The relationship of eyelid movement to the blink reflex

Although the blink reflex is a standard neurophysiological investigation its relationship with eyelid movement has not been clearly established. We studied normal subjects and patients with unilateral facial paralysis to define the pattern of eyelid movement following glabellar tap, supraorbital ner...

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Veröffentlicht in:Journal of the neurological sciences 1989-06, Vol.91 (1), p.179-189
Hauptverfasser: Snow, Barry J., Frith, Richard W.
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Frith, Richard W.
description Although the blink reflex is a standard neurophysiological investigation its relationship with eyelid movement has not been clearly established. We studied normal subjects and patients with unilateral facial paralysis to define the pattern of eyelid movement following glabellar tap, supraorbital nerve stimulation, facial nerve stimulation and direct corneal stimulation. We found that eyelid closure did not necessarily occur in a single movement. Following glabellar tap the first component of a two-stage movement was initiated by levator palpebrae relaxation while with supraorbital nerve stimulation orbicularis oculi contraction produced the first movement. The compound muscle action potential following direct facial nerve stimulation produced only minimal eyelid movement, the major closure being associated with a longer latency orbicularis oculi reflex. Corneal stimulation elicited a single component eyelid movement. Thus, the pattern of eyelid movement differed for each stimulus reflecting variations in orbicularis oculi contraction and levator palpebrae inhibition.
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subjects Adult
Biological and medical sciences
Blink reflex
Blinking
Cornea - physiopathology
Corneal reflex
Electric Stimulation
Eye and associated structures. Visual pathways and centers. Vision
Eye Movements
Eyelid movement
Eyelids - physiology
Facial Nerve - physiology
Facial Paralysis - physiopathology
Female
Fundamental and applied biological sciences. Psychology
Glabellar tap
Humans
Male
Middle Aged
Reference Values
Vertebrates: nervous system and sense organs
title The relationship of eyelid movement to the blink reflex
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