6533b7d6fe1ef96bd1265cd2

RESEARCH PRODUCT

The pterygoid reflex in man and its clinical application

Hanns Christian HopfH. HundemerJens Ellrich

subject

AdultMaleReflex StretchPhysiologyElectromyographyNeurological disorderCellular and Molecular NeuroscienceTrigeminal Caudal NucleusMesencephalonReference ValuesPonsPhysiology (medical)medicineHumansStretch reflexSmall brainstemAgedBrain DiseasesBlinkingmedicine.diagnostic_testMasseter Musclebusiness.industryElectrodiagnosisPterygoid MusclesMean ageAnatomyMiddle Agedmedicine.diseaseMagnetic Resonance Imagingmedicine.anatomical_structureReflexMedial pterygoid muscleFemaleNeurology (clinical)Tomography X-Ray ComputedbusinessJaw jerk reflexBrain Stem

description

A technique for eliciting and recording the stretch reflex (R) of the medial pterygoid muscle (Pter) is described. The latency was 6.9 ± 0.43 ms in 23 healthy volunteers (mean age 23.7 years) showing a side-to-side difference of 0.29 ± 0.21 ms. The PterR latencies were little shorter and side-to-side difference little greater than of the masseter reflex. Observations in 5 selected patients with small brainstem lesions suggest that the neurons of the PterR afferents form a cluster within the caudal portion of the trigeminal mesencephalic nucleus. Testing the masseter and pterygoid reflexes provides a more precise localization of small ponto-mesencephalic lesions. © 1992 John Wiley & Sons, Inc.

https://doi.org/10.1002/mus.880151110