2009, Number 1-4
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Rev Neurol Neurocir Psiquiat 2009; 42 (1-4)
Transcranial magnetic stimulation of the facial nerve in individuals with Bell’s palsy
Aceves-Rodríguez R, Sosa-Luna CA, Duvignau-Dondé E
Language: Spanish
References: 15
Page: 13-20
PDF size: 306.82 Kb.
ABSTRACT
Objectives: To describe the electrophysiologic changes
existing in individuals with Bell’s palsy (BP) on the facial
nerve having been stimulated by means of transcraneal
magnetic stimulation (TMS), and to establish the
reference values in healthy individuals belonging to the Mexican
population.
Material and methods: The present paper is an experimental,
transverse, observational and descriptive study
were the facial nerve was stimulated bilaterally in 38 BP
patients and in 38 healthy individuals by means of EMT,
registering the motor action potentials (MAP) by transcutaneous
recording electrodes placed on four facial ipsilateral
muscles to the stimulated side. The equipment used was a
MagPro R30 magnetic stimulator with 2 Teslas of maximum
intensity.
Results: In the BP patients the typical finding was the
significant decrease of the MAP’s amplitudes (p ≤ 0.001) in
the side affected in all the registry sites; the MAP’s latencies
did not show statistically significant prolongation in
the affected side of the patients with PB in comparison
with the obtained ones in the control group.
Conclusions. We established the reference values of
the facial nerve EMT in the Mexican population and that the
preponderant finding in the patients with PB is the significant
decrease or MAP’s absence in the affected side.
REFERENCES
Seki Y, Krain L, Yamada T, Kimura J. Transcranial magnetic stimulation of the facial nerve: Recording technique and estimation of the stimulated site. Neurosurgery 1990; 26: 286-90.
Terao Y, Ugawa Y. Basics Mechanisms of TMS. J Clin Neurophysiol 2002; 19(4): 322-43.
Kartush JM, Bouchard K, Graham M, Linstrom CL. Magnetic stimulation of the facial nerve. Am J Otology 1989; 10(1): 14-9.
Yew-Long L, Fook-Chong S. Magnetic Brainstem Stimulation of the Facial Nerve. J Clin Neurophysiol 2007; 24(1): 44-7.
Cocito D, Isoardo G, Migliaretti G, et al. Transcranial magnetic stimulation of the facial nerve: normative values with magnetic coil in 240 nerves. Neurol Sci 2003; 23: 307-11.
Glocker FX, Magistris MR, Rösler KM, Hess CW. Magnetic transcranial and electrical stylomastoidal stimulation of the facial motor pathways in Bell’s palsy: time course and relevance of electrophysiological parameters. Electroencephalogr Clin Neurophysiol 1994; 93: 113-20.
Cocito D, De Mattei M. Inadequacy of transcranial magnetic stimulation in the neurophysiologic assessment of Bell’s palsy; Electromyogr Clin Neurophysiol 1992; 32(10-11): 521-30.
Shrieffer TN, Mills KR, Murray NM, Hess CW. Evaluation of proximal facial nerve conduction by transcranial magnetic stimulation. J Neurol Neurosurg Psych 1988; 51: 60-6.
Lindke T, Lindke A, Scherf-Geschke C, Bunten S, Ebke M, Happe S. Electrical and transcranial magnetic stimulation in the diagnosis of facial palsy. Klin Neurophysiol 2006; 37.
Gady HE, McPhee JR. Transcranial magnetic stimulation in acute facial nerve injury. Laryngoscope 2000; 110: 1005-11.
Nowak DA, Linder S, Topka H. Diagnostic relevance of transcranial magnetic and electric stimulation of the facial nerve in the management of facial palsy. Clin Neurophysiol 2005; 116: 2051-7.
Kimura J. Electrodiagnosis in diseases of nerve and muscles, principles and practice. 3th Ed. Oxford University Press; 2001.
Rossini PM, Barker AT, Berardelli A, et al. Non-invasive electrical and magnetic stimulation of the brain, spinal cord and roots: basic principles and procedures for routine clinical application. Report of an IFCN Committee. Electroencephalogr Clin Neurophysiol 1994; 91: 79-92.
Oishi M, Takasu T. Large and small coils in magnetic stimulation of the proximal portion of the facial nerve. Eur Neurol 1993; 33: 34-7.
Oh SJ. Clinical electromyography: Nerve conduction studies. 2nd Ed. Williams & Wilkins; 1993, p. 438-9.