Abstract

The central transfer of the trigemino-facial reflexes (TFR) from the afferent to the efferent part takes place at the pons level as well as in higher cerebral regions. TFR can therefore be employed as a supplementary topodiagnostic aid in several diseases with central-nervous manifestation. Since the reflex-conducting motoneurones of the N. facialis are especially sensitive to pressure, lag time delay and amplitude suppression of the TFR are particularly sensitive indicators of a developing neurapaxia. TFR registration therefore seems to be especially suitable for an early diagnosis of acoustic neurinomas. The method is characterized by the special possibility of directly investigating the affected part of the nerve. For the different places of damage: N. trigeminus, brain stem and N. facialis, clinical examples are given.

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