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Aberrant regeneration in a case of syringobulbia: selective co-activation of abducens and facial nerves during saccades

✍ Scribed by E. Altenmüller; J. Dichgans; M. Fetter


Publisher
Springer
Year
1990
Tongue
English
Weight
232 KB
Volume
237
Category
Article
ISSN
0340-5354

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✦ Synopsis


A patient suffering from syringobulbia and syringomyelia exhibited a phasic contraction of the ipsilateral facial muscles, mainly the levator labii, whenever he looked to the left or right. Facial muscle twitches occurred exclusively with saccades. The selective co-activation of abducens and facial nerves is interpreted as the result of bilateral misrouting of regenerating neurons from the parapontine reticular formation to the facial nerve in the tegmentum pontis.