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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
1998-7-16
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pubmed:abstractText |
In patients with hemifacial spasm (HFS), abnormal muscle responses due to abnormal cross-transmission are observed in facial muscles. However, the site in the facial nerve responsible for the cross-transmission remains a matter of controversy. We have developed a model in which by considering the electrophysiological parameters involved in producing the abnormal muscle response, we can determine the site of the abnormal cross-transmission within the facial nerve. This model was applied to HFS patients with three different etiologies: idiopathic, post-Bell's palsy, and post-XII-VII anastomosis. Our data show that: in idiopathic HFS, the cross-transmission may occur in the facial nerve at the level of the pontocerebellar angle; in post-Bell's palsy, it is inside the petrous bone; and in XII-VII anastomosis, it must be in the extracranial part of the facial nerve. The possible mechanisms for this cross talk are discussed in terms of ephaptic transmission or of a central hyperexcitability in the facial motor nucleus.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0148-639X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
21
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1013-8
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9655119-Adult,
pubmed-meshheading:9655119-Aged,
pubmed-meshheading:9655119-Electrophysiology,
pubmed-meshheading:9655119-Facial Muscles,
pubmed-meshheading:9655119-Facial Nerve,
pubmed-meshheading:9655119-Facial Nerve Injuries,
pubmed-meshheading:9655119-Facial Paralysis,
pubmed-meshheading:9655119-Female,
pubmed-meshheading:9655119-Hemifacial Spasm,
pubmed-meshheading:9655119-Humans,
pubmed-meshheading:9655119-Hypoglossal Nerve,
pubmed-meshheading:9655119-Male,
pubmed-meshheading:9655119-Middle Aged,
pubmed-meshheading:9655119-Neural Conduction
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pubmed:year |
1998
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pubmed:articleTitle |
Electrophysiological determination of the site involved in generating abnormal muscle responses in hemifacial spasm.
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pubmed:affiliation |
Department of Otorhinolaringology, Hôpital Pitié-Salpêtrière, Paris, France.
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pubmed:publicationType |
Journal Article
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