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Electromyography and Fos immunostaining study establish a possible functional link between trigeminal proprioception and the oculomotor system in rats 被引量:2
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作者 Houcheng Liang Jingdong Zhang +4 位作者 Pifu Luo Hongna Zhu Ying Qiao Anle Su Ting Zhang 《The Journal of Biomedical Research》 CAS CSCD 2017年第3期256-263,共8页
The objective of this study was to explore whether there was a functional link between trigeminal proprioception and the oculomotor system mediated through jaw muscle afferents.Electromyography(EMG) was undertaken o... The objective of this study was to explore whether there was a functional link between trigeminal proprioception and the oculomotor system mediated through jaw muscle afferents.Electromyography(EMG) was undertaken of the levator palpebrae(LP) and superior rectus(SR),and Fos expression was detected in the brainstem following consecutive down-stretching of the lower jaw at 2-4 Hz in rats.Retrograde tracing was undertaken of the interstitial nucleus of Cajal and Darkschewitsch nucleus(INC/DN) pre-oculomotor neurons.FMG-like responses were recorded from the LP/SR during down-stretching of the lower jaw at 2-4 Hz in 3 out of 11 rats.Fos expression was induced by consecutive down-stretching of the lower jaw at 2-4 Hz for 20-30 seconds.Interestingly,Fos expression was distributed mainly in the bilateral INC/DN area.We also examined Fos-like immunoreactivity in central mesencephalic and paramedian pontine reticular formation that harbors premotor neurons controlling horizontal eye movement,but no Fos-like staining was observed therein.By injection of retrograde tracers into the oculomotor nucleus combined with Fos immunostaining,double labeled pre-oculomotor neurons were visualized to distribute in the INC/DN.In conclusions,there may exist a trigeminal proprioceptive-oculomotor system neural circuit through jaw muscle afferents in rats.Judging from Fos distribution pattern,this pathway might be related to vertical and torsional eye movements. 展开更多
关键词 marcus gunn syndrome down-stretching lower jaw levator and superior rectus electromyography interstitial nucleus of Cajal and Darkschewitsch nucleus Fos expression
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Is there a primitive reflex residue underlying Marcus Gunn Syndrome? Rat electrophysiology 被引量:1
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作者 Ying Qiao Hou-Cheng Liang +4 位作者 Jing-Dong Zhang Pi-Fu Luo An-Le Su Ting Zhang Hong-Na Zhu 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2020年第1期29-35,共7页
AIM: To make an electrophysiological demonstration of a possible jaw muscle afferents-oculomotor neural pathway that was proposed by our previous works on rats, which substantiates an early "release hypothesis&qu... AIM: To make an electrophysiological demonstration of a possible jaw muscle afferents-oculomotor neural pathway that was proposed by our previous works on rats, which substantiates an early "release hypothesis" on pathogenesis of human Marcus Gunn Syndrome(MGS). METHODS: Extracellular unit discharge recording was applied and both orthodromic and spontaneous unitary firing were recorded in the oculomotor nucleus(III), and the complex of pre-oculomotor interstitial nucleus of Cajal and Darkschewitsch nucleus(INC/DN), following electric stimulation of the ipsilateral masseter nerve(MN) in rats. RESULTS: Extracellular orthodromic unit discharges, with latencies of 3.7±1.3 and 4.7±2.9 ms, were recorded unilaterally in the III, and the INC/DN neurons, respectively. Spontaneous unit discharges were also recorded mostly in the INC/DN and less frequently in the III. Train stimulation could prompt either facilitation or inhibition on those spontaneous unit discharges. The inhibition pattern of train stimulation on the spontaneous discharging was rather different in the III and INC/DN. A slow inhibitory pattern in which spontaneous firing rate decreased further and further following repeated train stimulation was observed in the III. While, some high spontaneous firing rate units, responding promptly to the train stimuli with a short-term inhibition and recovered quickly when stimuli are off, were recorded in the INC/DN. However, orthodromic unit discharge was not recorded in the III and INC/DN in a considerable number of experiment animals. CONCLUSION: A residual neuronal circuit might exist in mammals for the primitive jaw-eyelid reflex observed in amphibians, which might not be well-developed in all experimental mammals in current study. Nonetheless, this pathway can be still considered as a neuroanatomic substrate for development of MGS in some cases among all MGS with different kind of etiology. 展开更多
关键词 masseter nerve single unit discharge oculomotor nucleus pre-oculomotor neurons interstitial nucleus of Cajal/Darkschewitsch nucleus marcus gunn syndrome
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Marcus-Gunn Jaw Winking Syndrome and Gustatory Sweating in Long Standing Poorly Controlled Diabetes: A Case Report
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作者 Deep Dutta Indira Maisnam +3 位作者 Sujoy Ghosh Pradip Mukhopadhyay Satinath Mukhopadhyay Subhankar Chowdhury 《International Journal of Clinical Medicine》 2012年第1期40-42,共3页
Introduction: Marcus Gunn jaw winking syndrome (MGJWS) is a rare congenital disorder belonging to the synkinetic eye movement group of disorders observed in children. It occurrence in adults and patients with diabetes... Introduction: Marcus Gunn jaw winking syndrome (MGJWS) is a rare congenital disorder belonging to the synkinetic eye movement group of disorders observed in children. It occurrence in adults and patients with diabetes has not been reported. Material and Methods: A 64 year man with poorly controlled diabetes of 18 years presented with 3 month history of jaw winking on the left side along with gustatory sweating, which was managed conservatively. There was spontaneous improvement in jaw wink at 4 months of follow up. Conclusions: Acquired causes of MGJWS are not known. This is probably the first report of this syndrome occurring at such a late age. Long standing poorly controlled diabetes may have had some role in the development of jaw winking in this patient. 展开更多
关键词 marcus gunn syndrome JAW Winking GUSTATORY SWEATING DIABETES
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提上睑肌离断联合EPTFE额肌悬吊术治疗儿童中重度下颌瞬目综合征的疗效 被引量:4
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作者 樊云葳 吴倩 +4 位作者 于刚 曹文红 王媛 蔺琪 蒋晶晶 《中华眼视光学与视觉科学杂志》 CAS CSCD 2016年第8期493-497,共5页
目的 探讨提上睑肌离断联合EPTFE额肌悬吊术治疗中重度儿童下颌瞬目综合征手术疗效。方法 回顾性系列病例研究。分析2013-2014年行提上睑肌腱膜节段去除联合EPTFE额肌瓣腱膜悬吊术治疗单眼中、重度下颌瞬目综合征患儿49例的临床资料。... 目的 探讨提上睑肌离断联合EPTFE额肌悬吊术治疗中重度儿童下颌瞬目综合征手术疗效。方法 回顾性系列病例研究。分析2013-2014年行提上睑肌腱膜节段去除联合EPTFE额肌瓣腱膜悬吊术治疗单眼中、重度下颌瞬目综合征患儿49例的临床资料。其中下颌瞬目中度27例(55%),重度22例(45%);上睑下垂中度19例(39%),重度30例(61%)。年龄18个月-13岁。术后随访10-12个月。计量资料之间的比较采用方差分析,计数资料之间的比较采用卡方检验。结果 49例中46例(94%)下颌瞬目治愈,术后未出现下颌联动现象。2例好转,1例无效。上睑下垂矫正后功能与美容疗效满意,其中31例(63%)提高≥6 mm,17例(35%)提高3-5 mm,1例(2%)在术后3个月上睑高度回落,遮盖瞳孔1/2。1例(2%)下颌瞬目联动幅度为3 mm,但功能及美容疗效满意。4例(8%)术后发生暴露性角膜炎,3例(6%)发生结膜撕裂,2例(4%)上睑下垂复发,2例(4%)上睑内翻倒睫,1例(2%)排异,1例(2%)下颌瞬目联动运动矫正失败。结论 患眼提上睑肌腱膜节段去除联合EPTFE额肌瓣腱膜悬吊术治疗单眼中、重度下颌-瞬目综合征手术疗效好,术后反应轻,为合并弱视患儿早期治疗提供必要条件。 展开更多
关键词 儿童 眼睑下垂 眼睑成形术 下颌瞬目综合征 额肌悬吊术
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中重度Marcus-Gunn综合征患者的手术治疗 被引量:2
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作者 周炼红 张俊涛 +2 位作者 陈樱 武犁 刘甜 《眼科新进展》 CAS 北大核心 2012年第2期172-174,共3页
目的分析中重度Marcus-Gunn综合征患者的临床特点,评价其手术治疗效果。方法收集武汉大学人民医院2006年1月至2010年1月收住院治疗的12例中重度Marcus-Gunn综合征患者的病历资料,对其临床特点进行分析。患者均行患眼提上睑肌离断联合同... 目的分析中重度Marcus-Gunn综合征患者的临床特点,评价其手术治疗效果。方法收集武汉大学人民医院2006年1月至2010年1月收住院治疗的12例中重度Marcus-Gunn综合征患者的病历资料,对其临床特点进行分析。患者均行患眼提上睑肌离断联合同侧额肌瓣悬吊术治疗颌动瞬目现象,术后随访6个月,依据静态时双眼睑弧度及对称情况、颌动瞬目现象根治情况评价其术后治疗效果。结果所有患者术前下颌运动时上睑至少开大到角膜上缘,男性多于女性(男8例,女4例),均为单眼发病,右眼7例,左眼5例。术前8眼伴随屈光不正,5眼伴有斜视。术后2眼出现角膜点样损害,药物治疗7d后恢复。随访期末进行颌动瞬目矫治效果评价中10眼效果良好,2眼效果满意。结论中重度Marcus-Gunn综合征患者伴有的颌动瞬目现象可通过手术治疗,患侧提上睑肌离断联合同侧额肌肌瓣悬吊术可以满意地矫正Marcus-Gunn综合征患者伴有的中重度颌动瞬目现象。 展开更多
关键词 marcus-gunn综合征 提上睑肌离断联合额肌瓣悬吊术 上睑下垂
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额肌瓣悬吊术和上睑提肌额肌吻合术治疗Marcus—Gunn综合征术式探讨 被引量:1
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作者 孔宇 梁申芝 +2 位作者 袁军 陈鹏 刘建荣 《中国实用眼科杂志》 CSCD 北大核心 2009年第10期1094-1096,共3页
目的 比较额肌瓣悬吊术和上睑提肌腱膜-额肌瓣吻合术治疗Marcus-Gunn综合征的疗效.方法 回顾性分析采用额肌瓣悬吊术、上睑提肌腱膜-额肌瓣吻合术治疗Marcus-Gunn综合征20例20只眼.比较两组手术的疗效.结果 额肌瓣悬吊术组和上睑提肌腱... 目的 比较额肌瓣悬吊术和上睑提肌腱膜-额肌瓣吻合术治疗Marcus-Gunn综合征的疗效.方法 回顾性分析采用额肌瓣悬吊术、上睑提肌腱膜-额肌瓣吻合术治疗Marcus-Gunn综合征20例20只眼.比较两组手术的疗效.结果 额肌瓣悬吊术组和上睑提肌腱膜-额肌瓣吻合术组均能有效治疗Marcus-Gunn综合征.但前者术后有2例睑缘弧度不自然(25%),3例半年后仍眼睑闭合不全.后者术后睑缘弧度均较自然,半年后无眼睑闭合不全.结论 额肌瓣悬吊术和上睑提肌腱膜-额肌瓣吻合术均能有效治疗Marcus-Gunn综合征,但后者更符合眼睑生理解剖,术后睑缘弧度更自然. 展开更多
关键词 marcusgunn综合征 额肌瓣悬吊术 上睑提肌-额肌吻合术
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下颌-瞬目联动征治疗探讨 被引量:2
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作者 王玲 王敬文 《实用美容整形外科杂志》 1998年第1期23-24,共2页
下颌-瞬目联动征并非罕见,目前尚未明其病因,除症状严重者主动求治外,不少病人以睑下垂或欲行重睑术求医时被查出。以往治疗方法是切断睑上提肌后用筋膜悬吊来张睑,缺乏活动功能,我们认为改用额肌瓣重建上睑张闭功能效果更理想。... 下颌-瞬目联动征并非罕见,目前尚未明其病因,除症状严重者主动求治外,不少病人以睑下垂或欲行重睑术求医时被查出。以往治疗方法是切断睑上提肌后用筋膜悬吊来张睑,缺乏活动功能,我们认为改用额肌瓣重建上睑张闭功能效果更理想。术中特别注意彻底切断(切除一段更好)睑上提肌,尤其是附于睑板内外侧的纤维,如切除不彻底,眼睑的联动现象不易完全消失,术中反复令病人张口测试观察很重要。 展开更多
关键词 下颌瞬目联动征 额肌瓣术式 上睑提取
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改良额肌瓣悬吊术治疗13例中重度下颌瞬目综合征 被引量:2
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作者 朱晓伟 张嘉莹 +1 位作者 丁侠 李瑾 《临床眼科杂志》 2019年第3期252-256,共5页
目的探讨改良额肌瓣悬吊术治疗下颌瞬目综合征的临床疗效。方法回顾就诊于上海交通大学医学院附属第九人民医院眼科的下颌瞬目综合征患者,收集经改良额肌瓣悬吊术治疗的13例(13只眼)患者的病史资料,13例患者术前经上睑下垂及颌动瞬目现... 目的探讨改良额肌瓣悬吊术治疗下颌瞬目综合征的临床疗效。方法回顾就诊于上海交通大学医学院附属第九人民医院眼科的下颌瞬目综合征患者,收集经改良额肌瓣悬吊术治疗的13例(13只眼)患者的病史资料,13例患者术前经上睑下垂及颌动瞬目现象严重程度进行分级,均表现为中重度,经同一术者手术治疗后对13例患者进行治疗效果及并发症观察。结果本组患者疗效良好,术后随访时间为(26.31±18.67)个月(范围:8-63个月);双眼睑缘高度基本一致,睑缘弧度自然,无畸形;颌动瞬目现象基本解除[术前(4.46±1.45)mm至术后(0.92±0.76) mm],睑缘角膜映光1(MRD1)由术前(-0.31±1.11)mm提高至(4.23±1.01)mm,最佳矫正视力(BCVA)由0.43±0.22提高至0.74±0.28。结论该术式较好地矫正了颌动瞬目现象,同时可获得稳定的眼睑高度;患者术后视力获得显著提升;无严重并发症,是用于矫正中重度下颌瞬目综合征安全有效的手术方式。 展开更多
关键词 下颌瞬目综合征 上睑下垂 额肌瓣悬吊术
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