questionnaire III (FPQ-III), o Pain Vigilance and Awareness Questionnaire (PVAQ), o Somatosensory Amplification Scale (SSAS), o Pain Catastrophizing Scale (PCS) e o Situational Pain Catastrophizing Scale (S-PCS) (siglas e nomes em inglês). Vinte e um participantes saudáveis foram avaliados em 2 sessões. O nBR foi estimulado por meio de um eletrodo "nociceptivo específico" posicionado na zona de entrada do nervo supraorbital direito (V1D, sigla em inglês), infraorbital direito (V2D) e esquerdo (V2E) e mentual direito (V3R). As variáveis analisadas foram: a) limar elétrico sensorial (I0) e doloroso (IP); b) raíz quadrática média (RMS, sigla em inglês), área sobre a curva (AUC, sigla em inglês) e as latências da respostas R2; e c) dor provocada pelo estímulo em uma escala numérica de O a 10. Os questionários ASI-3, FPQ-III, PVAQ, SSAS, PCS e S-PCS também foram aplicados. Coeficiente de Correlação Intraclasse (ICC, sigla em inglês) e estatística Kappa foram calculados como medidas da confiabilidade (α=5%). Além disso, coeficiente de correlação de Pearson foi usado para associar a média do nBR entre todos os sítios de avaliação e os questionários. O nível de significância foi ajustado após correção de Bonferroni (α ajustado=0.8%). ICCs foram razoáveis à excelentes em 82% das medidas psicofísicas e em 86% dos parâmetros do nBR em V1D, V2D e V2E, enquanto que 52% das medidas em V3D apresentaram pobre confiabilidade. ICCs para confiabilidade intra-examinador foram razoáveis à excelente em 70% das medições (V3D apresentou os menores valores) e em 75% das medidas inter-examinadores. Todos os coeficientes Kappa apresentaram pelo menos razoável concordância e a maioria das medidas do nBR (93%) foram consideradas moderadas à excelente em termos de confiabilidade. Não houve correlação para nenhum par de variáveis considerando os valores ajustados de significância (p>0,008) e somente foi constatada uma correlação significante considerando o nível de significância padrão (p<0,005), em que a intensidade de dor em 50% do IP apresentou uma correlação positiva entre pequena e moderada com o PCS. O nBR e suas medidas psicofísicas associadas pode ser considerado um teste com suficiente confiabilidade para avaliar a função nociceptiva trigeminal. Por outro lado, parece que o nBR não está associado com fatores psicológicos em participantes saudáveis.
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Humans , Male , Female , Adult , Blinking/physiology , Myalgia/physiopathology , Myalgia/psychology , Pain Measurement/methods , Trigeminal Nerve/physiology , Analysis of Variance , Electromyography/methods , Observer Variation , Pain Threshold/physiology , Reference Values , Reproducibility of Results , Surveys and QuestionnairesABSTRACT
Objective To compare the effects of heat-sensitive moxibustion and ginger-partition moxibustion on refractory peripheral facial paralysis. Methods Fifty-five patients with refractory peripheral facial paralysis were randomized into heat-sensitive moxibustion group (N=28) and ginger-partition moxibustion group (N=27). For two cases dropped out during the treatment, a total of 25 cases were finally enrolled into the ginger-partition moxibustion group. Two groups received oral use of mecobalamin tablets and conventional acupuncture, and heat-sensitive moxibustion group was given heat-sensitive moxibustion and ginger-partition moxibustion group was given ginger-partition moxibustion additionally. The moxibustion was performed once a day and ten times constituted one course, the treatment covered 6 courses. The clinical effect of the two groups was evaluated by 40-score method, House-Brackmann facial neurological function evaluation standard, blink reflex ( BR) , electromyogram and electroneurography. Results ( 1) Symptoms integral was increased in both groups after treatment ( P0.05). Conclusion The curative effect of heat-sensitive moxibustion for the treatment of refractory peripheral facial paralysis is better than that of ginger-partition moxibustion.
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Objective To investigate the relationship among blink reflex, facial nerve electroneurography and functional lesion at the ear-ly stage of Bell's palsy. Methods Blink reflex and electroneurography of facial nerve were performed in 25 patients with early Bell's palsy. They were divided into mild to moderate damage and severe damage according to the result. They were evaluated by House-Blackmann (H-B) scale and were identified:grade I, normal;grade II-III, mild-moderate facial paralysis;grade IV-VI, severe facial paralysis. Results The positive rate of blink reflex was 100%, with the proportion of mild-moderate damage was 28%and severe damage was 72%. H-B scale evaluation showed the percentage of mild-moderate facial paralysis was 44%, severe facial paralysis was 56%, which was consistent with blink reflex (P>0.05). The positive rate of electroneurography was 52%, with the proportion of mild-moderate damage was 44%and severe damage was 8%, which was inconsistent with H-B scale evaluation (P<0.05). Conclusion Blink reflex is preferable to electroneurography in evaluating facial paralysis degree at the early stage of Bell's palsy.
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@#Objective To investigate the relationship among blink reflex, facial nerve electroneurography and functional lesion at the early stage of Bell's palsy. Methods Blink reflex and electroneurography of facial nerve were performed in 25 patients with early Bell's palsy.They were divided into mild to moderate damage and severe damage according to the result. They were evaluated by House-Blackmann (H-B) scale and were identified: grade I, normal; grade II-III, mild-moderate facial paralysis; grade IV-VI, severe facial paralysis. Results The positive rate of blink reflex was 100%, with the proportion of mild- moderate damage was 28% and severe damage was 72%. H-B scale evaluation showed the percentage of mild-moderate facial paralysis was 44%, severe facial paralysis was 56%, which was consistent with blink reflex (P>0.05). The positive rate of electroneurography was 52%, with the proportion of mild- moderate damage was 44% and severe damage was 8%, which was inconsistent with H-B scale evaluation (P<0.05). Conclusion Blink reflex is preferable to electroneurography in evaluating facial paralysis degree at the early stage of Bell's palsy.
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The blink reflex – a simple, non-invasive and inexpensive test – may be indicative of lesions or dysfunctions of the brainstem, and particularly assesses the trigeminal-facial arch. Results from alterations of the blink reflex in patients with headaches have provided controversial data. Method Registration of the waves R1 and R2 (ipsilateral to the stimulus) and R2c (contralateral to the stimulus) by electroneuromyography. Results A large number of controls (n=160) and patients with chronic migraine (n=160) were studied. No significant differences were observed between the two groups. Conclusion It is possible that this relatively simple and primitive reflex is not affected unless there is significant damage to the brainstem. .
O reflexo do piscamento é um teste simples, não invasivo de baixo custo que pode direcionar o raciocínio para lesões ou disfunções do traonco cerebral, avaliando particularmente o arco trigêmeo-facial. Resultados de reflexo do piscamento em pacientes com cefaleias têm mostrado dados controversos. Método Registro das ondas R1 e R2 (ipsilaterais ao estímulo) e R2c (contralateral ao estímulo) por eletroneuromiografia. Resultados Um grande número de controles (n=160) e pacientes com enxaqueca crônica (n=160) foi avaliado. Não foram encontradas diferenças significativas no reflexo do piscamento entre os dois grupos. Conclusão É possível que este reflexo, por ser relativamente simples e primitivo, não esteja alterado a menos que ocorram danos significativos no tronco cerebral. .