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Values of blink reflex and electroneurography in diagnosis of facial paralysis

Neural Regeneration Research 2007年第12期2卷 727-731页

作者： Ying Li Fanrong Liang Shuguang Yu Zhong Zheng Acupuncture and Tuina College Chengdu University of Traditional Chinese Medicine Chengdu 610075 Sichuan Province China Affifiated Hospital Chengdu University of Traditional Chinese Medicine Chengdu 610075 Sichuan Province China

BACKGROUND： The electrophysiological test was mainly achieved by the reaction of nerve fiber to electrical stimulus, usually expressed by the amplitude and latency. blink reflex and electroneurography （ENOG） are widely applied in facial paralysis, the amplitude would step down, and the latency would prolong when the facial nerve was injured. OBJECTIVE： To compare the value of blink reflex and ENOG in the diagnosis of facial paralysis （Bell＇s palsy）. DESIGN： A controlled trial. SETTINGS： Affiliated Hospital, Chengdu University of Traditional Chinese Medicine; West China Hospital of Sichuan University; Mianyang Hospital of Traditional Chinese Medicine; Sichuan People＇s Hospital. PARTICIPANTS： The patients who had finished the tests of blink reflex （n =207） and ENOG （n =205） were selected from the Affiliated Hospital, Chengdu University of Traditional Chinese Medicine; West China Hospital of Sichuan University; Mianyang Hospital of Traditional Chinese Medicine; Sichuan People＇s Hospital from September 2001 to July 2003. After treatment for 4 weeks, the patients finished tests of blink reflex （n =207） and ENOG （n =205） were randomly divided into primary treatment group （n =68, 69）, acupuncture group （n =71, 66） and comprehensive treatment group （n =68, 70）, respectively. Approval was obtained from the ethic committee of hospital. METHODS： Patients in the primary treatment group and acupuncture group were treated with western medicine, acupuncture and moxibustion alone respectively, and those in the comprehensive treatment group were treated with acupuncture and moxibustion based on western medicine. The whole period of treatment was 4 weeks. The tests of blink reflex and ENOG were carried out using Japanese light and electricity MEB-2200 electromyogram/induced potential instrument for once before and after treatment respectively. The normal value of the latency period of wave RI was within 13 ms, and the difference was 1 - 1.2 ms between the left and right sid

关键词： facial paralysis blink reflex electroneurography

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Alterations in blink and masseter reflex latencies in older adults with neurocognitive disorder and/or diabetes mellitus

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World Journal of Clinical Cases 2022年第1期10卷 177-188页

作者： Jaime Alberto Bricio-Barrios Eder Ríos-Bracamontes Mónica Ríos-Silva Miguel Huerta Walter Serrano-Moreno JoséEnrique Barrios-Navarro Genaro Gabriel Ortiz Miguel Huerta-Trujillo JoséGuzmán-Esquivel Xóchitl Trujillo Faculty of Medicine University of ColimaColima 28040ColimaMexico General Hospital Zone#1 Mexican Social Security InstituteVilla de Alvarez 28983ColimaMexico University Biomedical Research Center University of ColimaColima 28045ColimaMexico University Biomedical Research Center CONACYTColima 28045ColimaMexico Department of Philosophical and Methodological Disciplines University Health Sciences CenterUniversity of GuadalajaraGuadalajara 44340JaliscoMexico

BACKGROUND blink and masseter reflexes provide reliable,quantifiable data on the function of the central nervous system:Delayed latencies have been found in patients with neurocognitive disorder(ND)and type 2 diabetes mellitus(T2DM),but this has not been studied in patients with both *** To investigate if older adults with ND plus T2DM have prolonged latencies of blink and masseter-reflex and if they were associated with disease *** This cross-sectional study included 227 older adults(>60 years)from Colima,*** disorder was identified by a neuropsychological battery test,and T2DM identified by medical history,fasting glucose,and glycosylated *** in the early reflex(R1),ipsilateral late(R2),and contralateral late(R2c)components of the blink reflex were analyzed for all subjects,and 183 subjects were analyzed for latency of the masseter *** In 20.7%of participants,ND was *** 37%,T2DM was *** in R1,R2,and R2c were significantly prolonged for groups with ND plus T2DM,ND,and T2DM,compared with the control group(Preflex was only prolonged in older adults(regardless of T2DM status)with ND vs controls(P=0.030).In older adults with ND and without T2DM,the more the cognitive impairment progressed,the more prolonged latencies in R2 and R2c presented(Pblink and masseter reflexes could be used to evaluate possible changes in brainstem circuits in older adults with ND and T2DM.

关键词： blink reflex Masseter reflex Brainstem reflexes Neurocognitive disorder Type 2 diabetes mellitus Older adults

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Changes in corneal nerve morphology and function in patients with dry eyes having type 2 diabetes

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World Journal of Clinical Cases 2022年第10期10卷 3014-3026页

作者： Wei Fang Zhong-Xi Lin Hui-Qing Yang Lei Zhao Da-Chuan Liu Zhi-Qiang Pan Department of Ophthalmology Xuanwu HospitalCapital Medical UniversityBeijing 100053China Department of Ophthalmology Beijing Tongren Eye CenterBeijing Tongren HospitalCapital Medical UniversityBeijing 100005BeijingChina Department of Neurology Xuanwu HospitalCapital Medical UniversityBeijing 100053China Department of Endocrinology Xuanwu HospitalCapital Medical UniversityBeijing 100053China

BACKGROUND Dry eye syndrome(DES)is a common disease with various clinical *** had a significant association with *** reflex(BR)is also known as trigeminal nerve facial *** stimulation of corneal nerves is one of the origins of BR *** parasympathetic fibers sent out through the facial nerve are the outlet of tear *** can be used to assess the function of the corneal nerve closed-loop;however,whether the BR changes in these patients is *** To understand the morphology and function of the corneal nerve in patients with dry eyes having diabetes or *** This study enrolled 131 patients who visited the inpatient and outpatient services of ophthalmology and endocrinology departments between January 2019 to August 2020 with subjective symptoms of dry eyes and non-dry eye reasons,as well as volunteers such as *** patients were divided into four groups:DEwDM,with dry eyes having type 2 diabetes mellitus(T2DM);DMnDE,with T2DM not having dry eyes;DEnDM,with dry eyes not having diabetes;and nDMnDE,with neither dry eyes nor *** tear film break-up time,Schirmer I test,in vivo confocal microscopy,and BR were *** The DEwDM,DMnDE,DEnDM,and nDMnDE groups included 56,22,33,and 20 patients,*** and age were not statistically different among the four *** nerve fiber length(NFL)of patients in the DEwDM,DEnDM,and DMnDE groups reduced(Pblink reflexes increased only in the DEwDM group(P=0.008,P=0.001,P<0.001,compared with the DMnDE,DEnDM,and nDMnDE groups,respectively).The NBD and R1 Latency were different between DEwDM and DEnDM groups in patients with moderate and severe dry *** The corneal nerve morphology changed in patients with dry eyes or diabetes,or

关键词： blink reflex Corneal nerve Diabetes mellitus Dry eye Tear secretion

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