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Related Concept Videos

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Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
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The craniofacial muscles are a collection of approximately 20 thin skeletal muscles situated beneath the skin of the face and scalp. These muscles, primarily responsible for the vast array of human facial expressions, originate from the bones or fibrous structures of the skull and extend outwards to connect with the skin. While most skeletal muscles in the body are enveloped in thick fascia, facial muscles generally have a more delicate fascial covering, with the buccinator muscle being a...
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The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
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Gastrointestinal or GI motility disorders are characterized by irregular gastrointestinal tract movements, disrupting food transit from the mouth to the anus. They are caused by damage or dysfunction in gut muscles or nerves. These disorders can cause symptoms such as severe constipation, diarrhea, abdominal pain, and swallowing difficulties. Disorders can affect any segment of the GI tract and range widely in severity, from common conditions like GERD to life-threatening conditions like...
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Facial Nerve Surgery in the Rat Model to Study Axonal Inhibition and Regeneration
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Disorders of facial motor function.

D R Boghen1

  • 1Neurology Unit, Hôtel-Dieu de Montréal Hospital, Québec, Canada.

Current Opinion in Ophthalmology
|November 3, 1996
PubMed
Summary

This review examines facial movement disorders like blepharospasm and facial spasm. Botulinum toxin A is a preferred treatment for these conditions, offering insights into their complex nature and effective management strategies.

Area of Science:

  • Neurology
  • Ophthalmology
  • Movement Disorders

Background:

  • Facial movement disorders encompass a range of conditions affecting voluntary and involuntary facial muscle activity.
  • Blepharospasm, facial spasm, facial myokymia, apraxia of lid opening, and facial paralysis are key areas of clinical and research interest.
  • Understanding the underlying pathophysiology is crucial for developing effective treatments.

Purpose of the Study:

  • To review recent publications on various facial movement disorders.
  • To discuss current understanding of their pathophysiology and treatment options.
  • To highlight advancements in diagnostic techniques and therapeutic approaches.

Main Methods:

  • Literature review of recent publications on facial movement disorders.

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  • Discussion of electromyographic (EMG) studies in blepharospasm and apraxia of lid opening.
  • Analysis of treatment outcomes for botulinum toxin A injections and microvascular decompression.
  • Consideration of the search coil technique for lid movement analysis.
  • Main Results:

    • Electromyography reveals heterogeneous patterns in blepharospasm, indicating it's not a single entity.
    • Apraxia of lid opening may involve sustained orbicularis oculi contraction or levator palpebrae inhibition.
    • Botulinum toxin A is the preferred treatment for blepharospasm and apraxia of lid opening.
    • Bilateral facial spasm is infrequent but potentially underdiagnosed.
    • Microvascular decompression is favored by some surgeons for facial spasm, but botulinum toxin A remains the primary treatment.
    • Facial myokymia in multiple sclerosis is linked to lesions in the dorsolateral pontine facial nerve.
    • The search coil technique aids in monitoring recovery in facial nerve palsy.

    Conclusions:

    • Facial movement disorders are diverse, requiring tailored diagnostic and therapeutic strategies.
    • Botulinum toxin A is a highly effective treatment for several facial movement disorders.
    • Advancements in EMG and lid movement recording techniques enhance understanding and management.
    • Further research is needed to fully elucidate the mechanisms and optimize treatments for all facial movement disorders.